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Hestia Criteria

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Hestia Criteria, Hestia Score

  • See Also
  1. Pulmonary Embolism
  2. Pulmonary Embolism Management
  3. Pulmonary Embolism Anticoagulation
  4. Hestia Criteria
  5. Pulmonary Embolism Severity Index (PESI)
  • Indications
  1. Non-massive Pulmonary Embolism risk stratification for outpatient management
  • Criteria
  • All must be absent for a negative Hestia result
  1. Systolic Blood Pressure <100 mmHg (without a history of baseline Hypotension)
  2. Contraindications to Heparin or Low-Molecular Weight Heparin (or other Factor Xa Inhibitor)
    1. Active bleeding
    2. Post-operative High Risk Surgery
    3. Creatinine Clearance <30 ml/min
    4. History of Heparin Induced Thrombocytopenia
    5. Warfarin skin necrosis
  3. Other medical conditions requiring hospital management
  4. Social condition requiring hospitalization (e.g. homeless, non-compliance, Psychosis, Chemical Dependency)
  5. Coagulopathy (INR>1.7)
  6. Thrombocytopenia (Platelet Count <50,000)
  7. Pregnancy
  8. Incarceration
  • Interpretation
  1. All Hestia Criteria negative
    1. Home management of Pulmonary Embolism is reasonable
  • References
  1. Zondog (2011) J Thromb Haemost 9(8): 1500-7 +PMID:21645235 [PubMed]