Hestia criteria for outpatient PE treatment
Exclusion criteria for treating pulmonary embolism at home.
Inputs
Hemodynamically unstable
Thrombolysis or embolectomy needed
Active bleeding or high bleeding risk
Oxygen needed for more than 24 h to keep SaO₂ above 90%
PE diagnosed during anticoagulation
Severe pain needing IV analgesia for more than 24 h
Medical or social reason for admission longer than 24 h
CrCl below 30 mL/min
Severe liver impairment
Pregnant
History of heparin-induced thrombocytopenia
Worked calculation
Your values are highlighted.
- Criteria present
When to use
- Confirmed PE, considering outpatient treatment.
Pearls and pitfalls
- In the HoT-PE and Vesta trials, Hestia performed as well as sPESI.
Why use
Pragmatic, clinician-friendly criteria.
Positive if any criterion is present