YEARS algorithm for pulmonary embolism
Combines three clinical items with a D-dimer threshold that depends on them.
Inputs
0 of 1Clinical signs of DVT
Hemoptysis
PE is the most likely diagnosis
When to use
- Suspected PE in hemodynamically stable patients, including pregnancy (Pregnancy-Adapted YEARS).
Pearls and pitfalls
- Reduced CT use by about 14 percentage points versus Wells with fixed D-dimer.
Why use
Fewer CT scans with a safe miss rate.
| Criterion | Points |
|---|---|
| Clinical signs of DVT | +1 |
| Hemoptysis | +1 |
| PE is the most likely diagnosis | +1 |