Table 3:
Acute pulmonary embolism risk stratification into high-, intermediate- and low-risk categories
| Shock or hypotension (SBP <90 mmHg) |
Signs of RV dysfunction or abnormal cardiac biomarkers |
sPESI* | ||
|---|---|---|---|---|
| High-risk | + | Both positive (although not needed for diagnosis in presence of shock) | ≥1 | |
| Intermediate-risk | Intermediate-high | -- | Both positive | ≥1 |
| Intermediate-low | -- | Either one or none positive | ≥1 | |
| Low-risk | -- | If assessed, both negative | 0 | |
Score one point for each: age >80 years, history of cancer, history of chronic obstructive cardiopulmonary disease, heart rate >110 beats per minute, systolic blood pressure <100 mmHg, oxygen saturation <90%