Table 3. Risk stratification models for patients with pulmonary embolism by the risk of 30-day mortality81,174.
PESI | Simplified PESI | ||||
Variable | Point | Variable | Point | ||
Patient characteristics | Patient characteristics | ||||
Age | Age in years | Age | 1 if age > 80 years | ||
Male sex | 10 | ||||
Comorbidity | Comorbidity | ||||
Cancer | 30 | Cancer | 1 | ||
Heart failure | 10 | ||||
Chronic pulmonary disease | 10 | ||||
Chronic cardiopulmonary disease | 1 | ||||
Clinical finding | Clinical finding | ||||
SBP < 100 mmHg | 30 | SBP < 100 mmHg | 1 | ||
Heart rate ≥ 110 beats per minute | 20 | Heart rate ≥ 110 beats per minute | 1 | ||
Respiratory rate ≥ 30 breaths per minute | 20 | ||||
Arterial oxygen saturation < 90%* | 20 | Arterial oxygen saturation < 90%* | 1 | ||
Temperature < 36 °C | 20 | ||||
Altered mental status# | 60 | ||||
Risk category | Point | Mortality† | Risk category | Point | Mortality† |
Class I, very low | ≤ 65 | 1.1% | Low | 0 | 1.0% |
Class II, low | 66-85 | 3.1% | High | ≥ 1 | 10.9% |
Class III, intermediate | 86-105 | 6.5% | |||
Class IV, high | 106-125 | 10.4% | |||
Class V, very high | > 125 | 24.5% |
* With and without the supplemental oxygen. # Defined as disorientation, lethargy, stupor, or coma. † Estimates in the derivation cohorts.
PESI, pulmonary embolism severity index; SBP, systolic blood pressure.