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Hestia criteria

Assess the feasibility of outpatient treatment after acute PE has been confirmed.

Hestia criteria

Principle

Assess the feasibility of outpatient treatment after acute PE has been confirmed.

Scope

Objectively confirmed acute PE in adults; local restriction to people aged at least 18 years. Same clinical assessment; outpatient treatment and follow-up must be feasible.

Interpretation limits

Objectively confirmed acute PE in adults; local restriction to people aged at least 18 years. Same clinical assessment; outpatient treatment and follow-up must be feasible.

Formula and logic

Any positive criterion indicates an exclusion under Hestia; a final conclusion requires all answers.

Interpretation

Outpatient treatment may be considered
No Hestia exclusion criterion identified. The decision depends on overall PE assessment and the feasibility of treatment and follow-up. Consider patient preferences and access to reassessment.
Hestia exclusion criterion present
Clinical disposition remains a physician decision.

Definition version : 1.0.0

Sources

Full references
Triaging acute pulmonary embolism for home treatment by Hestia or simplified PESI criteria: the HOME-PE randomized trial — opens in a new tab

Roy et al. · 2021

Eleven original criteria and operational details; outpatient treatment selection.