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.