🫁 Simplified PESI (PE 30-day Mortality)
Risk-stratify acute pulmonary embolism for 30-day mortality with the simplified PESI.
Simplified PESI (PE 30-day Mortality)
Age > 80
History of cancer
Chronic cardiopulmonary disease
Heart rate ≥ 110
Systolic BP < 100
SaO₂ < 90%
When to use
Identify low-risk PE potentially suitable for outpatient treatment.
How it works
1 point each: age > 80, cancer, chronic cardiopulmonary disease, HR ≥ 110, SBP < 100, SaO₂ < 90%. 0 = low risk; ≥ 1 = high risk.
Key points
- A score of 0 (~1% mortality) supports outpatient management.
- Any positive item makes the patient high-risk.
- Combine with Hestia criteria and clinical judgement.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.