🏠 Hestia Criteria (Outpatient PE)
UseDecide whether home management of PE is appropriate.
StratasPESI). In the original study, patients selected for outpatient treatment by these criteria had a 3-month VTE…
LimitsHestia captures practical barriers that sPESI misses — do not ignore … · Confirmed PE plus right-heart strain or biomarker positivity may stil…
SourceZondag W, et al. J Thromb Haemost 2011
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
- Who it is for
- Adults with suspected acute PE when deciding whether to test further, and risk stratification after confirmation.
- Who it is not for
- PERC must not rule out PE when clinical probability is not already low. Confirmed PE does not return to PERC. PERC is not an atrial-fibrillation tool and not a treatment page.
- Formula and variables
- Wells PE and revised Geneva estimate clinical probability; the version stays as on this page. PERC is used only when probability is already low, to see whether testing can stop. BOVA is only for normal blood pressure. Hestia only answers outpatient eligibility. No new score.
- Result → next step
- If probability is low and every PERC item is negative, stop further PE testing; otherwise test. The treatment column stays empty before confirmation. After confirmation, duration opens the anticoagulation-duration page. That link is not hung on PERC. Numeric dose waits for age, weight, renal function, and pregnancy.No numeric dose until age, weight, renal function, and pregnancy are all known. Pregnancy is contraindication or caution only.Duration after confirmation →
- Guideline
- 2019 ESC PE
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
No criterion met.
When to use
Decide whether home management of PE is appropriate.
How it works
Eleven yes/no criteria; any single 'Yes' makes outpatient management unsuitable.
Key points
- No criterion met.
- Captures instability, bleeding risk and practical barriers.
- An alternative to sPESI-based pathways.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Haemodynamically unstable | No |
|---|---|
| Thrombolysis/embolectomy needed | No |
| Active bleeding / high bleeding risk | No |
| O₂ needed to keep SaO₂ > 90% for > 24 h | No |
| PE diagnosed on anticoagulation | No |
| Severe pain needing IV analgesia > 24 h | No |
| Medical/social reason for admission > 24 h | No |
| CrCl < 30 mL/min | No |
| Severe hepatic impairment | No |
| Pregnant | No |
| History of HIT | No |
→No criterion metAll criteria absent
- Rule：In the original study, patients selected for outpatient treatment by these criteria had a 3-month VTE recurrence of 2.0%.
| Haemodynamically unstable | Yes |
|---|---|
| Thrombolysis/embolectomy needed | Yes |
| Active bleeding / high bleeding risk | Yes |
| O₂ needed to keep SaO₂ > 90% for > 24 h | Yes |
| PE diagnosed on anticoagulation | Yes |
| Severe pain needing IV analgesia > 24 h | Yes |
| Medical/social reason for admission > 24 h | Yes |
| CrCl < 30 mL/min | Yes |
| Severe hepatic impairment | Yes |
| Pregnant | Yes |
| History of HIT | Yes |
→≥1 criterion met11 criteria present
- Rule：In the original study, patients selected for outpatient treatment by these criteria had a 3-month VTE recurrence of 2.0%.
Verification & sources · governance
FAQ
Frequently asked questions
- Does Hestia Criteria (Outpatient PE) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Hestia Criteria (Outpatient PE) calculated in practice? Can you show a worked example?
- Inputs: Haemodynamically unstable No, Thrombolysis/embolectomy needed No, Active bleeding / high bleeding risk No, O₂ needed to keep SaO₂ > 90% for > 24 h No, PE diagnosed on anticoagulation No, Severe pain needing IV analgesia > 24 h No, Medical/social reason for admission > 24 h No, CrCl < 30 mL/min No… → Result: No criterion met All criteria absent（Rule: In the original study, patients selected for outpatient treatment by these criteria had a 3-month VTE recurrence of 2.0%.） Inputs: Haemodynamically unstable Yes, Thrombolysis/embolectomy needed Yes, Active bleeding / high bleeding risk Yes, O₂ needed to keep SaO₂ > 90% for > 24 h Yes, PE diagnosed on anticoagulation Yes, Severe pain needing IV analgesia > 24 h Yes, Medical/social reason for admission > 24 h Yes, CrCl < 30 mL/min Yes… → Result: ≥1 criterion met 11 criteria present（Rule: In the original study, patients selected for outpatient treatment by these criteria had a 3-month VTE recurrence of 2.0%.）