🫁 Simplified PESI (PE 30-day Mortality)
UseIdentify low-risk PE potentially suitable for outpatient treatment.
Strata0 = low risk (~1% 30-day mortality) supporting outpatient pathways; ≥1 = not low risk.
LimitsAny single positive item removes low-risk status — do not average ite… · Combine with Hestia/social factors before same-day discharge. · Not a substitute for detecting high-risk PE with shock or marked RV f…
SourceJiménez D, et al. Arch Intern Med 2010
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
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Methodology · worked example, guidelines & full notes
A score of 0 (~1% mortality) supports outpatient management.
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
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.
| Age > 80 | No |
|---|---|
| History of cancer | No |
| Chronic cardiopulmonary disease | No |
| Heart rate ≥ 110 | No |
| Systolic BP < 100 | No |
| SaO₂ < 90% | No |
→sPESI0
- Interpretation：Low risk (~1% 30-day mortality) — consider outpatient treatment.
| Age > 80 | Yes (+1) |
|---|---|
| History of cancer | Yes (+1) |
| Chronic cardiopulmonary disease | Yes (+1) |
| Heart rate ≥ 110 | Yes (+1) |
| Systolic BP < 100 | Yes (+1) |
| SaO₂ < 90% | Yes (+1) |
→sPESI6
- Interpretation：High risk (~10%) — not suitable for outpatient management.
Verification & sources · governance
FAQ
Frequently asked questions
- Does Simplified PESI (PE 30-day Mortality) 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 Simplified PESI (PE 30-day Mortality) calculated in practice? Can you show a worked example?
- Inputs: Age > 80 No, History of cancer No, Chronic cardiopulmonary disease No, Heart rate ≥ 110 No, Systolic BP < 100 No, SaO₂ < 90% No → Result: sPESI 0（Interpretation: Low risk (~1% 30-day mortality) — consider outpatient treatment.） Inputs: Age > 80 Yes (+1), History of cancer Yes (+1), Chronic cardiopulmonary disease Yes (+1), Heart rate ≥ 110 Yes (+1), Systolic BP < 100 Yes (+1), SaO₂ < 90% Yes (+1) → Result: sPESI 6（Interpretation: High risk (~10%) — not suitable for outpatient management.）