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Similar outcomes sPESI and HESTIA for pulmonary embolism triage

Presented By
Prof. Pierre-Marie Roy, University Hospital of Angers, France

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Conference
ESC 2020
Trial
HOME-PE trial
The HOME-PE trial suggests that the simplified Pulmonary Embolism Severity Index (sPESI) score, recommended by European guidelines, and the HESTIA criteria, recommended by U.S. guidelines, performed equally well in selecting which haemodynamically stable patients with acute pulmonary embolism are eligible for home management [1]. Selected haemodynamically stable patients with acute pulmonary embolism could be treated at home. However, controversy persists about the optimal referral strategies and eligibility criteria for outpatient care. European guidelines recommend the PESI or sPESI score to assess the risk of all-cause mortality. If proper follow-up and anticoagulant therapy can be provided, patients with an sPESI score of 0 can be treated at home. The American guidelines do not require a predefined score and advise using pragmatic criteria, for example those formulated in the HESTIA Study. Prof. Pierre-Marie Roy (University Hospital of Angers, F...


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