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What is a simplified Pesi?

Simplified PESI (Pulmonary Embolism Severity Index) Predicts 30-day outcome of patients with PE, with fewer criteria than the original PESI. In the setting of a patient diagnosed with pulmonary embolism, the sPESI can be utilized to determine if he/she is a possible candidate for outpatient management.

Why use the Pesi for PE?

Why Use. In the setting of a patient diagnosed with PE, the PESI can be utilized to determine mortality and long term morbidity. For those determined to be very low risk (score ≤ 65), all studies showed a 30-day mortality <2%. In the validation, low risk (Class I and II) had a 90-day mortality of 1.1%.

When should clinical judgement be used over the Pesi?

In the setting of a patient with renal failure or severe comorbidities, clinical judgement should be used over the PESI, as these patients were excluded in the validation study. The PESI score determines risk of mortality and severity of complications. The score does not require laboratory variables.

What is considered a low Pesi score?

If the patient is considered very low (≤ 65) or low risk (66-85) by the PESI score. Patient has an overall low risk of mortality or severe morbidity.

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