🏠 Hestia Criteria (Outpatient PE)
Select patients for outpatient pulmonary embolism treatment with the Hestia criteria.
Clinical takeaway
No criterion met → outpatient treatment is often feasible.
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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 → outpatient treatment is often feasible.
- Captures instability, bleeding risk and practical barriers.
- An alternative to sPESI-based pathways.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.
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 |
→Outpatient candidateAll criteria absent
- Rule：Any single 'Yes' makes outpatient treatment unsuitable.
| 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 |
→Not eligible11 criteria present
- Rule：Any single 'Yes' makes outpatient treatment unsuitable.
Frequently asked questions
- What is Hestia Criteria (Outpatient PE)?
- Select patients for outpatient pulmonary embolism treatment with the Hestia criteria.
- How is Hestia Criteria (Outpatient PE) calculated? What is the core formula?
- Eleven yes/no criteria; any single 'Yes' makes outpatient management unsuitable.
- When is Hestia Criteria (Outpatient PE) used?
- Decide whether home management of PE is appropriate.
- What are the key clinical points for Hestia Criteria (Outpatient PE)?
- No criterion met → outpatient treatment is often feasible. Captures instability, bleeding risk and practical barriers. An alternative to sPESI-based pathways.
- What are the limits and cautions when using Hestia Criteria (Outpatient PE)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- 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: Outpatient candidate All criteria absent（Rule: Any single 'Yes' makes outpatient treatment unsuitable.） 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: Not eligible 11 criteria present（Rule: Any single 'Yes' makes outpatient treatment unsuitable.）