Accuracy and Interobserver Reliability of the Simplified Pulmonary Embolism Severity Index Versus the Hestia Criteria for Patients With Pulmonary Embolism

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Carlos Andrés QuezadaDavid Jiménez

Abstract

The objective was to assess and compare the accuracy and interobserver reliability of the simplified Pulmonary Embolism Severity Index (sPESI) and the Hestia criteria for predicting short-term mortality in patients with pulmonary embolism (PE). This prospective cohort study evaluated consecutive eligible adults with PE diagnosed in the emergency department (ED) at a large, tertiary, academic medical center in the era January 1, 2015, to December 30, 2017. We assessed and compared sPESI and Hestia criteria prognostic accuracy for 30-day all-cause mortality after PE diagnosis and their interobserver reliability for classifying patients as low risk or high risk. Two clinician investigators scored both prediction tools during the ED evaluation. We used the kappa statistic to test for agreement. The 488-patient cohort had a mean (±SD) age of 69.0 (±17.1) years and an approximately even sex distribution. The investigators classified one-quarter of patients as low risk using the sPESI and Hestia criteria (28% vs. 27%, respectively). During the 30-day follow-up, 31 of the 488 (6.4%) patients died. Patients classified as low risk according to the sPESI and the Hestia criteria had a similar 30-day mortality (sPESI 0.7% [1/135], 95% confi...Continue Reading

References

Oct 27, 2009·Thrombosis Research·Remedios OteroAurelio Cayuela
Aug 11, 2010·Archives of Internal Medicine·David JiménezUNKNOWN RIETE Investigators
Oct 20, 2010·British Journal of Haematology·David JiménezRoger D Yusen
Jun 8, 2011·Journal of Thrombosis and Haemostasis : JTH·W ZondagUNKNOWN Hestia Study Investigators
Nov 10, 2012·Thrombosis and Haemostasis·Wendy ZondagUNKNOWN Hestia Study Investigators
Jun 27, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Daren M BeamJeffrey A Kline
Jan 23, 2016·Journal of the American College of Cardiology·David JiménezUNKNOWN RIETE Investigators
May 27, 2016·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Erin R WeedaCraig I Coleman
Feb 7, 2017·Seminars in Thrombosis and Hemostasis·Raquel MorilloDavid Jiménez
Jun 25, 2017·Thrombosis Research·Marco Paolo DonadiniUNKNOWN LORPELHS study group
Jul 22, 2018·International Journal of Cardiology·David JiménezUNKNOWN RIETE investigators

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Citations

Mar 15, 2021·Archivos de bronconeumología·José Luis LoboUNKNOWN en nombre del Panel Multidisciplinar para el Manejo de la TEP
Apr 13, 2021·Postgraduate Medicine·William B Stubblefield, Jeffrey A Kline

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