Practical-Manual-Scores-Algorithms-Haemostasis-Thrombosis

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Deep Vein <strong>Thrombosis</strong> and Pulmonary EmbolismPrognostic scores in pulmonary embolismIndicationPredictive scoring system for patients with pulmonary embolism (PE) usingPESI (the Pulmonary Embolism Severity Index) and Geneva score calculators.PESIFeaturesPointsOriginal version Simplified versionAge Years > 80 =1Male +10History of cancer +30 1History of heart failure +10History of chronic lung disease +10} 1 aPulse ≥ 110 bpm +20 1Systolic BP < 100 mmHg +30 1Respiratory rate ≥ 30/min +20Temperature < 36 ºC +20Altered mental status +60Arterial oxygen saturation < 90% +20 1Risk evaluationClass I (very low)≤ 65 pointsClass II (low)66-85 pointsClass III (intermediate)86-105 points Low: 0High: ≥ 1Class IV (high)106-125 pointsClass V (very high)> 125 pointsaVariables combined into a single category of chronic cardiopulmonary diseaseInterpretationThe PESI score includes 11 clinical features and provides an estimation of therisk of mortality at 30 days after hospitalization in patients with PE. A significantproportion of low-risk patients (negative predictive value 99%) are identified aspotential candidates for ambulatory treatment. The simplified version includes14
6 features with a similar validity. The RIETE study shows that mortality was1% amongst 36% of the classified low-risk patients, against 10.9% in high-riskpatients. The PESI has been used to identify patients that may be treated in anoutpatient setting.FeatureGeneva prognostic scorePointsHistory of cancer 2History of heart failure 1Previous DVT 1DVT on ultrasound 1PAS < 100 mmHg 2PaO 2< 8 kPa 1Deep Vein <strong>Thrombosis</strong> and Pulmonary EmbolismClinical probabilityLow risk ≤ 2High risk ≥ 2InterpretationPredictive risk value of low-mortality-risk patients, recurrent VTE or increasingbleeding at 3 months. Patients with ≤ 2 points are considered low-level riskpatients. This stratification might help identifying patients who could be treatedin an outpatient setting.15
Page 1 and 2: Practical manualScores and Algorith
Page 3: Scientific boardHenri BounameauxDiv
Page 6 and 7: SummaryBleedingISTH bleeding assess
Page 9 and 10: Clinical probability model for deep
Page 11 and 12: FeatureGeneva scoresPoints(revised
Page 13: InterpretationClinical decision rul
Page 17 and 18: Prediction of recurrent deep vein T
Page 19 and 20: Outpatient versus inpatient care in
Page 21 and 22: Assessment of post-thrombotic syndr
Page 23 and 24: Diagnostic algorithm in suspected p
Page 25 and 26: Prediction of stroke risk in patien
Page 27 and 28: References• Camm AJ, Lip GY, De C
Page 29 and 30: References• Friberg L, Rosenqvist
Page 31 and 32: InterpretationThis score identifies
Page 33 and 34: Vienna score (Ay Model): DVT or PE
Page 35 and 36: Risk assessment modelsin hospitaliz
Page 37 and 38: References• Chopard P, Spirk D, B
Page 39 and 40: Recommendations for the determinati
Page 41 and 42: Template for scoring system for non
Page 43 and 44: Diagnosis of Thrombotic Thrombocyto
Page 45 and 46: Management of patientswith occlusio
Page 47 and 48: Symptoms(up to the time of diagnosi
Page 49 and 50: InterpretationA bleeding score > 3
Page 51 and 52: Pediatric Bleeding scoreSymptoms Sc
Page 53 and 54: Bleeding assessment tool for the ev
Page 55 and 56: The SMOG system (cont.)Type of blee
Page 57 and 58: The SMOG system (cont.)Type of blee
Page 59 and 60: Diagnostic and therapeutic algorith
Page 61 and 62: Bridging strategies in patients on
Page 64:
Practical manualof scores and algor
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Practical-Manual-Scores-Algorithms-Haemostasis-Thrombosis

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