Pulmonary Embolism Mortality Risk - Medical Algorithm

Are you evaluating a patient with an acute pulmonary embolism?

Yes

Age of the patient

years

Does the patient have a history of ...

• cancer?

Yes

• heart failure?

Yes

• chronic lung disease?

Yes

• chronic renal disease?

Yes

• transient ischemic attack (TIA) or stroke?

Yes

Pulse

beats per minute

Systolic blood pressure

mm Hg

Arterial oxygen saturation in percent (enter from 0 to 100)

percent

Is the patient disoriented, lethargic, stuporous or comatose?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors present

The risk of 30 day mortality or complications for this patient is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- YEARS Algorithm for Suspected Pulmonary Embolism in ED
Laboratory Tests
- Prediction of Clinical Outcome After Pulmonary Embolism Using Pro-Brain Natriuretic Peptide (preBNP) and Troponin T Concentrations
- Risk Models of Binder et al for Acute Pulmonary Embolism Based on Echocardiography, NT-proBNP and Troponin T
Other Testing
- PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)
Criteria For Diagnosis
- The Clinical Score of Wicki et al for Determining the Probability of a Pulmonary Embolus in the Emergency Department (Geneva Score)
- PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)
Severity, Prognosis, Stage
Complications

Therapy

Selection
- Pulmonary Embolism Severity Index (PESI) of Aujesky et al
Surgery
- Pulmonary Embolism with Orthopedic Cement Following Surgery

Monitoring

Adverse Effects
- Pulmonary Embolism with Orthopedic Cement Following Surgery

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Clinical Prediction Rule of Aujesky et al for Identifying the Level of Risk for a Patient with a Pulmonary Embolism

Purpose: To identify a patient with an acute pulmonary embolism (PE) at high risk for 30 day mortality and complications using the prediction rule of Aujesky et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10