Bozas et al reported the Hull clinical prediction rule for predicting an unsuspected pulmonary embolism (PE) in an ambulatory cancer patient. The authors are from Hull and Yorkshire NHS Hospitals Trust and Castle Hill Hospital in England.
Patient selection: ambulatory cancer patient
Parameters:
(1) new or worsening symptom
(2) ECOG performance status
Parameter
Finding
Points
new or worsening symptom
no
0
yes
1
ECOG performance status
0
0
1 or 2
2
3 or 4
3
total score =
= SUM(points for both parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
Total Score
Risk of Unsuspected PE
Overall Survival
0
low
32 months
1 or 2
intermediate
12.6 months
3 or 4
high
5.5 months
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