From: Pathways for outpatient management of venous thromboembolism in a UK centre
HESTIA criteria: Zondag [3] | Exclusion criteria: Aujesky [2] |
---|---|
Is the patient haemodynamically unstable? | SBP <100Â mmHg |
Is thrombolysis or embolectomy necessary? | Â |
>24Â h oxygen to maintain sats >90% | Oxygen saturation <90% |
Active bleeding or high risk of bleeding | Active bleeding High risk of bleeding (stroke within the preceding 10Â days, GI bleed within the last 14Â days or platelet count <75,000/mm3) |
PE diagnosed on anticoagulation? | Therapeutic anticoagulation (INR ≥2.0) at diagnosis |
Severe pain needing IV pain medication for >24Â h | Chest pain needing opiates |
Medical or social reason for treatment in hospital (infection, malignancy, no support system) | Barriers to treatment adherence or follow-up |
CrCl <30Â mL/min | Severe renal failure (CrCl <30Â mL/min) |
Severe liver impairment | Â |
Documented history of HIT | HIT |
Is the patient pregnant? | Â |
 | Obesity (weight >150 kg) |