Models | GPS | No acronym (Polish model) | PESI | PE Prognostic Algorithm | No acronym (Spanish model) | No acronym (Dutch model) | EMEP | No acronym (Japanese model) | No acronym (Chinese model) | Simplified PESI | PREP | UPS | No acronym | Simple Score FAST | SIRS-WCC | No acronym | eStiMaTe (PROTECT) | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Model construction studies (derivation samples) | (Wicki et al122) | (Kostrubiec et al90) | (Aujesky et al68) | (Aujesky et al69) | (Uresandi et al118) | (Agterof et al67) | (Volschan et al121) | (Yamaki et al123) | (Zhu et al124) | (Jimenez et al85) | (Sanchez et al110) | (Agterof et al65) | (Huang et al129) | (Lankeit et al92) and (Dellas et al80) | (Jo et al89) | (Bova et al135) | (Jiménez et al87) | |
N of candidate variables | 14 | NR | 29 | 29 | >30 | 7 | 20 | 16 | NR | 11 | >30 | 7 | 38 | NR | NR | Unclear | 13 | |
N of variables in final model | 6 | 2 | 11 | 10 | 7 | 2 | 5 | 7 | 8 | 6 | 5 | 4 | 4 | 3 | 4 | 4 | 4 | |
Proposed risk assessment method | Score | Rule | Score | Rule | Score | Rule | Score | Score | Equation | Score | Score | Rule | Score | Score | None | Score | Calculator | |
Type of selected variables in final model | Total N* | |||||||||||||||||
Demographic and clinical characteristics | ||||||||||||||||||
Age | 6 | Age, in year | x | 1 | 3 | 1 | x | |||||||||||
Gender (male sex) | 2 | 10 | 2 | |||||||||||||||
Syncope | 2 | x | 1.5 | |||||||||||||||
Leg symptoms | 1 | 1 | ||||||||||||||||
Immobilisation/bed rest | 2 | 2 | 2 | |||||||||||||||
No recent surgery | 1 | 1 | ||||||||||||||||
Active cancer | 8 | 2 | 30 | x | 2 | 1 | 6 | x | x | |||||||||
Metastatic cancer | 1 | 4 | ||||||||||||||||
Non-metastatic cancer | 1 | 2 | ||||||||||||||||
Previous DVT/PE | 2 | 1 | 2 | |||||||||||||||
Heart failure | 3 | 1 | 10 | x | ||||||||||||||
Chronic lung disease | 3 | 10 | x | x | ||||||||||||||
Chronic cor pulmonale | 1 | 4 | ||||||||||||||||
Heart failure or chronic lung disease | 2 | 1 | x | |||||||||||||||
Chronic renal disease | 1 | x | ||||||||||||||||
Cerebrovascular disease | 1 | x | ||||||||||||||||
Recent bleeding | 1 | 4 | ||||||||||||||||
Inadequate anticoagulation | 1 | 1 | ||||||||||||||||
Clinical findings | ||||||||||||||||||
Cardiogenic shock | 2 | 6 | x | |||||||||||||||
HR | 12 | 20 | x | x | 2 | x | 1 | x | x | 2 | x | 1 | x | |||||
SBP | 6 | 2 | 30 | x | 1 | 2 | x | |||||||||||
RR | 3 | 20 | 2 | x | ||||||||||||||
Temperature | 2 | 20 | x | |||||||||||||||
Altered mental status | 4 | 60 | x | 10 | x | |||||||||||||
PaO2/SpO2 | 5 | 1 | 20 | x | 1 | x | ||||||||||||
Accentuation of P2 | 1 | x | ||||||||||||||||
Laboratory findings | ||||||||||||||||||
WCC | 3 | x | x | x | ||||||||||||||
Creatinine | 1 | 3 | ||||||||||||||||
CPK | 1 | x | ||||||||||||||||
cTnI | 1 | x | ||||||||||||||||
cTnT | 1 | x | ||||||||||||||||
hscTn | 0 | |||||||||||||||||
cTn | 1 | 2 | ||||||||||||||||
BNP | 1 | x | x | |||||||||||||||
NT-proBNP | 2 | x | x | |||||||||||||||
D-dimer | 3 | x | x | x | ||||||||||||||
H-FABP | 1 | 1.5 | ||||||||||||||||
Imaging findings | ||||||||||||||||||
US-DVT | 3 | 1 | 1 | x | ||||||||||||||
US-proximal DVT | 1 | 1 | ||||||||||||||||
TTE-RVD | 1 | x | ||||||||||||||||
TTE-RV/LV ratio | 2 | x | x | |||||||||||||||
TTE-SPAP | 1 | x | ||||||||||||||||
CT-RVD | 1 | x | ||||||||||||||||
RVD (TTE or CT) | 1 | 2 |
*Total N is the number of times a variable has been included across studies.
BNP, brain natriuretic peptide; CK, creatine kinase; cTnI, cardiac troponin I; cTnT, cardiac troponin T; DVT, deep vein thrombosis; EMEP, Estudo Multicêntrico de Embolia Pulmonar; GPS, Geneva prognostic score; H-FABP, heart-type fatty acid-binding protein; hscTnT, high-sensitive cardiac troponin; NR, not reported; NT-proBNP, N-terminal proBNP; PE, pulmonary embolism; PESI, PE Severity Index; PREP, Facteurs PRonostiques dans l'Embolie Pulmonaire; RR, relative risk; RVD, right ventricular dysfunction; SBP, systolic blood pressure; SIRS-WCC, systemic inflammatory response system—WCC; SPAP, systolic pulmonary artery pressure; TTE, transthoracic echocardiography; UPS, Utrecht Prediction Score; US-DVT, ultrasound-detected DVT; WCC, white cell count.