Pulmonary Embolism Rule out Criteria – PERC Score
This tool can be used to rule out pulmonary embolism if the pre-test probability of PE is low. A Wells PE Score of 1 or 0 is one way to meet this requirement (1.3% probability). [link url="../../blood-lymph/wells-pe/" memo="Wells PE Score calculator"] Findings: (All answers must be 'True' to Rule out PE) [select name="age" value="false=0|true=1"] <-- Age < 50? [select name="HR" value="false=0|true=1"] <-- HR < 100? [select name="O2" value="false=0|true=1"] <-- O2 Sat on Room Air >94%? [select name="prior" value="false=0|true=1"] <-- No Prior History of DVT/PE? [select name="trauma" value="false=0|true=1"] <-- No Recent Trauma or Surgery? [select name="hemoptysis" value="false=0|true=1"] <-- No Hemoptysis? [select name="estrogen" value="false=0|true=1"] <-- No Exogenous Estrogen? [select name="dvt" value="false=0|true=1"] <-- No Clinical Signs Suggesting DVT? Score --> [calc value="score=(age)+(HR)+(O2)+(prior)+(trauma)+(hemoptysis)+(estrogen)+(dvt)" memo="score"] Interpretation: [calc value="score=(age)+(HR)+(O2)+(prior)+(trauma)+(hemoptysis)+(estrogen)+(dvt);score>7?'1.8% chance of pulmonary embolism *if* pretest probability was low (Wells PE score of 1 or less)':'Pulmonary embolism is not ruled out'" memo="Interpretation"] [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"] reference: [link url="http://www.ncbi.nlm.nih.gov/pubmed/15304025" memo="#1"] Kline (2004) J Thromb Haemost. 2:1247-55. [/conditional]
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