Hestia Criteria for PE

Note: If any criterion is met, outpatient treatment is contraindicated.

Hemodynamic instability (SBP < 90 mmHg, shock) Need for thrombolysis or embolectomy Active bleeding or high risk of bleeding Oxygen supply needed to maintain SpO₂ > 90% (>24h) PE diagnosed while on therapeutic anticoagulation Severe pain requiring intravenous pain medication (>24h) Medical or social reasons for admission (e.g., compliance, support) Severe renal (CrCl < 30 mL/min) or liver disease Pregnancy