The Hestia Criteria is a clinical decision-making tool used to identify patients with pulmonary embolism who are suitable for outpatient treatment or early discharge. This calculator is applicable to patients diagnosed with acute pulmonary embolism. The clinical utility of the Hestia Criteria lies in its ability to reduce unnecessary hospital admissions, thereby decreasing healthcare costs and potential hospital-associated complications. 

The Hestia Criteria includes a list of 11 items, such as hemodynamic instability, need for supplemental oxygen, and social issues that prevent safe home treatment. If a patient meets any of these criteria, they are considered unsuitable for outpatient treatment. Therefore, the exclusion criteria for the use of the Hestia Criteria would be patients who are already deemed unsuitable for outpatient treatment due to severe comorbidities, social circumstances, or other factors.

Hestia criteria for pulmonary embolism treatment

# Criteria
 A. Hemodynamically unstable (systolic blood pressure < 100 mmHg with heart rate > 100/need for ICU admission/by clinician judgment) (+1)
B. Need for thrombolysis or embolectomy (+1)
C. Active bleeding or high risk for bleeding (GI bleeding < 2 weeks, stroke < 4 weeks, recent surgery < 2 weeks, bleeding disorder or thrombocytopenia, uncontrolled hypertension) (+1)
D. > 24 hours on supplemental oxygen to maintain SaO₂ > 90% (+1)
E. Pulmonary embolism during anticoagulant treatment (+1)
F. Severe pain needing IV pain medication > 24 hours (+1)
G. Medical or social reason for treatment in hospital > 24 hours (+1)
H. Creatinine clearance < 30 mL/min by Cockcroft-Gault (+1)
I. Severe liver impairment (+1)
J. Pregnancy (+1)
K. Documented history of heparin-induced thrombocytopenia (+1)

# Conditions
- score < 1
- score >= 1
- score == 0