MDCalc

Composite Pulmonary Embolism Shock (CPES) Score

Stratifies risk of in-hospital mortality, resuscitated cardiac arrest, or hemodynamic deterioration in patients with pulmonary embolism (PE).

Elevated troponin

See Evidence for more details.

Elevated BNP

See Evidence for more details.

Moderate or severe RV dysfunction

See Evidence for more details.

Saddle PE location

Concomitant DVT

Tachycardia

≥100 beats/min

Result:

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Advice

This tool should not be the sole determinant of care; use in conjunction with thorough clinical evaluation and judgment.

Management
  • No formal treatment recommendations based on this tool have been established at this time.
  • Higher scores indicate elevated risk for clinical decompensation; consider:
    • More intensive monitoring.
    • Escalation to more aggressive measures, such as thrombolytic therapy or mechanical thrombectomy.