Pulmonary embolism
RIETE Bleeding Score
Six-item score from the RIETE registry (Ruiz-Giménez 2008) for major bleeding during the first 3 months of anticoagulation: low (0), intermediate (1–4) and high (> 4) risk.
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Criteria
Tap every item that applies
Total score
0
Low bleeding risk
Major bleeding at 3 months ≈ 0.3%
Decision guide
Standard anticoagulation. Outpatient treatment is reasonable if the PE risk class allows.
Ranges: 0 Low bleeding risk1–4 Intermediate bleeding risk4.5–8 High bleeding risk
References
- Ruiz-Giménez N, et al. Predictive variables for major bleeding events in patients presenting with documented acute venous thromboembolism. Findings from the RIETE Registry. Thromb Haemost 2008;100:26-31.
- Konstantinides SV, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism. Eur Heart J 2020;41:543-603.
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