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PERC criteria

Eight clinical criteria, all negative in a low-pretest-probability patient, make PE risk lower than the risk of investigating.

Arithmetic checks are available. Independent clinical review is pending. Inclusion in the catalogue does not constitute clinical validation.

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Method · Limits of application

PERC/Kline 2004: 8 negative criteria with low prior suspicion; no automatic decision

PERC 2004 was derived in emergency patients evaluated for pulmonary embolism and tested in low- and very-low-risk groups. All eight criteria must be simultaneously negative, including age < 50 years, pulse < 100/min and saturation > 94% in the original study. The rule does not establish zero risk, and its applicability depends on prior population selection; temporal definitions and inclusion criteria must be checked in the version used.

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

  • Age ≥ 50 years
  • Heart rate ≥ 100 bpm
  • O₂ saturation < 95% on room air
  • Unilateral lower-limb swelling
  • Hemoptysis
  • Surgery or trauma requiring hospitalization in the last 4 weeks
  • Previous DVT or PE
  • Estrogen use (contraception or hormone replacement)

3/3 reference cases checked. Numerical tests are not clinical validation.

Relationship with cancer research

General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.

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