miniPIERS (bedside pre-eclampsia risk)

miniPIERS — the bedside-only pre-eclampsia adverse-outcome model from parity, gestational age, headache/visual changes, chest pain/dyspnea, vaginal bleeding with abdominal pain, SBP, and dipstick proteinuria.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Multiparous
Yes
Gestational age
34 weeks
Systolic blood pressure
160 mmHg
Dipstick proteinuria; lt2 is negative, trace or 1+, the reference category
3+
Headache or visual changes
Yes

Result: miniPIERS 10% probability of adverse maternal outcome within 48 h: at or below 15% -- lower risk.

The tool opens with these values already filled in. Replace them with your own.

What the result means

> 15%
Increased surveillance.
>= 25%
High risk (rule-in; positive likelihood ratio about 5).

What you enter

  • Multiparous
  • Gestational age
  • Systolic blood pressure
  • Dipstick proteinuria; lt2 is negative, trace or 1+, the reference category
  • Headache or visual changes
  • Chest pain or dyspnea
  • Vaginal bleeding with abdominal pain
How this is calculated
Inputs
parity, gestational age, headache/visual, chest pain/dyspnea, vaginal bleeding with pain, systolic BP, dipstick proteinuria -- no labs.

Payne BA, Hutcheon JA, Ansermino JM, et al. A risk prediction model for the assessment and triage of women with hypertensive disorders of pregnancy in low-resourced settings: the miniPIERS model. PLoS Med. 2014;11(1):e1001589. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.