Bleeding Risk Indices of van der Meer et al

Purpose: To estimate the risk for major bleeding in a patient taking oral anticoagulants.

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Evaluation

Are you evaluating the risk of major bleeding in a patient taking oral anticoagulants?

Yes

Age of the patient

years

Gender of the patient

Male

Female

Achieved

INR

Select an appropriate answer for each question

Coumarin type

Target zone for INR

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

X from 1988

Incidence of major bleeding (1988)

X from 1991

Incidence of major bleeding (1991)

Average X

Incidence of major bleeding (average)

Abbreviated X

Incidence of major bleeding (abbreviated)

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Laboratory Tests
- Age, Biomarkers, Clinical History (ABC) Bleeding Risk Score for Atrial Fibrillation Patient
Criteria For Diagnosis
- Criteria of Graafsma et al for Anticoagulant-Related Bleeding with a Bleeding Severity Index
Severity, Prognosis, Stage
Complications

Therapy

Drug Interactions
- Risk Score of Landefeld and Goldman for Warfarin-Associated Major Bleeding in Outpatients
Dosage Adjustments
- Risk Score of Kuijer et al for Bleeding During Anticoagulant Treatment for Venous Thromboembolism
- Risk Score of Landefeld and Goldman for Warfarin-Associated Major Bleeding in Outpatients
Administration
- Risk Score of Kuijer et al for Bleeding During Anticoagulant Treatment for Venous Thromboembolism
Failure Handling And Therapy Escalation

Monitoring

Response To Therapy
Adverse Effects
Overdose And Reversal
- Risk Score of Landefeld and Goldman for Warfarin-Associated Major Bleeding in Outpatients
Complication Detection
- HEMORR2HAGES Score of Gage et al for Predicting Hemorrhage in a Patient with Atrial Fibrillation
- Age, Biomarkers, Clinical History (ABC) Bleeding Risk Score for Atrial Fibrillation Patient

Specialty

Hematology Oncology
Clinical Laboratory
Pharmacology, clinical

Objective

risk factors
laboratory tests

ICD-10

R58 - Haemorrhage, not elsewhere classified

Info

Purpose: To estimate the risk for major bleeding in a patient taking oral anticoagulants.

Specialty: Hematology Oncology, Clinical Laboratory, Pharmacology, clinical

Objective: risk factors, laboratory tests

ICD-10: R58,

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