HEMORR2HAGES Score for Predicting Hemorrhage with Atrial Fibrillation

Are you evaluating an older adult with atrial fibrillation who is receiving antithrombotic therapy?

Yes

Age of the patient

years

Does the patient?

• have hepatic and/or renal disease?

Yes

• a history of ethanol abuse?

Yes

• have a malignancy?

Yes

• have reduced platelet count or function?

Yes

• have a history of a previous bleed (have increased rebleeding risk)?

Yes

• have uncontrolled hypertension?

Yes

• have anemia?

Yes

• have CYP2C9 single nucleotide polymorphism or other genetic risk factors?

Yes

• have excessive fall risk?

Yes

• have a history of stroke?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

The expected rate of bleeding per 100 patient years of warfarin therapy is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Laboratory Tests
- Bleeding Risk Indices of van der Meer et al
- 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
- Age, Biomarkers, Clinical History (ABC) Bleeding Risk Score for Atrial Fibrillation Patient

Evaluation

Results

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

HEMORR2HAGES Score of Gage et al for Predicting Hemorrhage in a Patient with Atrial Fibrillation

Purpose: To identify an older adult receiving antithrombotic therapy for atrial fibrillation who is at increased risk for bleeding using HEMORR2HAGES.

Evaluation

Results

Please fill out required fields.

MedicalAlgorithms.com APIs

Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10