Atrial Fibrillation Bleeding Risk Factors Medical Algorithm

Are you evaluating a patient taking an oral anticoagulant to reduce the complications of atrial fibrillation?

Yes

Age of the patient

years

Is/Does the patient?

• taking an antiplatelet drugs (aspirin or glycoprotein IIb/IIIa receptor antagonist)?

Yes

• taking NSAIDs?

Yes

• have uncontrolled hypertension?

Yes

• have a history of bleeding or intracerebral hemorrhage (ICH)?

Yes

• have anemia?

Yes

• taking multiple other medications (polypharmacy)?

Yes

Is the patient's anticoagulation therapy poorly controlled?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors for bleeding

The risk of the patient having significant bleeding is likely to be

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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
- 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

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Risk Factors for Bleeding During Antithrombotic Therapy from the NICE Guidelines for Atrial Fibrillation

Purpose: To identify risk factors for bleeding in a patient taking oral anticoagulant therapy for atrial fibrillation based on the NICE guidelines.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10