Atherothrombosis Risk of Bleeding Score - Medical Algorithm

Description

Ducrocq et al developed a score for predicting serious bleeding in a patient at risk for atherothrombosis. This can help the physician to plan a safe and effective management strategy. The authors are REACH Investigators from multiple universities in France and the United States.

Patient selection: adult >= 45 years of age at risk for atherothrombosis

Outcome: serious bleeding defined as non-fatal hemorrhagic stroke or bleeding leading to hospitalization and transfusion

Parameters:

(1) age in years

(2) peripheral arterial disease

(3) congestive heart failure (CHF)

(4) diabetes

(5) hypercholesterolemia

(6) hypertension

(7) smoking

(8) antiplatelet therapy

(9) oral anticoagulants

Parameter	Findings	Points
age in years	45 to 54 years old	0
	55 to 64 years old	2
	65 to 74 years old	4
	>= 75 year old	6
peripheral arterial disease	no	0
	yes	1
congestive heart failure	no	0
	yes	2
diabetes	no	0
	yes	1
hypercholesterolemia	no	1
	yes	0
hypertension	no	0
	yes	2
smoking	never	0
	former	1
	current	2
antiplatelet therapy	none	0
	ASA	1
	other	2
	both	4
oral anticoagulants	no	0
	yes	4

where:

• Hypercholesterolemia is scored the opposite for risk of atherosclerosis.

• Former smoking could be from 1 week to 50 years.

total score =

= SUM(points for

Interpretation:

• minimum score: 0

• maximum score: 23

• The higher the score the greater the risk of serious bleeding.

Total Score	Incidence of Bleeding at 2 Years
0 to 6	0.46%
7 or 8	0.95%
9 or 10	1.25%
11 to 23	2.76%

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Description

Specialty

Objective

ICD-10

Risk Score of Ducrocq et al for Serious Bleeding in a Patient at Risk for Atherothrombosis (REACH Score)

Purpose: To determine the risk of serious bleeding in an adult at risk for atherothrombosis using the score of Ducrocq et al.

Description

Specialty

Objective

ICD-10