Bleeding Anticoagulation Therapy Risk Score in Hospitalized Patients

Age of patient

years

Is the patient receiving intravenous heparin therapy?

Yes

Does the patient have an acute myocardial infarction?

Yes

Does the patient have cancer?

Yes

Systolic blood pressure on admission

mm Hg

Did hypotension occur during hospitalization?

Yes

Was an intra-aortic balloon pump required?

Yes

Total serum bilirubin at start of anticoagulation therapy

Maximum total serum bilirubin after initiation of anticoagulation therapy

Is there a hemolytic anemia or other nonhepatic explanation for the bilirubin rise?

Yes

Serum creatinine

Hematocrit (enter 0 to 100)

percent

Mean red blood cell volume

femtoliters

Maximum prothrombin time for patient

seconds

Upper limit of reference range for prothrombin time

seconds

Maximum activated partial thromboplastin time for patient

seconds

Upper limit of reference range for aPTT

seconds

Results

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Results Interpretation and Description References Next Steps

Data complete?

Number of comorbid conditions

Points

Risk for anticoagulant-related hemorrhage

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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 Score of Landefeld et al for Anticoagulant-related Major Bleeding in Hospitalized Patients

Purpose: To predict the risk for anticoagulant-related major bleeding in hospitalized patients by looking at four risk factors.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10