Cuschieri et al reported a score for predicting risk of acute gastrointestinal bleeding in a patient receiving clopidogrel. The authors are from the Louis Stokes VA Medical Center and University Hospitals Case Medical Center in Cleveland.
Patient selection: patient receiving clopidogrel and aspirin following myocardial infarction
Parameters:
(1) age of the patient in years
(2) concurrent warfarin
(3) chronic liver disease
(4) chronic kidney disease
(5) diabetes
Parameter
Finding
Points
age of the patient
<= 65 years
0
> 65 years
1.5
concurrent warfarin
no
0
yes
3.5
chronic liver disease
no
0
yes
3
chronic kidney disease
no
0
yes
2.5
diabetes
no
0
yes
-1.5
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: -1.5
• maximum score: 10.5
Total Score
Risk GI Bleeding
< 3
low risk
3
moderate risk
> 3
high risk
To read more or access our algorithms and calculators, please log in or register.
