A Standardized Bleeding Risk Score Aligns Anticoagulation Choices with Current Evidence
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چکیده
منابع مشابه
A Standardized Bleeding Risk Score Aligns Anticoagulation Choices with Current Evidence
OBJECTIVES Atrial fibrillation (AF), the most common arrhythmia in elderly patients, accounts for 15% of strokes. Oral anticoagulation (OAC) can reduce the risk of stroke by 60% but is underprescribed. The HAS-BLED score (Hypertension, Abnormal renal or liver function, Stroke, Bleeding, Labile INR, Elderly, Drugs) can predict OAC bleeding complications. The authors hypothesized that use of HAS-...
متن کاملThe ORBIT bleeding score: a simple bedside score to assess bleeding risk in atrial fibrillation
BACKGROUND Therapeutic decisions in atrial fibrillation (AF) are often influenced by assessment of bleeding risk. However, existing bleeding risk scores have limitations. OBJECTIVES We sought to develop and validate a novel bleeding risk score using routinely available clinical information to predict major bleeding in a large, community-based AF population. METHODS We analysed data from Out...
متن کاملAssessing Bleeding Risk in Atrial Fibrillation Patients: Comparing a Bleeding Risk Score Based Only on Modifiable Bleeding Risk Factors against the HAS-BLED Score. The AMADEUS Trial.
Background The HAS-BLED (hypertension, abnormal renal/liver function, previous stroke, bleeding history or predisposition, labile international normalized ratio [INR], elderly and drugs/alcohol consumption) score has been validated in several scenarios but the recent European guidelines does not recommend any clinical score to assess bleeding risk in atrial fibrillation (AF) patients and only f...
متن کاملShould we recommend oral anticoagulation therapy in patients with atrial fibrillation undergoing coronary artery stenting with a high HAS-BLED bleeding risk score?
BACKGROUND Recent European guidelines for the management of atrial fibrillation recommend oral anticoagulation (OAC) in patients with CHA(2)DS(2)-VASc score (congestive heart failure, hypertension, age ≥75 years, diabetes, history of previous stroke, vascular disease, age 65-74 years, and sex category [female]) ≥1. The HAS-BLED score (Hypertension, Abnormal renal/liver function, Stroke, Bleedin...
متن کاملManagement of intracranial bleeding associated with anticoagulation: balancing the risk of further bleeding against thromboembolism from prosthetic heart valves.
Mechanical heart valves are associated with a risk of thromboembolism and anticoagulation is generally recommended. However, this is inevitably associated with a risk of intracranial bleeding. The case of a patient who sustained an intracranial bleed while taking warfarin for a prosthetic aortic valve and a further two intracranial bleeds while on heparin as an inpatient is discussed and the li...
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ژورنال
عنوان ژورنال: Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine
سال: 2014
ISSN: 1535-282X
DOI: 10.1097/hpc.0000000000000017