Outpatient Bleeding Risk Index OBRI

Hematology & Oncology
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Outpatient Bleeding Risk Index[html]
<strong>Summary:</strong>
The Outpatient Bleeding Risk Index is used to help predict the risk of bleeding with anticoagulation. An approach to the decision of warfarin for oral anticoagulation for atrial fibrillation is suggested in <a href="http://www.aafp.org/afp/2005/0615/afp20050615p2348-f1.pdf" target="_blank">Am Fam Physician. 2005 Jun 15;71(12):2348-2350.</a>1) Use the <a href="../../cardiovascular/chads2/" target="_blank">CHADS2 rule</a> as well as the <a href="../../cardiovascular/accp-stroke-risk-calculator/" target="_blank">ACCP rule</a> to determine the risk of stroke.
2) If both these measures predict moderate risk of stroke, proceed to calculate the <a href="../../cardiovascular/outpatient-bleeding-risk-index-obri/" target="_blank">Outpatient Bleeding Risk Index</a> and weigh the risks versus the benefits.[/html]
[select name="Q1" value="No (0 points)=0|YES (1 point)=1"] <-- Age 65 or older
[select name="Q2" value="No (0 points)=0|YES (1 point)=1"] <-- History of GI tract bleeding
[select name="Q3" value="No (0 points)=0|YES (1 point)=1"] <-- History of stroke
[select name="Q4" value="No (0 points)=0|YES (1 point)=1"] <-- Recent MI, hematocrit lower than 30 percent, creatinine higher than 1.5, or diabetes mellitus.
Score --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)" memo="score"] out of 4 points
Interpretation (percent of cases with major bleeding at 1 year) --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4);score>2?'High risk(10.6-48%)':score>0?'Intermediate risk (2.5-12%)':'Low risk (0-3%)'" memo="interpretation"]
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.aafp.org/afp/2005/0615/p2348.html" target="_blank">Am Fam Physician. 2005 Jun 15;71(12):2348-2350. </a>, <a href="http://www.aafp.org/afp/2010/0315/p780.html" target="_blank">Am Fam Physician. 2010 Mar 15;81(6):780-782.</a>[/html][/conditional]
Outpatient Bleeding Risk Index
Summary:
The Outpatient Bleeding Risk Index is used to help predict the risk of bleeding with anticoagulation. An approach to the decision of warfarin for oral anticoagulation for atrial fibrillation is suggested in Am Fam Physician. 2005 Jun 15;71(12):2348-2350.1) Use the CHADS2 rule as well as the ACCP rule to determine the risk of stroke.
2) If both these measures predict moderate risk of stroke, proceed to calculate the Outpatient Bleeding Risk Index and weigh the risks versus the benefits.

<-- Age 65 or older
<-- History of GI tract bleeding
<-- History of stroke
<-- Recent MI, hematocrit lower than 30 percent, creatinine higher than 1.5, or diabetes mellitus.
Score --> scorescore=(Q1)+(Q2)+(Q3)+(Q4) out of 4 points
Interpretation (percent of cases with major bleeding at 1 year) --> interpretationscore=(Q1)+(Q2)+(Q3)+(Q4);score>2?'High risk(10.6-48%)':score>0?'Intermediate risk (2.5-12%)':'Low risk (0-3%)'

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Result - Copy and paste this output:

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