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Summary:
The ACCP Stroke Risk Calculator is used to help decide whether or not to use anticoagulant. An approach to the decision of warfarin for oral anticoagulation for atrial fibrillation is suggested in [link url="http://www.aafp.org/afp/2005/0615/afp20050615p2348-f1.pdf" memo="(link)"] Am Fam Physician. 2005 Jun 15;71(12):2348-2350.
2) If both these measures predict moderate risk of stroke, proceed to calculate the [link url="../../cardiovascular/outpatient-bleeding-risk-index-obri/" memo="(link)"] Outpatient Bleeding Risk Index and weigh the risks versus the benefits.
[select name="Q1" value="No=0|YES (High Risk)=10"] <-- History of Stroke or TIA
[select name="Q2" value="No=0|YES (High Risk)=10"] <-- Hypertension
[select name="Q3" value="No=0|YES (High Risk)=10"] <-- Heart failure
[select name="Q4" value="Under 65=0|65 to 75 (Moderate Risk)=5|Over 75 (High Risk)=10"] <-- Age
[select name="Q5" value="No=0|YES (Moderate Risk)=5"] <-- Diabetes mellitus
[select name="Q6" value="No=0|YES (Moderate Risk)=5"] <-- Coronary artery disease
Interpretation --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score>9?'3.0% annual stroke rate (High Risk - warfarin recommended)':score>4?'1.0% annual stroke rate (Moderate Risk - aspirin recommended)':'0.5% annual stroke rate (Low Risk - aspirin recommended)'" memo="interpretation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
references:
[link url="http://www.aafp.org/afp/2005/0615/p2348.html" memo="#1"] Am Fam Physician. 2005 Jun 15;71(12):2348-2350.
[link url="http://www.aafp.org/afp/2010/0315/p780.html" memo="#2] Am Fam Physician. 2010 Mar 15;81(6):780-782.[/conditional]
Summary:
The ACCP Stroke Risk Calculator is used to help decide whether or not to use anticoagulant. An approach to the decision of warfarin for oral anticoagulation for atrial fibrillation is suggested in (link) Am Fam Physician. 2005 Jun 15;71(12):2348-2350.
1) Use the (link) CHADS2 rule as well as the (link) ACCP rule to determine the risk of stroke.
2) If both these measures predict moderate risk of stroke, proceed to calculate the (link) Outpatient Bleeding Risk Index and weigh the risks versus the benefits.
<-- History of Stroke or TIA
<-- Hypertension
<-- Heart failure
<-- Age
<-- Diabetes mellitus
<-- Coronary artery disease
Interpretation --> interpretationscore=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score>9?'3.0% annual stroke rate (High Risk - warfarin recommended)':score>4?'1.0% annual stroke rate (Moderate Risk - aspirin recommended)':'0.5% annual stroke rate (Low Risk - aspirin recommended)'
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