Ottawa Subarachnoid Hemorrhage (SAH) Rule
Ottawa Subarachnoid Hemorrhage (SAH) Rule Rule Inclusion Criteria [select name="QA" value="yes=0|NO=10"] <-- Age 15 years or over [select name="QB" value="yes=0|NO=10"] <-- New, severe nontraumatic headache [select name="QC" value="yes=0|NO=10"] <-- Headache reached maximum intensity within 1 hour [select name="QD" value="no=0|YES=10"] <-- Neurologic deficits [select name="QE" value="no=0|YES=10"] <-- Previous aneurysms [select name="QF" value="no=0|YES=10"] <-- History of recurrent headaches (3 or more episodes in the last 6 or more months) High Risk Variables [select name="Q1" value="no=0|YES=1"] <-- Age 40 years or over [select name="Q2" value="no=0|YES=1"] <-- Neck pain or stiffness [select name="Q3" value="no=0|YES=1"] <-- Witnessed loss of consciousness [select name="Q4" value="no=0|YES=1"] <-- Onset during exertion [select name="Q5" value="no=0|YES=1"] <-- Thunderclap headache (instantly peaking pain) [select name="Q6" value="no=0|YES=1"] <-- Limited neck flexion on examination Interpretation --> [calc memo="Interpretation" value="score=(QA)+(QB)+(QC)+(QD)+(QE)+(QF)+(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score>9?'Does not meet rule inclusion criteria. Ottawa SAH Rule may not be used.':score>0?'Meets Inclusion Criteria AND Has High Risk Variables. Further investigation for Subarachnoid Hemorrhage is recommended per Ottawa SAH Rule':'Meets Inclusion Criteria AND Has No High Risk Variables. Further investigation for Subarachnoid Hemorrhage may not be necessary.'"] [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"] reference: [link url="//jama.jamanetwork.com/article.aspx?articleid=1741823#.UkQq2izx9H0" memo="#1"] Perry JJ, Stiell IG, Sivilotti MA, et al. Clinical Decision Rules to Rule Out Subarachnoid Hemorrhage for Acute Headache. JAMA. 2013;310(12):1248-1255. [/conditional]
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 1, 5 form elements, 147 boilerplate words, 1 checkboxes, 1 drop downs, 1 links, 1 calculations, 1 conditionals, 2 total clicks
Send Feedback for this SOAPnote