Specific risk scores for specific purposes: use CHA2DS2-VASc for assessing stroke risk, and use HAS-BLED for assessing bleeding risk in atrial fibrillation.

نویسندگان

  • Mikhail S Dzeshka
  • Gregory Y H Lip
چکیده

Publisher Rights Statement: NOTICE: this is the author’s version of a work that was accepted for publication in Thrombosis Research. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Thrombosis Research [VOL 134, ISSUE 2, August 2014] DOI: 10.1016/j.thromres.2014.06.003

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منابع مشابه

Truly low and high thromboembolic risk – impact of risk scores in real life

BACKGROUND Anticoagulation therapy is followed by analysis of factors used in the CHA2DS2-VASc score and assessing the risk of bleeding (HAS-BLED). THE AIM OF THE STUDY The aim of the study was to evaluate in 'real life' risk stratification scores in nonvalvular atrial fibrillation (AF). MATERIAL AND METHODS From 81 consecutive patients who had not yet received anticoagulation, 68 were fina...

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[Characterisation of thromboembolic risk in a mexican population with non-valvular atrial fibrillation and its effect on anticoagulation (MAYA Study)].

OBJECTIVE To evaluate the risk of stroke and bleeding using the CHA2DS2-VASc and HAS-BLED scores in Mexican patients with atrial fibrillation and to analyze whether the risk score obtained determined treatment decisions regarding antithrombotic therapy. METHODS This is an observational, retrospective study in Mexican patients recently diagnosed with atrial fibrillation. The risk of stroke was...

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Prevalence, main determinants, and early outcome of patients with atrial fibrillation hospitalized with ischemic stroke: evaluation of the value of risk assessment scores for predicting risk of stroke or major bleeding following anticoagulation therapy.

BACKGROUND Despite controllable nature of atrial fibrillation in most patients, it increases the risk of atrial thrombosis leading to ischemic stroke. The researchers assessed the underlying risk factors for brain stroke and also major bleeding in patients with ischemic stroke and atrial fibrillation. METHODS Among 900 patients hospitalized with the diagnosis of ischemic brain stroke between ...

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Stroke and bleeding risk assessment in atrial fibrillation: when, how, and why?

Decision making with regard to thromboprophylaxis should be based upon the absolute risks of stroke/thromboembolism and bleeding and the net clinical benefit for a given patient. As a consequence, a crucial part of atrial fibrillation (AF) management requires the appropriate use of thromboprophylaxis, and the assessment of stroke as well as bleeding risk can help inform management decisions by ...

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Improved risk stratification of patients with atrial fibrillation: an integrated GARFIELD-AF tool for the prediction of mortality, stroke and bleed in patients with and without anticoagulation

OBJECTIVES To provide an accurate, web-based tool for stratifying patients with atrial fibrillation to facilitate decisions on the potential benefits/risks of anticoagulation, based on mortality, stroke and bleeding risks. DESIGN The new tool was developed, using stepwise regression, for all and then applied to lower risk patients. C-statistics were compared with CHA2DS2-VASc using 30-fold cr...

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عنوان ژورنال:
  • Thrombosis research

دوره 134 2  شماره 

صفحات  -

تاریخ انتشار 2014