Dabigatran Decision Calculator
2018 Dr. Paul Tervit.
CHA2DS2-VASc
Calculates stroke risk for patients with atrial fibrillation
HAS-BLED
Estimates risk of major bleeding for patients on anticoagulation to assess risk-benefit in atrial fibrillation care
Congestive Heart Failure
Hypertension
(sBP > 140 mmgHg or on Rx)
Age >= 75 (+2)
Diabetes
Stroke or prior TIA (+2)
Vascular Disease
(Prior AMI, PVD, AAA or repair)
Age 64-74 years
Female Gender
Uncontrolled hypertension
(sBP > 160)
Renal Disease
(Dialysis, Creatinine > 200, eGFR < 50)
Liver Disease
(Bilirubin > 2xULN, AST or ALT > 3xULN)
Stroke History
Prior major bleedng
Labile INR
Age > 65
Medication usage predisposing to bleeding
(ASA, Clopidigrel, NSAIDs)
Alcohol use
(> 8U per week)
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Resources:
Dabigatran testing and perioperative Management