CRUSADE_for_post-MI_bleeding_risk v.1

Crusade score for post MI bleeding risk provides a way to stratify the risk of bleeding for patients after NSTEMI and STEMI

Syeeda S Farruque

models@cambiocds.com

© Cambio Healthcare Systems

CRUSADE (Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA guidelines) score for post MI bleeding risk provides a way to stratify the risk of bleeding for patients after NSTEMI and STEMI in order to guide treatment

The tool uses only 8 baseline factors, including estimated creatinine clearance, baseline heart rate, baseline systolic blood pressure, female sex, signs of congestive heart failure on presentation, prior vascular disease, and diabetes mellitus. The score identifies: Very low risk (3.1% risk of major bleeding) as bleeding score ≤20, Low risk (5.5%) with a score range of 21-30 Moderate risk (8.5%) with a score range of 31-40 High risk (11.9%) with a score range of 41-50 Very high risk (19.5%) with scores >50.

Do not use on patients with unstable angina, those taking warfarin at home, died within 48 hours of hospital arrival, and those transferred out of a CRUSADE hospital.

Ref. 1: Subherwal S, Bach RG, Chen AY, Gage BF, Rao SV, Newby LK, Wang TY, Gibler WB, Ohman EM, Roe MT, Pollack CV Jr.,Peterson ED, Alexander KP. Baseline risk of major bleeding in non‐ST‐segment‐elevation myocardial infarction: the CRUSADE (Can Rapid risk stratification of Unstable angina patients Suppress Adverse outcomes with Early Implementation of the ACC/AHA Guidelines) Bleeding Score. Circulation. 2009; 119:1873-1882 Ref. 2: Ariza-Solé A, Sánchez-Elvira G, Sánchez-Salado JC, et al. CRUSADE bleeding risk score validation for ST-segment-elevation myocardial infarction undergoing primary percutaneous coronary intervention. Thromb Res 2013; 132(6):652-8.

OBSERVATION.crusade_score_for_post_mi_bleeding_risk.v1, OBSERVATION.basic_demographic.v1, OBSERVATION.lab_test-full_blood_count.v1, OBSERVATION.pulse.v2, OBSERVATION.blood_pressure.v2, OBSERVATION.creatinine_clearance_cockcroft_gault_equation.v1, EVALUATION.crusade_bleeding_score_assessment.v1