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    • Hematology - Bleeding Risk Index for Warfarin Therapy

    Bleeding Risk Index for Warfarin Therapy

    Select Criteria:
    Patient 65 years old or older (1 point)
    Patient has history of CVA (1 point)
    Patient has history of GI bleeding (1 point)
    Is there either a recent MI, anemia with HCT < 30%, Creat > 1.5 or Diabetes present (1 point)
    Results: Total Criteria Point Count:
    Risk of Major Bleeding
    0 points:2% @ 3 mo's, 3% @ 12 mo's
    1-2 points:5% @ 3 mo's, 12% @ 12 mo's
    3-4 points:23% @ 3 mo's, 48% @ 12 mo's
    1. Wells PS, Forgie MA, Simms M, et al. The outpatient bleeding risk index: validation of a tool for predicting bleeding rates in patients treated for DVT and PE. Arch Intern Med. 2003; 163: 917-20.
    2. Beyth RJ, Quinn LM, Landefeld CS. Prospective evaluation of an index for predicting the risk of major bleeding in outpatients treated with warfarin. Am J Med. 1998 Aug;105(2):91-99.
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