Risk Scores Flashcards
What is QRISK3
Risk of Heart attack in the next 10 years
What personal info is used for QRISK3?
Age
Sex
Ethnicity
BMI- Height (cm) and weight (kg)
Postcode
What PMH is relevant to QRISK3?
CARD
(Chronic kidney disease, Atrial fibrillation, Rheumatoid arthritis, Diabetes)
What other information (not PMH) is relevant to QRISK3?
Drug history
Angina or heart attack in a 1st degree relative <60
Social history
Smoking status
Cholesterol/HDL ratio
Systolic blood pressure (mmHg)
How would you interpret these findings for QRISK3?
<10% LOW RISK
10-20% MODERATE
> 20% HIGH
What is the CHA2DS2-VAS score?
Risk of stroke in Af patients
What is in CHA2DS2-VAS score?
C: Congestive heart failure
H: Hypertension
A: Age greater than 75 - 2 points
D: Diabetes
S: Stroke/TIA - 2 points
V- Vascular history
A- Age 65-74
S- sex female
How do you treat a score of 0 (m) or 1 (f) in CHA2DS2-VAS?
No anticoagulation just lifestyle
How do you treat a score of 1 (m) in CHA2DS2-VAS?
Oral anticoag with well controlled vitamin K antagonist
How do you treat a score of >2 in CHA2DS2-VAS?
Oral anticoag with well controlled vitamin K antagonist
What is the FRAX score?
Risk assessment tool for estimating 10-yr risk of osteoporotic fracture in untreated patients
What are some components of the FRAX score
Age
Sex
Weight (kg)
Height (cm)
Femoral neck BMD (g/cm2)
PMH
What T-score indicates osteoporosis
<-2.5
What is the ABCD2 score?
Estimates the risk of stroke after a suspected transient ischemic attack (TIA)
What are the components to the ABCD2 score?
A: Age >60yrs
B: Blood pressure >140/90 mmHg
C: Clinical features of TIA (2 points for unilateral weakness with speech impairment, 1 for just unilateral weakness)
D: Duration of symptoms (2 points for over 60mins, 1 for under)
D: Diabetes
How would you interpret the scores for ABCD2? And what medication (and dose) might you start immediately?
Score 0-3: 1% chance of stroke at 2 days
Score 4-5: 4% chance of stroke at 2 days
Score 6-7: 8% chance of stroke at 2 days
300mg Asprin
What is the WELLS criteria?
Calculates the risk of having a DVT
How do you interpret the Wells score?
3 or higher - High risk of DVT
1 or 2 - Moderate risk of DVT
0 or less - Low risk of DVT
What are some components to the WELLS criteria?
Active cancer, or cancer that’s been treated within last six months
Paralysed leg
Recently bedridden for more than three days or had major surgery within last four weeks
Tenderness near a deep vein
Swollen leg
Swollen calf with diameter that’s more than 3 centimeters larger than the other calf’s
Pitting edema in one leg
Large veins in your legs that aren’t varicose veins
Previously diagnosed with DVT
