Decision support: Stroke risk in atrial fibrillation

In their Chest 2010 article, Lip et al described a new risk stratification schema for assessing stroke risk in atrial fibrillation. It is called the CHA2DS2-VASc score, which is an improved version of the classic CHADS2-score. The new score consists of these items:

Risk factors in the CHA2DS2-VASc score

Besides a scoring systems and corresponding risk rates, the authors also propose a flowchart that offers decision support on whether to prescribe oral anticoagulants:

CHA2DS2-VASc based decision support on OAC prescription (click for full size version)

Fortunately, the good thing of NeuroMind 2 is that it offers both functions for medical calculations and clinical decision support. So here are some screenshots:

Select risk factors (click for full size version)

And based on your input, you will get all information that is available. This means the CHA2DS2-VASc score, corresponding risk rates and an advise based on the flowchart whether to prescribe oral anticoagulants or not:

In return you get the score, the risk rates, and a treatment advise (click for full size version)

Like Einstein said: we should try to make things as simple as possible (but not any simpler)!

More screenshots are available from the gallery below:

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