Comparison of crusade and hasbled scores in predicting bleeding complications in patients with acute coronary syndrome admitted at a tertiary level hospital from January 2017 to June 2019 /
Comparison of crusade and hasbled scores in predicting bleeding complications in patients with acute coronary syndrome admitted at a tertiary level hospital from January 2017 to June 2019 /
Marrah Angela F. Comia and Ramil Macapagal.
- Fairview, Quezon City: Department of Internal Medicine, FEU-NRMF, 2019.
- illustrations, tables; (in folder) with CD (soft copy).
Includes bibliographical references.
Abstract: This study aimed to compare the accuracy of CRUSADE and HAS-BLED scoring system in predicting bleeding events in patients with ACS admitted at FEU-NRMF. Bleeding is one of the complications in the management of acute coronary syndrome and it has been linked with adverse outcomes. Hence, several bleeding risk scores have been developed to determine the bleeding risk of patients and perform interventions to minimize the risk. This is a retrospective analytical study. The records of patients admitted at FEU-NRMF with Acute Coronary Syndrome from January 2017 to June 2019 were reviewed. CRUSADE and HAS-BLED scores were computed for each patient. Descriptive statistics was used to summarize the demographic and clinical profile of patients. Sensitivity, specificity and likelihood ratios as well as its Area under the receiver operating curve was used to determine the diagnostic accuracy of CRUSADE and HAS-BLED to predict bleeding events. A total of 103 patients admitted with Acute Coronary Syndrome, of whom 22 (21.36%) has STEMI, 63(61.17%) had NSTEMI and 18 (17.48%) had Unstable angina were included in this study. Patients who developed bleeding events were older and had higher HAS-BLED scores. The accuracy of CRUSADE in predicting bleeding event in ACS is 59.22% while that of HAS-BLED is 83.5%. In this study, HAS-BLED risk score was found to be a better predictor of bleeding events than CRUSADE risk score in patients managed as Acute Coronary Syndrome.
Research - Department of Medicine
CRUSADE
HAS-BLED
bleeding risk in acute coronary syndrome
NSTEMI
STEMI
unstable angina
MED 2019 0003
Includes bibliographical references.
Abstract: This study aimed to compare the accuracy of CRUSADE and HAS-BLED scoring system in predicting bleeding events in patients with ACS admitted at FEU-NRMF. Bleeding is one of the complications in the management of acute coronary syndrome and it has been linked with adverse outcomes. Hence, several bleeding risk scores have been developed to determine the bleeding risk of patients and perform interventions to minimize the risk. This is a retrospective analytical study. The records of patients admitted at FEU-NRMF with Acute Coronary Syndrome from January 2017 to June 2019 were reviewed. CRUSADE and HAS-BLED scores were computed for each patient. Descriptive statistics was used to summarize the demographic and clinical profile of patients. Sensitivity, specificity and likelihood ratios as well as its Area under the receiver operating curve was used to determine the diagnostic accuracy of CRUSADE and HAS-BLED to predict bleeding events. A total of 103 patients admitted with Acute Coronary Syndrome, of whom 22 (21.36%) has STEMI, 63(61.17%) had NSTEMI and 18 (17.48%) had Unstable angina were included in this study. Patients who developed bleeding events were older and had higher HAS-BLED scores. The accuracy of CRUSADE in predicting bleeding event in ACS is 59.22% while that of HAS-BLED is 83.5%. In this study, HAS-BLED risk score was found to be a better predictor of bleeding events than CRUSADE risk score in patients managed as Acute Coronary Syndrome.
Research - Department of Medicine
CRUSADE
HAS-BLED
bleeding risk in acute coronary syndrome
NSTEMI
STEMI
unstable angina
MED 2019 0003
