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Medical Formulas Part 2

Modified on Thu, Mar 30, 2023 at 6:19 AM


Medical Calculator / Formula

Clinical Application

Interpretation of Results

CHA2DS2-VASc Score

Assessing stroke risk in patients with atrial fibrillation

Higher score indicates higher risk of stroke; guides anticoagulation therapy

HAS-BLED Score

Evaluating bleeding risk in patients on anticoagulation

Higher score indicates higher risk of bleeding; helps balance stroke prevention and bleeding risk

CURB-65 Score

Predicting mortality risk in community-acquired pneumonia

Higher score indicates greater mortality risk; assists in determining inpatient vs. outpatient treatment

Wells Criteria

Assessing pretest probability of deep vein thrombosis (DVT) and pulmonary embolism (PE)

Higher score indicates higher likelihood of DVT/PE; helps guide further diagnostic testing

MELD Score

Estimating prognosis in patients with end-stage liver disease

Higher score indicates worse liver function and higher mortality risk; used in liver transplant prioritization

GFR (CKD-EPI)

Estimating glomerular filtration rate (GFR) for kidney function

Lower GFR indicates worse kidney function; helps in diagnosing and staging chronic kidney disease (CKD)

PERC Rule

Identifying low-risk patients for pulmonary embolism

If all criteria met, the risk of PE is very low, and further testing may be avoided

APACHE II Score

Assessing severity and prognosis in critically ill patients

Higher score indicates greater severity and higher risk of mortality; used in ICU settings to guide treatment and resource allocation

TIMI Risk Score

Predicting risk of adverse events in patients with unstable angina or non-ST-elevation myocardial infarction

Higher score indicates higher risk of adverse events; helps guide management and treatment decisions

Apgar Score

Assessing the physical condition of newborns at 1 and 5 minutes after birth

Lower score indicates greater need for medical intervention; helps guide neonatal resuscitation

 

Medical Calculator / Formula

Clinical Application

Interpretation of Results

ABCD2 Score

Predicting stroke risk after a transient ischemic attack (TIA)

Higher score indicates higher risk of stroke; assists in short-term risk stratification and management

PESI Score

Assessing 30-day mortality risk in patients with pulmonary embolism

Higher score indicates higher mortality risk; helps in determining inpatient vs. outpatient treatment

Framingham Risk Score

Estimating 10-year cardiovascular risk in asymptomatic adults

Higher score indicates higher risk of cardiovascular events; guides primary prevention strategies

SIRS Criteria

Identifying systemic inflammatory response syndrome (SIRS)

Meeting ≥2 criteria suggests SIRS; helps recognize potential infections or other inflammatory processes

qSOFA Score

Identifying sepsis in patients with suspected infection outside the ICU

Higher score indicates higher risk of sepsis and mortality; assists in early identification of septic patients

Ottawa Ankle Rules

Determining the need for X-ray in ankle and foot injuries

If criteria met, an X-ray is recommended to rule out fractures; helps reduce unnecessary imaging

Centor Score

Estimating the likelihood of streptococcal pharyngitis

Higher score indicates higher likelihood of strep throat; guides the need for antibiotic therapy or further testing

Ranson's Criteria

Predicting severity and prognosis in acute pancreatitis

Higher score indicates higher risk of complications and mortality; assists in monitoring and management decisions

Child-Pugh Score

Assessing the severity of liver cirrhosis

Higher score indicates worse liver function and higher mortality risk; used in prognosis and treatment planning

Four-Tier Triage System (ESI)

Prioritizing patients in emergency departments

Lower number (1-4) indicates higher urgency and resource needs; assists in efficient resource allocation

 

The interpretation of results should always be done in conjunction with clinical judgment and patient-specific factors. The results should not replace clinical decision-making.

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