| The Dialysis Risk Score – An Alternative Anticoagulant Strategy in Hemodialysisa |
The CHA2DS2-VASc Scoring Systemb |
||
|---|---|---|---|
| Clinical Characteristic | Score | Clinical Characteristic | Score |
| Prior TIA/ischemic stroke | 3 | Congestive heart failure/LV dysfunction | 1 |
| Diabetes | 1 | Hypertension | 1 |
| Age >75 y | 1 | Age ≥75 y | 2 |
| Gastrointestinal bleeding <1 y | -1 | Diabetes | 1 |
| Stroke/TIA/thromboembolism | 2 | ||
| Vascular disease | 1 | ||
| Age 65-74 y | 1 | ||
| Sex category (female gender) | 1 | ||
Abbreviations: AF, atrial fibrillation; LV, left ventricular; OAC, oral anticoagulant; TIA, transient ischemic attack.
a
De Vriese and Heine13 propose to initiate anticoagulation in AF and hemodialysis when the Dialysis Risk Score is ≥ 2.