_id

683a15fcc782e11e38d1b0fb

id

1842

title

ATRIA Stroke Risk Score

full_title

ATRIA Stroke Risk Score

short_title

ATRIA Stroke Risk

med_description

Determines stroke risk in patients with atrial fibrillation.

short_description

Stroke risk in Afib.

slug

atria-stroke-risk-score

description

The ATRIA Stroke Risk Score determines stroke risk in patients with atrial fibrillation.

keywords

ATRIA, atria stroke, stroke risk stratification, AF stroke, atrial fibrillation stroke, stroke score, Atria stroke risk score, age stroke risk, AF stratification stroke, AF CVA, AF TIA, atrial fibrillation atria, atrial fibrillation CVA., atria af stroke, artia af calc, atria af score, stroke risk atria, atria stroke risk calc, atria risk cva, atrai risk CVA score, atria risk cva stroke, atria severity, atria af severity, atria severity stroke

complaint

[ "Dizziness", "Palpitations", "Weakness" ]

formula

Addition of the selected points; points assigned below:

evidence

measurements

[]

information

Criteria Points without previous Stroke Points with Previous Stroke
Age (Years) ≥85 +6 +9
75 to 84 +5 +7
65 to 74 +3 +7
<65 +0 +8
Sex Female +1 +1
Male 0 0
Comorbidities Diabetes +1 +1
CHF +1 +1
Hypertension +1 +1
Proteinuria +1 +1
eGFR <45 or ESRD +1 +1

Scoring

  • Low risk of stroke (<1%): 0-5 points
  • Intermediate risk of stroke (1-<2%): 6 points
  • High risk of stroke (≥2%): >6 points

refrences

{ "Clinical Practice Guidelines": [ { "href": "", "text": "" } ], "Manufacturer Website": [ { "href": "", "text": "" } ], "Original/Primary Reference": [ { "href": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3698792/", "text": "Singer DE, Chang Y, et. al. A new risk scheme to predict ischemic stroke and other thromboembolism in atrial fibrillation: the ATRIA studystroke risk score. J Am Heart Assoc. 2013 Jun 21;2(3):e000250. doi: 10.1161/JAHA.113.000250." } ], "Other References": [ { "href": "https://www.anticoagulationhub.com/single-article/new-risk-scheme-to-predict-stroke-in-af/d351a3d78a66142c2d922f7e8fecd809.html?tx_ttnews%5BsViewPointer%5D=1", "text": "Mary Ann Moon. New Risk Scheme to Predict Stroke in AF. Internal Medicine News Digital Network. 9/29/2014." } ], "Outcomes": [ { "href": "", "text": "" } ], "Validation": [ { "href": "", "text": "" } ], "Validations": [] }

pearls

usecase

  • Patients with atrial fibrillation with potential bleeding risks to help quantify stroke risk.
  • Patients who are apprehensive about anticoagulation to better understand their stroke risk.

reasons

The ATRIA Stroke Risk score, like theCHA₂DS₂-VASc Scorecan help objectify stroke risk, and perform better than the more well-knownCHADS₂ Score.

next_advice

Patients should be evaluated for bleeding risk before initiating anticoagulation; risk of bleeding can be estimated using the HAS-BLED Score for Major Bleeding Risk or several other scores.

next_actions

next_management

diseases

[ "Atrial Fibrillation", "Stroke/TIA" ]

input_schema

{ "conditionality": "", "default": null, "label_en": "History of stroke", "md_calc_info_concept": null, "name": "stroke", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": false, "tips_en": "", "type": "toggle" }

{ "conditionality": "", "default": null, "label_en": "Age", "mdcalc_info_concept": null, "name": "age", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<65 years", "value": 0 }, { "label": "65-74 years", "value": 3 }, { "label": "75-84 years", "value": 5 }, { "label": "≥85 years", "value": 6 } ], "show_points": false, "tips_en": "Note: point values change if patient has had previous stroke.", "type": "radio" }

{ "conditionality": "", "default": 0, "label_en": "Female", "md_calc_info_concept": null, "name": "female", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }

{ "conditionality": "", "default": 0, "label_en": "History of diabetes mellitus", "md_calc_info_concept": null, "name": "diabetes", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }

{ "conditionality": "", "default": 0, "label_en": "<p>History of congestive heart failure</p>", "md_calc_info_concept": null, "name": "congestive_heart_failure", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }

{ "conditionality": "", "default": 0, "label_en": "<p>History of hypertension</p>", "md_calc_info_concept": null, "name": "hypertension", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }

{ "conditionality": "", "default": 0, "label_en": "<p>Proteinuria</p>", "md_calc_info_concept": null, "name": "proteinuria", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }

{ "conditionality": "", "default": 0, "label_en": "<p><calculator id=\"76\">eGFR</calculator> &lt;45 or end-stage renal disease</p>", "md_calc_info_concept": null, "name": "egfr_esrd", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "eGFR is calculated from the MDRD equation.", "type": "toggle" }

[ { "conditionality": "", "default": null, "label_en": "History of stroke", "md_calc_info_concept": null, "name": "stroke", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": false, "tips_en": "", "type": "toggle" }, { "conditionality": "", "default": null, "label_en": "Age", "mdcalc_info_concept": null, "name": "age", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<65 years", "value": 0 }, { "label": "65-74 years", "value": 3 }, { "label": "75-84 years", "value": 5 }, { "label": "≥85 years", "value": 6 } ], "show_points": false, "tips_en": "Note: point values change if patient has had previous stroke.", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "Female", "md_calc_info_concept": null, "name": "female", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": "", "default": 0, "label_en": "History of diabetes mellitus", "md_calc_info_concept": null, "name": "diabetes", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": "", "default": 0, "label_en": "<p>History of congestive heart failure</p>", "md_calc_info_concept": null, "name": "congestive_heart_failure", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": "", "default": 0, "label_en": "<p>History of hypertension</p>", "md_calc_info_concept": null, "name": "hypertension", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": "", "default": 0, "label_en": "<p>Proteinuria</p>", "md_calc_info_concept": null, "name": "proteinuria", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": "", "default": 0, "label_en": "<p><calculator id=\"76\">eGFR</calculator> &lt;45 or end-stage renal disease</p>", "md_calc_info_concept": null, "name": "egfr_esrd", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "eGFR is calculated from the MDRD equation.", "type": "toggle" } ]

instructions

published

2022-04-21T20:29:02.027Z

purpose

[ "Diagnosis" ]

search_terms

[ "stroke", "atrial fibrillation", "CVA", "ATRIA", "risk", "prognosis", "stroke risk" ]

seo

{ "keywords_en": "ATRIA, atria stroke, stroke risk stratification, AF stroke, atrial fibrillation stroke, stroke score, Atria stroke risk score, age stroke risk, AF stratification stroke, AF CVA, AF TIA, atrial fibrillation atria, atrial fibrillation CVA., atria af stroke, artia af calc, atria af score, stroke risk atria, atria stroke risk calc, atria risk cva, atrai risk CVA score, atria risk cva stroke, atria severity, atria af severity, atria severity stroke", "meta_description_en": "The ATRIA Stroke Risk Score determines stroke risk in patients with atrial fibrillation." }

specialty

[ "Cardiology", "Emergency Medicine", "Family Practice", "Geriatrics", "Hospitalist Medicine", "Neurology", "Primary Care" ]

departments

[ "Cardiac", "Hematologic", "Neurologic" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 807, "short_title_en": "HAS-BLED Score", "slug": "has-bled-score-major-bleeding-risk" }, { "calcId": 40, "short_title_en": "CHADS₂ Score", "slug": "chads2-score-atrial-fibrillation-stroke-risk" }, { "calcId": 801, "short_title_en": "CHA₂DS₂-VASc Score", "slug": "cha2ds2-vasc-score-atrial-fibrillation-stroke-risk" } ]

ismed

false

section

[ "whenToUseViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "cardiology", "hematology", "neurology" ]

cleaned_use

[ "Patients with atrial fibrillation with potential bleeding risks to help quantify stroke risk.", "Patients who are apprehensive about anticoagulation to better understand their stroke risk." ]

pub

false

History of stroke
Age
Female
History of diabetes mellitus
<p>History of congestive heart failure</p>
<p>History of hypertension</p>
<p>Proteinuria</p>
<p><calculator id="76">eGFR</calculator> &lt;45 or end-stage renal disease</p>