DASH prediction score

Jump to navigation Jump to search


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: (insert your name here)

Synonyms and keywords: (add synonyms and create redirects)

Overview

[Name of the Score] is a (± validated) risk assessment tool designed to assess the (30-day/10-year/other timeframe) risk of (bleeding/ischemia/other end point) associated with (antiplatelet/antithrombotic/other treatment) among patients with (coronary heart disease/heart failure/other condition).

DASH Prediction Score

  • DASH Prediction Score was invented by A. Tosetto et al in 2012[1], and has been externally validated in subsequent study in 2017[2] particularly in young adults.
  • DASH Prediction Score is a clinical prediction rule devised to assess the recurrence in patients with previous unprovoked venous thromboembolism especially in people aged <65 years.This helps decide whether anticoagulation be continued indefinitely or stopped after at least 3 months of anticoagulation.[3]

DASH Prediction Score Calculator

Shown below is the calculator for DASH prediction score (check all the boxes that apply):

DASH Prediction Score Calculator
Variable Score
Elevated D-dimer levels 2
Age ≤ 50 years 1
Sex-male 1
Women with hormone-associated VTE -2
DASH Prediction Score:
Interpretation:

Interpretation

Score Annualized recurrence

rate (%)

Cumulative recurrence rate(%)
1 year 2 year 5 year
- 2 1.8 2.4 5.2 5.2
- 1 1.0 1.9 1.9 5.7
0 2.4 4.2 5.4 9.5
1 3.9 5.1 8.7 15.9
2 6.3 8.4 12.8 25.3
3 10.8 14.6 20.5 40.9
4 19.9 21.9 33.6 61.3
  • Score – 2: annualized recurrence rate 1.8%
  • Score 2–3: intermediate-risk (1 to 5% mortality); consider treatment or hospitalization.
  • Score ≥ 4: high-risk (> 5% mortality); treatment/hospitalization is warranted.

See also

  • (Relevant score 1)
  • (Relevant score 2)
  • (Relevant score 3)

References

  1. Tosetto, A.; Iorio, A.; Marcucci, M.; Baglin, T.; Cushman, M.; Eichinger, S.; Palareti, G.; Poli, D.; Tait, R. C.; Douketis, J. (2012). "Predicting disease recurrence in patients with previous unprovoked venous thromboembolism: a proposed prediction score (DASH)". Journal of Thrombosis and Haemostasis. 10 (6): 1019–1025. doi:10.1111/j.1538-7836.2012.04735.x. ISSN 1538-7933.
  2. Tosetto, A.; Testa, S.; Martinelli, I.; Poli, D.; Cosmi, B.; Lodigiani, C.; Ageno, W.; De Stefano, V.; Falanga, A.; Nichele, I.; Paoletti, O.; Bucciarelli, P.; Antonucci, E.; Legnani, C.; Banfi, E.; Dentali, F.; Bartolomei, F.; Barcella, L.; Palareti, G. (2017). "External validation of the DASH prediction rule: a retrospective cohort study". Journal of Thrombosis and Haemostasis. 15 (10): 1963–1970. doi:10.1111/jth.13781. ISSN 1538-7933.
  3. Fahrni J, Husmann M, Gretener SB, Keo HH (2015). "Assessing the risk of recurrent venous thromboembolism--a practical approach". Vasc Health Risk Manag. 11: 451–9. doi:10.2147/VHRM.S83718. PMID 26316770.