The CHADS-BLED Calculator displays percentage risk of adverse event per year, as well as the raw data from the original trials upon which these scores were derived.
AF-STROKE is a simple application to assess patients with atrial fibrillation (AF) against stroke risk factors and to help choose appropriate antithrombotic therapy for stroke prevention. It calculates at once CHADS2, CHA2DS2-VASc, and HAS-BLED scores and creatinine clearance according to the Cockcroft-Gault equation. Based on the score results, the latest ESC and AHA/ASA advice on antithrombotic therapy is given. It is known to be crucial to check creatinine clearance before prescribing novel oral anticoagulants to avoid serious complications. The application warns you about the contraindication or necessity for a dose reduction, if creatinine clearance is abnormal. Finally, the latest ESC, ESO, AHA/ASA, NICE, and Canadian Cardiovascular Society guidelines are available for reviewing.
The main features of the application are:
-Getting the results with minimal screen touches
-Guidelines of the leading world scientific societies (available in the full version only)
-Small application size
-Supporting devices with different screen size and orientation, including tablets
-English and Russian languages
-Manual language switching (available in the full version only)
-E-mailing a detailed test report (available in the full version only)
-No advertisement and banners
Example of detailed test report:
Patient's ID: Smith J.
Age: 67 yrs
Date & Time: 18/01/2013 15:33
Congestive heart failure: No
Age: 67 yrs
Diabetes mellitus: No
Prior stroke, TIA or systemic embolism: Yes
High Stroke Risk, 5.9% per year
Congestive heart failure: No
Age: 67 yrs
Diabetes mellitus: No
Prior stroke, TIA or systemic embolism: Yes
Vascular disease: No
High Stroke Risk, 4.0% per year
Uncontrolled Hypertension: No
Abnormal renal function: No
Abnormal liver function: Yes
Prior stroke: Yes
Labile INR: Yes
Age: 67 yrs
Drugs predisposing to bleeding: Yes
Alcohol abuse: Yes
High Major Bleeding Risk
Address risk factors, control bleeding strictly, and adjust anticoagulant dose
Test: Creatinine Clearance (Cockcroft-Gault equation)
Age: 67 yrs
Body weight: 90 kg (198.4 lbs)
Serum creatinine: 256.0 mmol/L (2.896 mg/dL)
Creatinine clearance: 32 mL/min
Dose reduction of the novel oral anticoagulant should be considered
Your feedback is very welcome. Please, use the feedback form in your application or e-mail it to email@example.com with “Android-AF-STROKE" in the subject line.
Keywords: CHADS2 score, CHA2DS2-VASc score, HAS-BLED score, stroke, atrial fibrillation, neurology, cardiology, transient ischemic attack, risk assessment, diagnosis, medical calculator, AHA, ASA, ESC, ESO, NICE
- Body Surface
- Creatine clearance
- Glomerular filtration
- Fractional excretion of Sodium
- Fractional excretion of Urea
- Maximum Heart Rate
- Corrected calcium
- QRS axis
Please feel free to make sugestions.
App developed by Mikel Urrutikoetxea medical student of the University of the Basque Country
This App contains the following 19 ESC Pocket Guidelines
– more Guidelines will follow soon!
- Non-Cardiac Surgery (NCS)
- Acute Pulmonary Embolism (PE)
- Hypertrophic Cardiomyopathy (HCM)
- Aortic Diseases (AORTA)
- Myocardial Revascularization (MR)
- Diabetes, Pre-Diabetes and Cardiovascular Diseases (DM)
- Stable Coronary Artery Disease (Management of) (SCAD)
- Cardiac Pacing and Cardiac Resynchronization Therapy (Pacing)
- Arterial Hypertension (Management of) (HTN)
- Third Universal Definition of Myocardial Infarction (UDMI)
- Valvular Heart Disease (VHD)
- Atrial Fibrillation (Management of) (AFib)
- Acute MI in Patients with ST-segment Elevation (STEMI)
- Acute and Chronic Heart Failure (HF)
- Cardiovascular Disease Prevention in Clinical Practice (CVD Prev)
- Dyslipidaemias (Management of) (Dyslip)
- ACS in patients without persistent ST-segment Elevation (NSTE-ACS)
- Management of Cardiovascular Diseases during Pregnancy (CVD Preg)
- Peripheral artery diseases (PAD)
Additionally, this App provides a lot of Interactive Tools like algorithms, scores, charts and calculators.
Find all the information you need for guidelines based diagnoses and therapy of your patients in one simple click.
Essential tools in General Practice, Internal Medicine, Cardiology, Surgery, Obstetrics, Nephrology, Hematology, Orthopedics, Pediatrics, Gastroenterology, Neurology, Neurosurgery, Respirology, and more.
"We recommend medical users try the free Calculate by QxMD first..."
-from iMedicalApps review "The best free Medical Calculator apps for the iPhone"
'Calculate' is focused on highlighting tools which are actually useful in clinical practice and serve to impact diagnosis, treatment or determining prognosis.
Helping you make decisions, not just calculate numbers...
• Developed by a collaboration of clinician experts from diverse backgrounds
• Converts recent research publications into practical handheld tools - knowledge translation at its best
• Automatically adapts to your self-described clinical practice
• Unique ‘Question Flow’ technology gets you answers, fast
• Detailed references with Pubmed integration
• Comprehensive and insightful results
• Elegant design and intuitive interface
• SI and Conventional units
More than 150 Unique calculators and Decision Support tools
While too extensive to list them all, here is a small sampling of included content:
Reduce and predict perioperative complications
• WHO Surgical Safety Checklist
• Predictive models for cardiac surgery and coronary angiography
• Determine cardiovascular risk and guide lipid treatment using the Framingham and Reynolds Risk Scores
• Use the CHADS2 score to guide treatment in atrial fibrillation
• Better understand the risk of bleeding from anticoagulation in atrial fibrillation
• ACS using the TIMI risk score
• Burns with rule of 9s and Parkland formula
• Hypernatremia (calculate water deficit)
• Heart failure
• Myelodysplastic Syndrome
• Chemotherapy based on Body Surface Area
• Carboplatin based on AUC
• tPA in acute stroke
• Phenytoin in renal failure and hypoalbuminemia
• Ideal body weight, BMI and BSA
• Due date and gestational age
• Extensive formula used in echocardiogropathy and invasive hemodynamic monitoring
• Kt/V in dialysis patients
• eGFR with CKD-Epi, Cockcroft-Gault, and MDRD
• A-a gradient
• Angina (CCS)
• Congestive heart failure (NYHA)
• Head, neck, ankle and knee injuries
• DVT and PE
• Pulmonary nodules
• Lung cancer
• Renal cell carcinoma
• TTKG (transtubular potassium gradient) in hypokalemia and hyperkalemia
• Heparin Induced Thrombocytopenia
• Infective Endocarditis
• Autoimmune Hepatitis
And much more...
Want to keep up with medical research? Get 'Read by QxMD' for Android:
Founded my medical professionals, QxMD is dedicated to creating high quality, point-of-care tools for practicing health care professionals. Recognized as a leading developer of free medical software for mobile devices, QxMD develops content in cooperation with expert physicians from their respective fields.
Find the following Key Messages in this App:
- Comprehensive risk reduction in patients with atrial fibrillation: emerging diagnostic and therapeutic options – a report from the 3rd AFNET/EHRA consensus conference
- Pathways for training and accreditation for transvenous lead extraction: EHRA position paper
- EHRA Practical Guide on the use of new oral anticoagulants (NOAC) in patients with non-valvular atrial fibrillation – English version
- EHRA Practical Guide on the use of new oral anticoagulants (NOAC) in patients with non-valvular atrial fibrillation – Spanish version
- EHRA Practical Guide on the use of new oral anticoagulants (NOAC) in patients with non-valvular atrial fibrillation – Japanese version
Additionally, this App provides a lot of features like a section of favourite bookmarks, notes, interactive algorithms, tables and pdf-mail-function out of the app. Find all detailed information you need about heart rhythm related issues by one single click.
- CHA2DS2-Vasc + HAS-BLED for warfarin prescribing
- Alveolar-Arterial Gradient
- Wells' Score for PE and DVT
- Rockall and Blatchford Scores for UGI Bleeding
- An opioid converter (helps with conversion to modified release preparations and prn prescribing)
- Canada C-Spine Rules for imaging
- NICE 2014 Adult Head Injury rules for performing CT Head
New in 3rd update
- Interpretation of Hepatitis B serology
- Cockcroft-Gault equation for estimation of creatinine clearance
To be used as part of a clinical assessment of course...
- It has a very simple and awesome user interface
- You can email/share your calculation results
- You can view the equation formula and additional notes
A-a O2 Gradient
ABC Score (Assessment of Blood Consumption) for Massive Transfusion
ABCD2 Score for TIA
Absolute Neutrophil Count (ANC)
Absolute Reticulocyte Count (Reticulocyte Index)
Acetaminophen Overdose and NAC Dosing
Alvarado Score for Acute Appendicitis
APACHE II Score for ICU Mortality
Basal and Resting Metabolic Rates (BMR & RMR)
Basal Energy Expenditure
Bayesian Sensitivity, Specificity, Probabilities
Blood Alcohol Content (BAC)
BMI and Body Surface Area (BSA)
Calcium Correction for Hypoalbuminemia
CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk
CHADS2 Score for Atrial Fibrillation Stroke Risk
Child-Pugh Score for Cirrhosis Mortality
Corrected QT Interval (QTc)
Creatinine Clearance (Cockcroft-Gault Equation)
CSF WBC Correction for RBCs
CRUSADE Bleeding Score
CURB-65 Severity Score for Community-Acquired Pneumonia
Endotracheal Tube (ETT) Size for Pediatrics
Estimated/Expected Peak Expiratory Flow (Peak Flow)
EuroSCORE - Additive
EuroSCORE - Logistic
Fractional Excretion of Sodium (FENa)
Fractional Excretion of Urea (FEUrea)
Framingham Cardiac Risk Score
Free Water Deficit in Hypernatremia
Glasgow Alcoholic Hepatitis Score (GAHS)
Glasgow Coma Scale/Score
Glasgow-Blatchford Bleeding Score (GBS)
GRACE ACS Risk and Mortality
HAS-BLED Score for Major Bleeding Risk
Heart Score Criteria
Hepatic Encephalopathy Grades/Stages
Hunt and Hess Classification of Subarachnoid Hemorrhage (SAH)
Ideal Body Weight
Injury Severity Score (ISS)
Intracerebral Hemorrhage (ICH) Score
Maddrey’s Discriminant Function for Alcoholic Hepatitis
Maintenance Fluids Calculations
MDRD GFR Equation
Mean Arterial Pressure (MAP)
MELD Score (Model For End-Stage Liver Disease)
Modified Centor Score for Strep Pharyngitis
Ottawa Knee Rules
Parkland Formula for Burns
Pediatric Ins and Outs (per kg and per hour)
PELD Score (Pediatric End-Stage Liver Disease)
PERC Rule for Pulmonary Embolism
Phenytoin/Dilantin Correction for Albumin or Renal Failure
Pregnancy Due Dates Calculator
PSI/PORT Score: Pneumonia Severity Index for Adult CAP
Pulmonary Embolism Severity Index (PESI)
Ranson’s Criteria for Pancreatitis Mortality
Revised Trauma Score
San Francisco Syncope Rule to Predict Serious Outcomes
Simplified PESI (Pulmonary Embolism Severity Index)
Single Ingested Substance
Sodium Correction for Hyperglycemia
Sodium Correction Rate in Hyponatremia
Sodium Deficit in Hyponatremia
Stool Osmolar/Osmotic Gap
TIMI Risk Index
TIMI Risk Score for STEMI
TIMI Risk Score for UA/NSTEMI
Transtubular Potassium Gradient (TTKG)
Wells’ Criteria for DVT
Wells’ Criteria for Pulmonary Embolism / PE
Westley Croup Score
Winters’ Formula for Metabolic Acidosis Compensation
P/S: Send us an email if you want any calculation that is not included in the above list.
In just ONE SCREEN, essential parameters are entered and displayed the results: the scores of thromboembolic risk (CHADSVASC), haemorrhagic risk (HASBLED) and glomerular filtration rate (Cockcroft-Gault formula). Finally, always in the same screen, are shown the resulting antithrombotic therapies, in adherence to the ESC guidelines.
At the bottom of the screen data are entered:
- age, weight (kg) and serum creatinine (mg/dL) , with keys (+) and (-) sensible to short or long click, for a quick and easy insertion of the values
- check-list of 12 clinical-anamnestic items.
Based on the data entered, the calculated results are automatically displayed in the upper section of the screen:
At the top right are shown the scores CHADSVASC, HASBLED and creatinine clearance calculated by the Cockcroft-Gault formula.
In the upper left shows the resulting therapeutic indications based on ESC guidelines 2012: three "traffic lights" appearing green or red for the three treatment options:
1) no antithrombotic therapy (NONE)
2) vitamin K antagonists (VKA)
3) New Oral Anticoagulants (NOAC).
For Italy we suggest our specific application, "AF Global Calculator (ItalY), based also on AIFA (Agenzia Italiana del Farmaco) restriction for Dabigatran's prescription.
DISCLAIMER : The author assumes no responsibility for use of this application and invites who use it to verify the results provided and adapt them to the clinical context.
The "AF Global Calculator (Europe)", on the Android platform, was developed entirely (drafting of the algorithm, technical development, graphics solutions) by Dr. Francesco Gemelli, Cardiologist in Rome.
We welcome any comments or suggestions that can be sent to the following address: firstname.lastname@example.org
KEY-WORDS: Medical Calculator, Cardiology, ESC, guidelines European Society of Cardiology, Atrial Fibrillation, anticoagulant, antithrombotic, embolic risk, stroke risk, HASBLED, CHADSVASC, CHA2DS2-VASC, Dabigatran, Rvaroxaban, Epixaban
It includes the following features:
• Videos by experts discussing various aspects of A. Fib.
• Chapter summaries with key recommendations, tables, and figures
• Tools including: CHADS2/CHADS-VASC score for stroke risk assessment, HAS-BLEED Score for bleed risk assessment, CCS Severity of Atrial Fibrillation (SAF) scale, QT/QTc calculator, renal function calculator (eGFR, CrCl) for drug dosage adjustment.
• An ECG gallery
• Drug tables
• Key references
Note: The default keyboard on certain devices may not contain a comma, which is needed for some tools. If so, please install the default Google Keyboard: https://play.google.com/store/apps/details?id=com.google.android.inputmethod.latin
The ASCVD Risk Estimator provides easy access to recommendations specific to the risk estimates produced by the calculator. Additionally, the app includes readily accessible guideline reference information for both providers and patients related to therapy, monitoring, and lifestyle.
The calculator helps to stratify patients according to stroke risk and bleeding risk, based on the presence of various risk factors. Stroke risk can be determined using either the CHADS2 score or the CHA2DS2-VASc score – an extension of the CHADS2 scoring system incorporating additional risk factors – while the HAS-BLED score is used to assess bleeding risk.* Creatinine clearance can also be calculated (according to the Cockroft-Gault equation) to measure a patient’s renal function, which is often reduced in the elderly and requires dose adjustment of some drugs that are cleared by the kidneys.
A review of international guidelines for antithrombotic therapy in AF, which are based around stroke risk, is also included, along with directions to further reading in the form of supporting literature.
focus-AF Limited is an independent company owned and governed by internationally renowned clinical experts in AF. The mission of focus-AF Limited is to improve AF patient care. focus-AF.org is a central repository for high-quality educational materials, supporting the mission of focus-AF Limited.
focus-AF.org is committed to educating healthcare professionals to support patients with AF. Through educational activities, practical management and implementation tools, the goal of focus-AF.org is to achieve specific objectives, including to:
• Enhance the understanding of AF and the burden of stroke in this patient population
• Highlight the importance of effective management of patients with AF, particularly stroke prevention
• Assess potential strategies to address unmet clinical needs in AF
• Convey the scientific rationale behind potential new treatments and their practical implications for patient care.
The guarantors of focus-AF Limited are responsible for maintaining the scientific content, objectivity, and relevance of focus-AF.org. The site is supported by Boehringer Ingelheim GmbH, the founding sponsor.
* Gage BF et al. JAMA 2001;285:2864–70; Lip GYH et al. Chest 2010;137:263–72; Pisters R et al. Chest 2010;138:1093–100
• A combination risk calculator tool that uses CHADS2, CHA2DS2-VASc, and HAS-BLED
• Users can enter patient characteristics at the point of care and get individualized annual risk of ischemic stroke and thromboembolism with concurrent annual risk of major bleed
• Compare antithrombotic therapy options based on clinical trials (ACTIVE-A, RE-LY, ROCKET-AF, ARISTOTLE)
This app is adapted from a web tool created by Peter Loewen, B.Sc.(Pharm), ACPR, Pharm.D., FCSHP and can be viewed at http://www.sparctool.com/
This is a simple to use and clean looking depression scoring system produced with permission form Pfizer who hold the copyright. It is aimed at health professionals to use as a consultation tool. There is no decision support, one should use local guidelines. It is one of several new Apps for primary care. If there is sufficient interest then I will develop it further, Suggestions are welcome.
It is suitable for use by general practitioners, community psychiatric nurses, community nurses midwives and trainee doctors or medical students, clinical psychologists and other mental health professionals.
Has support for Spanish French and Norwegian.
This converts glycosylated haemoglobin (Hb or hemoglobin if you are American) (HbA1c or A1C) from the old percentage (NGSP)units to the new mmol/mol (IFCC)units and vice versa. It allows entry of a value and the App will convert it accordingly.
Suitable for anyone involved in diabetes care be they doctors or nurses, community or hospital medics, medical students, dietitians, general practitioners, practice nurses, diabetes nurse specialists.
The App also has the diagnostic criteria for diabetes using HbA1c from the World Health Organisation (WHO), as well as some of the pitfalls of diagnosis as outlined by the referenced research. These three papers are the start of an intriguing argument about the merits of this diagnostic process. I think Farmer's subheading "Be aware of clinical circumstances in which results may mislead" sums it up nicely.
The diagnosis of diabetes section is accessed through the 'menu' button.
Patients need not worry themselves with this App.
Version 1.2 deals with a rounding up problem which was giving slightly non standard results, much to users chagrin, this version will only give expected results, please take time to rate it if you believe its improved from the 1 ratings.
The App also now incorporates its own key pad for a new feel and better landscape functionality.
So this is what you have been waiting for, all your favorite medical scoring systems in one program. But lo! I hear you cry whats so new? Well rather than a boring drop down menu to select from you have them all on a rotating cube for ease of access, simply rotate the cube to the score you want and press the select tile and it will launch.
This app is aimed at medical professionals particularly primary care professionals and includes the following scores.
Qrisk (2013 algorithm only, will update to 2014 when get time), CHAD2DS2_VASc and HAS-BLED scores, ABCD2, Wells, Epworth, and a glycated Hb converter with the WHO recommended diagnostic thresholds and pitfalls to diagnosis all via the in app menu system.
These scores are variously used in diabetes mellitus diagnosis, Atrial fibrillation stroke reduction assessments sleep apnoea and snoring assessments, prevention of heart attach myocardial infarction and cerebrovascular accidents as well as deep vein thrombosis (DVT) assessment and pulmonary embolus (PE) assessment via the combined Wells score, please read the in app information regarding this score. They may also help with QoF assesments (Quality and outcomes framework)
This is the free version look out for the paid version (coming soon) that will allow you to load your own photographs for a more personal experience out there when crafting your diagnoses!
Cardiac and cerebral risk assessment tool. (CCRAT)
At last a version of Qrisk for android! This is the primary prevention risk scoring system based on the desktop version of Qrisk2-2013 (Copyright © 2008-13 ClinRisk Ltd. ALL RIGHTS RESERVED).
It works out the risk of having a myocardial infarction or stroke, it gives the 1 to 10 year risk as well as the Qriskage (QRISKage™ is © 2010-13 ClinRisk Ltd). This scoring system has greater validity than the modified Framingham score, please see in in App references.
This App uses the same algorithm as the original Qrisk desktop version (and their i phone version,) it is produced using the code available as open source software which implements the QRISK2®-2012 scores, released under the GNU Lesser General Public Licence, version 3. Please take time to read this information in the 'about' menu.
It will therefore faithfully reproduce the same scores as the original.
Unfortunately the Townsend to Postcode table that the desk top version uses to quantify deprivation is not accessible to mobiles (this goes for the ClinRisk ltd's i phone version too) and so I have used a slider bar where one can estimate deprivation. It can be turned off if desired. Click the 'null' tick box to remove this. Market towns are going to lie from the mid line to the upper fifth, and inner city tower blocks be in the lower fifth for example. If the 'null' value is set then deprivation plays no part in the assessment, this means that the more deprived you are the score will be underestimated by a few percent, and likewise over estimate your risk , again by a few percentage points, if the patient is more privileged.
This is intended for use by all health care professionals involved in assessing cardiovascular and cerebrovascular risk. It is a primary prevention tool only. It will be of particular use to general practitioners when completing the QoF (Quality and Outcomes Framework) when assessing CVD risk, whichever clinical system be it systemOne or Emis, as the data can be entered whilst viewing other screens. It is not ideal for patients to use this to assess their own risk of heart attack nor stroke.
It is validated for use in the United Kingdom. However the algorithm is said to have some use internationally and can act as a guide in other westernized societies.
It should be noted that this App is a tool and all decisions about a patient's health are the responsibility of the medical practitioner making the decision. I cannot accept any responsibility for its use or misuse.
This App is the ABCD2 stroke risk assessment score giving the risk of stroke at 2 days and as I am sure you know the score also reflects the relative risk at 90 days. This App is aimed at any medic involved in stroke risk assessment and particularly general practitioners in the UK. It predicts the risk of stroke after a TIA (transient ischaemic (ischemic if American) attack). It is suitable for GPs, registrars, other trainee doctors, community nurses and matrons, and the keen medical student. Deliberately there is no decision support but a couple of links to the research, to whet your apatite.
This App contains the two Wells scores that aid the diagnosis of low risk deep vein thrombosis (DVT) and pulmonary embolus (PE). It is for use by suitably trained medics and as always with these scores they are only an aid and should always be used in conjunction with local guidelines.
The two scores operate independently of one another, where the questions overlap with differences these are highlighted. The only point of note here is that the question “Clinical signs and symptoms of DVT (minimum of leg swelling and pain with palpation of the deep veins)” in the PE score and worth three points is replaced by the three questions relating to pain and swelling within the original DVT score. A tick on the question relating to tenderness along the deep veins and one or both of the questions relating to swelling (over 3cm... or of the whole leg) will allocate the three points correctly to the PE score. Of course if you are scoring a DVT then the score accumulates as you might expect.
If the text is too small simply tap it to get a larger view then tap again or press the 'back' button to dismiss. The references and information about the App are available via the menu button. Tapping the “Use this because..” will bring up the two level score outcomes. Suggestions are welcome. Suitable for general practitioners, community nurses, specialist nurses, registrars, other junior doctors and medical students.
1.2.2 Changed the layout a little so than now the NICE guidance is present at the bottom of the screen for ease of reference. Just scroll down to take a look.
This App is designed for suitably qualified medical professionals when assessing day time somnolence. Currently it provides a score only, if there is sufficient interest then I will add some decision support, for now consult your local guidelines. It is aimed mainly at primary care, and is the first batch of several scoring support tools. This is a simple tool, using minimal storage space, to be used within the consultation. Suitable for general practitioners, community nurses, medical students and registrars for example.