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- Aspirin Guide Vs. Preop Eval
Aspirin Guide vs Preop Eval Usage & Stats
The Aspirin-Guide app from researchers at Brigham and Women’s Hospital, Harvard Medical School, helps clinicians decide which patients are candidates for the use of low-dose aspirin (75 to 100 mg/d) in the primary prevention of atherosclerotic cardiovascular disease (ASCVD) by balancing the ASCVD benefits against the risk of harm due to gastrointestinal (GI) or other bleeding.
The app has several unique features, including:
*calculates a 10-year cardiovascular disease risk score (heart disease and stroke for the patient
*the ability to email a summary of the decision-making process to the patient
Aspirin-Guide incorporates information about the patient’s risk factors to calculate a 10-yr ASCVD risk score (the ACC/AHA ASCVD score) and a bleeding risk score, to help clinicians implement clinical guidelines on the use of aspirin in primary prevention.
Please note that research on aspirin in primary prevention among individuals younger than age 50 or 70 and older is limited.
A web-based version Aspirin-Guide is available at www.aspiringuide.com and is accessible from any computer or smartphone.
- Apple App Store
- Free
- Medical
Store Rank
- -
Preop Eval organizes and presents much of the guidance that one needs in order to evaluate and prepare adult patients for non-cardiac surgery. It is based upon the guidelines on this topic from the American College of Cardiology, the European Society of Anaesthesiology, the American Society of Anesthesiologists, the Institute for Clinical Systems Improvement, the American College of Chest Physicians, and more (full references in the app). The app contains 1 algorithm and 3 resources: the cardiac evaluation algorithm, guidance on starting and stopping key medications in the perioperative period, guidance on timing of surgery after cardiac events, and guidance on preoperative testing. It also contains a review of preoperative evaluation mainly for students and residents.
The app addresses such common questions as:
- who needs bloodwork before surgery?
- who needs an EKG or a CXR?
- how do I handle patients on warfarin, clopidogrel, and DOAC's?
- which patients need adjustment of perioperative insulin and diabetic meds, and how?
- which active cardiac conditions preclude surgery?
- how long after MI or stent should a patient wait before surgery?
- are there adjustments to make on psych meds, rheumatologic meds, ACE's and ARB's?
This app is written and intended for practicing physicians like internists, family physicians, and hospitalists; for resident physician trainees; and for medical students. In addition to being a reference, the algorithm is written to be a teaching tool by not just delivering an answer, but instead walking a physician through the evaluation process so that one learns that process along the way. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.
- Apple App Store
- Free
- Medical
Store Rank
- -
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Aspirin Guide VS.
Preop Eval
January 6, 2025