The Dual Antiplatelet Therapy Score (DAPT) is a tool developed by researchers to measure the risk of cardiovascular events in patients receiving antiplatelet treatment. DAPT utilizes a scoring system based on clinical risk factors that can predict adverse events or death after 1 year of dual-antiplatelet therapy (DAP) use. It has been used extensively as an aid for clinicians in making decisions about prescribing antiplatelet therapies to their patients.
Table Of Content:
- Dual Antiplatelet Therapy (DAPT) Score - MDCalc
- Using the DAPT Score to Predict Stent Thrombosis vs. Bleeding ...
- DAPT Risk Calculator
- Performance of PRECISE-DAPT Score for Predicting Bleeding ...
- Use of the Dual-Antiplatelet Therapy Score to Guide Treatment ...
- DAPT Score | QxMD
- Utility of the dual antiplatelet therapy score to guide antiplatelet ...
- Development and Validation of a Prediction Rule for Benefit and ...
- Validating Utility of Dual Antiplatelet Therapy Score in a Large ...
- Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ ...
1. Dual Antiplatelet Therapy (DAPT) Score - MDCalc
https://www.mdcalc.com/calc/10016/dual-antiplatelet-therapy-dapt-score
The DAPT Score gives clinicians an opportunity to see how patients with particular characteristics fared when randomized to either 30 months or 12 months of ...
2. Using the DAPT Score to Predict Stent Thrombosis vs. Bleeding ...
https://www.acc.org/latest-in-cardiology/features/dual-antiplatelet-therapy-dapt-focused-update-hub/resources/using-the-dapt-score-to-predict-stent-thrombosis-vs-bleeding
Mar 29, 2016 ... A score of ≥2 is associated with a favorable benefit/risk ratio for prolonged DAPT while a score of <2 is associated with an unfavorable ...
3. DAPT Risk Calculator
https://tools.acc.org/daptriskapp/
Oct 16, 2017 ... The DAPT Score was created in patients who had completed 12 months of DAPT without having a major bleeding or ischemic event and who were ...
4. Performance of PRECISE-DAPT Score for Predicting Bleeding ...
https://www.ahajournals.org/doi/10.1161/CIRCINTERVENTIONS.118.006837
Dec 14, 2018 ... The PRECISE-DAPT (Predicting Bleeding Complication in Patients Undergoing Stent Implantation and Subsequent Dual Antiplatelet Therapy) score was ...
5. Use of the Dual-Antiplatelet Therapy Score to Guide Treatment ...
https://pubmed.ncbi.nlm.nih.gov/28605779/
Jul 4, 2017 ... Background: The dual-antiplatelet therapy (DAPT) score was developed to identify patients more likely to derive harm (score <2) or benefit ...
6. DAPT Score | QxMD
https://qxmd.com/calculate/calculator_373/dapt-score
Mar 25, 2016 ... The DAPT Score was created to predict combined ischemic and bleeding risk for patients being considered for continued thienopyridine therapy ...
7. Utility of the dual antiplatelet therapy score to guide antiplatelet ...
https://pubmed.ncbi.nlm.nih.gov/33111495/
Oct 28, 2020 ... In this large meta-analysis, the DAPT score consistently stratified bleeding and ischemic risk in opposing directions across several ...
8. Development and Validation of a Prediction Rule for Benefit and ...
https://jamanetwork.com/journals/jama/fullarticle/2508253
Mar 29, 2016 ... For patients randomized in the DAPT Study (derivation cohort) with clinical predictive scores of 2 or higher (high score group; 50.8%), ...
9. Validating Utility of Dual Antiplatelet Therapy Score in a Large ...
https://pubmed.ncbi.nlm.nih.gov/28982692/
Feb 6, 2018 ... In the current population, the DAPT score successfully stratified ischemic and bleeding risks, although the ischemic event rate was ...
10. Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ ...
https://www.aafp.org/pubs/afp/issues/2019/0915/p378.html
Sep 15, 2019 ... Dual antiplatelet therapy is recommended for an ABCD2 score of 4 or greater. Minor stroke can be identified by a National Institutes of Health ( ...
How is the Dual Antiplatelet Therapy Score calculated?
The score is calculated by assigning points for each risk factor associated with cardiovascular events, such as age, gender, medical history, and lifestyle factors. These are then added together to get a final score which indicates the patient’s likelihood of experiencing an adverse event during treatment with DAP.
How accurate is the Dual Antiplatelet Therapy Score?
Studies have shown that the DAPT score is able to accurately predict up to 70% of cardiovascular events within one year of dual-antiplatelet therapy use. Furthermore, it can be used in combination with other clinical data for improved accuracy and specificity in predicting outcomes.
What does a high Dual Antiplatelet Therapy Score mean?
A high Dual Antiplatelet Therapy Score may indicate an elevated risk of having an adverse event while taking antiplatelet medication. Clinicians should take extra precaution when treating such patients and may decide to review other clinical data before making prescribing decisions.
Are there any limitations with using the Dual Antiplatelet Therapy Score?
As with any predictive tool, there are some inherent limitations with using the DAPT score. For instance, it does not consider environmental factors like smoking or alcohol consumption which could further increase a patient’s risk of developing complications while receiving anti- platelets.
Is there anything else I should know about this score?
Yes – it’s important to note that this scoring system should be used only as an adjunct tool in determining whether or not to administer DAPT and not solely relied upon for prescription decisions.
Conclusion:
The Dual Antiplatelet Therapy Score provides valuable insight into predicting the likelihood of a cardiovascular event while on dual-antiplatelets therapy. While it has been proven effective in reducing adverse effects from these medications among many patients, clinicians should still exercise caution before prescribing them and consult additional data sources if necessary.