🩸 DASH Score (Recurrent VTE)
UseWhen to use: shared decisions on extended anticoagulation after unprovoked VTE.
StrataLower scores often support stopping AC; higher scores favor extension if bleed risk OK.
LimitsWhen not to use: provoked VTE, cancer, or APS pathways. · Pitfall: on-treatment D-dimer or mismatched assay cutoffs. · Balance with bleed scores and preference.
SourceTosetto A et al. DASH score
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Off-AC D-dimer.
When to use
When to use: shared decisions on extended anticoagulation after unprovoked VTE.
How it works
Abnormal D-dimer (+2) + age≤50 (+1) + male (+1) + hormone at VTE (−2).
Key points
- Off-AC D-dimer.
- Range ~−2 to +4.
- Next: HAS-BLED / VTE-BLEED.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| D-dimer abnormal (off anticoagulation) | Normal (0) |
|---|---|
| Age ≤ 50 years | No (0) |
| Male sex | No (0) |
| Hormone therapy at index VTE (women) | No / male / not applicable (0) |
→DASH0
- Cue:Lower published annual recurrence band — many discuss stopping AC if otherwise suitable
- Range:Typically −2 to +4
Verification & sources · governance
FAQ
Frequently asked questions
- Does DASH Score (Recurrent VTE) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is DASH Score (Recurrent VTE) calculated in practice? Can you show a worked example?
- Inputs: D-dimer abnormal (off anticoagulation) Normal (0), Age ≤ 50 years No (0), Male sex No (0), Hormone therapy at index VTE (women) No / male / not applicable (0) → Result: DASH 0(Cue: Lower published annual recurrence band — many discuss stopping AC if otherwise suitable, Range: Typically −2 to +4)