CRUSADE bleeding risk (NSTEMI)
In-hospital major bleeding risk in non-ST-elevation MI.
Inputs
CompleteBaseline hematocrit
Creatinine clearance (mL/min)
Heart rate
Systolic BP (mm Hg)
Female sex
Signs of heart failure at presentation
Prior vascular disease (PAD or stroke)
Diabetes
Worked calculation
Your values are highlighted.
- Points
When to use
- NSTEMI on admission.
Pearls and pitfalls
- Use Cockcroft-Gault creatinine clearance.
Why use
Balances ischemic and bleeding risk.
| Criterion | Points |
|---|---|
| Baseline hematocrit: Below 31% | +9 |
| 31–33.9% | +7 |
| 34–36.9% | +3 |
| 37–39.9% | +2 |
| 40% or higher | 0 |
| Creatinine clearance (mL/min): 15 or lower | +39 |
| 15–30 | +35 |
| 30–60 | +28 |
| 60–90 | +17 |
| 90–120 | +7 |
| Above 120 | 0 |
| Heart rate: 70 or lower | 0 |
| 71–80 | +1 |
| 81–90 | +3 |
| 91–100 | +6 |
| 101–110 | +8 |
| 111–120 | +10 |
| 121 or higher | +11 |
| Systolic BP (mm Hg): 90 or lower | +10 |
| 91–100 | +8 |
| 101–120 | +5 |
| 121–180 | +1 |
| 181–200 | +3 |
| 201 or higher | +5 |
| Female sex | +8 |
| Signs of heart failure at presentation | +7 |
| Prior vascular disease (PAD or stroke) | +6 |
| Diabetes | +6 |