skills.rest
mims-harvard
mims-harvardOFFICIAL
Explore all skills by this author →
Website𝕏@marinkazitnikGitHub

tooluniverse-clinical-risk-scoring

Compute and interpret validated bedside clinical risk scores for individual patients.

1.7k|254|Updated Mar 3, 2025
Search Tags:#CHA2DS2-VASc#ASCVD#egfr#meld-na#wells score#medical calculator#clinical risk score
One-click install
npx skills add https://github.com/mims-harvard/ToolUniverse --skill tooluniverse-clinical-risk-scoring
Or copy as Structured Prompt for Agent▼
Please help me install this Agent Skill.
Skill: tooluniverse-clinical-risk-scoring
Source: https://github.com/mims-harvard/ToolUniverse/tree/main/plugins/tooluniverse/skills/tooluniverse-clinical-risk-scoring
Command: npx skills add https://github.com/mims-harvard/ToolUniverse --skill tooluniverse-clinical-risk-scoring

SYSTEM DOCUMENTATION & REQUIREMENTS

What problem does it solve?

Clinicians and analysts often need to translate a patient scenario into the correct validated risk score, gather the right inputs, compute the score accurately, and map the number to a clinical action. Doing this by hand is error-prone and requires memorizing scoring rules and interpretation thresholds.

Core Features & Use Cases

  • Scenario-to-score mapping: Selects the right score for the clinical question, including paired scores such as CHA2DS2-VASc with HAS-BLED for anticoagulation decisions and Child-Pugh with MELD-Na for cirrhosis severity.
  • Deterministic calculators: Runs 10 pure-compute tools (CHA2DS2-VASc, HAS-BLED, CURB-65, qSOFA, Child-Pugh, MELD-Na, Wells DVT, Wells PE, ASCVD, eGFR CKD-EPI) that return score, interpretation, and per-factor component breakdowns with no network or API key required.
  • Interpretation tables: Maps each score to clinical actions such as anticoagulation thresholds, admission decisions, sepsis escalation, transplant priority, statin guidance, and CKD staging.
  • Use Case: For a 76-year-old woman with atrial fibrillation, hypertension, and diabetes, compute CHA2DS2-VASc (score 5, anticoagulation recommended) and HAS-BLED (score 3, fix reversible bleeding factors) to weigh anticoagulation.

Quick Start

Ask the assistant to compute the CHA2DS2-VASc and HAS-BLED scores for a 76-year-old female patient with atrial fibrillation, hypertension, and diabetes, and explain whether anticoagulation is recommended.

Frequently Asked Questions about tooluniverse-clinical-risk-scoring

High-intent search queries and answers about installing and using this skill.

FAQPage Schema
How do I calculate CHA2DS2-VASc score for an atrial fibrillation patient?▼

Run the ClinicalCalc_CHA2DS2_VASc tool with the patient's age and boolean risk factors such as hypertension, diabetes, stroke history, vascular disease, and female sex. It returns the score, an interpretation, and a per-factor component breakdown. Pair it with HAS-BLED to weigh bleeding risk before anticoagulation.

How do I interpret MELD-Na and Child-Pugh scores for cirrhosis?▼

Child-Pugh classifies chronic severity into classes A, B, and C based on bilirubin, albumin, INR, ascites, and encephalopathy, while MELD-Na estimates 90-day mortality and transplant priority from creatinine, bilirubin, INR, and sodium. Always run both together since each captures a different dimension of liver disease.

What is the difference between Wells DVT and Wells PE scores?▼

Wells DVT estimates pretest probability for deep vein thrombosis, where a score of 2 or more means DVT is likely and compression ultrasound is indicated. Wells PE estimates pulmonary embolism probability with two-tier and three-tier outputs, where PE likely means CT pulmonary angiography rather than D-dimer alone.

Does the ASCVD risk calculator work for patients over 79 or under 40?▼

No. The ASCVD Pooled Cohort Equations are validated only for ages 40 to 79 and for White and African-American coefficient sets. They apply to primary prevention only and can mis-estimate risk for other age ranges or ancestries.

Can a low qSOFA score rule out sepsis?▼

No. qSOFA is a screening tool, not a diagnosis. A score of 0 or 1 indicates lower risk but never excludes sepsis, so reassessment and clinical gestalt remain necessary. A score of 2 or more signals higher risk and warrants escalation and a full sepsis workup.

What are the limitations of these clinical risk calculators?▼

They are decision-support only and do not replace clinical judgment. Each score was validated in specific populations, eGFR assumes stable kidney function, and MELD-Na and Child-Pugh apply to chronic liver disease only. Inputs are taken at face value, so lab units must be verified before entry.

Related Skills

Explore More Education & Research Skills→
LKB-99LKB-99

patient-intake

Automate patient medical history collection into standardized intake forms.

Community
Advanced
awslabsawslabs
13

risk-stratification-indices

Select and interpret LACE, Charlson, and Elixhauser risk indices.

Official
Intermediate
OpenVet-ProjectsOpenVet-Projects
27

nsaid-safety

Guide species-specific NSAID selection with dosing, safety, and monitoring protocols.

Official
Intermediate
langcarelangcare
53

cardiovascular-risk-assessment

Calculate cardiovascular risk scores from EHR data and generate a RiskAssessment resource.

Official
Advanced