Stroke Risk Calculators in the Era of Electronic Health Records Linked to Administrative Databases

STROKEAHA: November 29, 2012

Medicine is a science of uncertainty and an art of probability. —Sir William Osler, 1904

Electronic health records (EHRs) linked to administrative databases can unlock the potential of clinical data by overcoming limitations of current cohort-derived risk calculators. EHRs can facilitate implementation of risk-based approaches, whereas current manual or web-based risk calculators pose prohibitive practical barriers to widespread use. We discuss how EHRs can be used: (1) To derive increasingly precise risk equations calibrated to the populations in which they will be applied; (2) To facilitate communication of individual risk to patients; and (3) To provide population-based risk information for researchers, administrators, and policymakers. Read more