Anticoagulation And ACS Practice Test

What is CRUSADE used for in NSTEMI?

To predict in-hospital major bleeding risk with antithrombotic therapy. To predict risk of reinfarction. To guide the choice of PCI device. To determine time to discharge.

Correct Answer:

To predict in-hospital major bleeding risk with antithrombotic therapy.

Explanation:

CRUSADE is used to estimate the risk of major bleeding in NSTEMI patients who are treated with antithrombotic therapy during hospitalization. In NSTEMI, boosting antithrombotic therapy lowers ischemic risk but raises bleeding risk, so a validated bleeding risk score helps tailor treatment intensity and choices (anticoagulant strategy, antiplatelet regimen, vascular access decisions) to reduce bleeding while still protecting against ischemia. This score focuses on predicting bleeding, not reinfarction, device selection for PCI, or time to discharge.

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