UCSF - University of California, San Francisco
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The Beta Blocker and Clonidine Protocol

Lesson 3
Risk Stratification

1. Risk Stratification at V.A. Hospitals

U.S. Veterans Administration SealOne of the great things about working at a VA (Veteran's Administration) hospital is simplicity. We have simplified the hospital by only having two different patients. We have patient A who has coronary artery disease, peripheral vascular disease, hypertension, benign prostatic hypertrophy, a hiatal hernia, chronic obstructive pulmonary disease (COPD), and smoking. And the second patient who is patient A with diabetes. Medical care is simple because everybody has all the risk factors. As the American Population ages, your hospital may experience this phenomena as well. You can save time in this type of hospital by listing the diseases the patient's don't have. If a quarter of the patients are like VA patient A and B, and they are, you need a really simple way to care for them.

VA Patients

Patient A:

  • CAD
  • PVD
  • HTN
  • BPH
  • Hiatal hernia
  • COPD
  • Smoking

Patient B:

  • Patient A with Diabetes

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Content by Art Wallace MD PhD
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