IMPROVE bleeding risk score

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Overview

The IMPROVE bleeding risk score estimates the risk of bleeding among acutely ill hospitalized patients.

IMPROVE Bleeding Risk Score

The IMPROVE bleeding risk score estimates the risk of bleeding among acutely ill hospitalized patients.

IMPROVE Bleeding Risk Score Calculator

Variable		Score
Age	≥ 85 years	3.5
	40-84 years	1.5
	< 40	0
Gender	Male	1
	Female	0
Kidney function	Normal kidney function (GFR ≥ 60 mL/min/m2)	0
	Moderate kidney failure (GFR 30-59 mL/min/m2)	1
	Severe kidney failure (GFR < 30 mL/min/m2)	2.5
Liver function	Normal liver function (INR ≤ 1.5)	0
	Liver failure (INR > 1.5)	2.5
Platelet	≥ 50x109/L	0
	< 50x109/L	4
Admission to ICU or CCU		2.5
Central venous catheter		2
Active gastric or duodenal ulcer		4.5
Prior bleeding within the last 3 months		4
Rheumatic disease		2
Active malignancy		2

Interpretation

The IMPROVE risk score for bleeding can be interpreted as such:

• Score ≥7: Increased risk of bleeding
• Score <7: Not increased risk of bleeding

See also

• IMPROVE VTE risk score

• IMPROVEDD VTE risk score