HAS-BLED score
|
WikiDoc Resources for HAS-BLED score |
|
Articles |
|---|
|
Most recent articles on HAS-BLED score Most cited articles on HAS-BLED score |
|
Media |
|
Powerpoint slides on HAS-BLED score |
|
Evidence Based Medicine |
|
Clinical Trials |
|
Ongoing Trials on HAS-BLED score at Clinical Trials.gov Trial results on HAS-BLED score Clinical Trials on HAS-BLED score at Google
|
|
Guidelines / Policies / Govt |
|
US National Guidelines Clearinghouse on HAS-BLED score NICE Guidance on HAS-BLED score
|
|
Books |
|
News |
|
Commentary |
|
Definitions |
|
Patient Resources / Community |
|
Patient resources on HAS-BLED score Discussion groups on HAS-BLED score Patient Handouts on HAS-BLED score Directions to Hospitals Treating HAS-BLED score Risk calculators and risk factors for HAS-BLED score
|
|
Healthcare Provider Resources |
|
Causes & Risk Factors for HAS-BLED score |
|
Continuing Medical Education (CME) |
|
International |
|
|
|
Business |
|
Experimental / Informatics |
Editors-in-Chief: Gregory Lip, MD [1] and C. Michael Gibson, M.S., M.D. [2]
Overview
A therapeutic bleeding risk stratification score for those on oral anticoagulants in atrial fibrillation[1]. It is matched to the CHA2DS2-VASc score used for stroke risk stratification. In a recent article validating the score, diabetes and left ventricular dysfunction were identified as additional risk factors for bleeding[2].
| Feature | Score if present |
|---|---|
| Hypertension (Systolic ≥ 160mmHg) | 1 |
| Abnormal renal function | 1 |
| Abnormal liver function | 1 |
| Age ≥ 65 years | 1 |
| Stroke in past | 1 |
| Bleeding | 1 |
| Labile INRs | 1 |
| Taking other drugs as well | 1 |
| Alcohol intake at same time | 1 |
Interpretation of the HAS-BLED Score
A score of 3 or more indicates an increased one year bleed risk on anticoagulation which would be sufficient to justify caution or more frequent evaluation. The risk is the risk of an intracranial bleed, bleeding requiring hospitalization or a hemoglobin drop > 2g/L or a bleeding episode that requires transfusion.
- ↑ Pisters R, Lane DA, Nieuwlaat R, de Vos CB, Crijns HJ, Lip GY. A novel user-friendly score (HAS-BLED) to assess one-year risk of major bleeding in atrial fibrillation patients: The Euro Heart Survey. Chest. 2010 Mar 18.(Epub ahead of print) (Link to article – subscription may be required.)
- ↑ Lip GY, Frison L, Halperin JL, Lane DA (2011). "Comparative Validation of a Novel Risk Score for Predicting Bleeding Risk in Anticoagulated Patients With Atrial Fibrillation The HAS-BLED (Hypertension, Abnormal Renal/Liver Function, Stroke, Bleeding History or Predisposition, Labile INR, Elderly, Drugs/Alcohol Concomitantly) Score". Journal of the American College of Cardiology. 57 (2): 173–80. doi:10.1016/j.jacc.2010.09.024. PMID 21111555. Retrieved 2011-01-24. Unknown parameter
|month=ignored (help)