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

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