HAS-BLED score
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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 but has not as of 2010 been externally validated.
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 |
A score of 3 or more indicates increased one year bleed risk on anticoagulation sufficient to justify caution or more regular review. The risk is for intracranial bleed, bleed requiring hospitalization or a haemoglobin drop > 2g/L or that needs transfusion.