has-bled
Table of Contents
HAS-BLED bleeding risk scoring tool for anticoagulation Rx
see also:
introduction
- anticoagulant bleeding risk scoring systems are generally quite complex
- HAS-BLED appears to be the scoring tool that is currently recommended 1)
- “HAS-BLED” is an acronym for:
- Hypertension
- Abnormal Liver/Renal Function
- Stroke History
- Bleeding Predisposition
- Labile INRs
- “Elderly” (Age >= 65)
- Drugs/Alcohol Usage
scoring
- score 1 for each item:
| hypertension (uncontrolled, systolic >= 160mm Hg) |
| abnormal liver function (cirrhosis, bilrubin > 2x normal, AST/ALT/AP > 3x normal) |
| abnormal kidney function (dialysis, transplant, CRN > 200micromol/L) |
| PH stroke (CVA) |
| Bleed predisposition (PH major bleed or predisposition to bleeding) |
| Labile INRs |
| Elderly (age > 65 yrs) |
| Drugs or alcohol abuse (>= 8 alcohol drinks per week) |
bleeding risk
| score | annual major bleed risk on warfarin |
|---|---|
| 0 | 0.9% |
| 1 | 3.4% |
| 2 | 4.1% |
| 3 | 5.8% |
| 4 | 8.9% |
| 5 | 9.1% |
| >5 | > 9% |
has-bled.txt · Last modified: 2014/04/04 06:05 by 127.0.0.1