HAS-BLED score

It’s used to assess the risk of bleeding in patients undergoing anticoagulation therapy.


Component

Description

Score

Hypertension

Uncontrolled blood pressure (SBP >160 mmHg)

1

Abnormal liver / renal function

Cirrhosis or bilirubin >2x normal with AST/ALT/AP >3x normal

Creatinine >200 µmol/L (>2.26 mg/dL)

Stroke

History of stroke

1

Bleeding history

History of major bleeding

1

Labile INR

INR >3.5 (if on anticoagulation eg. Warfarin)

1

Elderly age

Age >65 years

1

Drugs / Alcohol

Use of anti platelet drugs that increase bleeding risk

Excessive alcohol intake

Maximum


9


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