HAS-BLED Score for Major Bleeding Risk of Anticoagulation in Atrial Fibrillation

A clinical mnemonic to estimate the risk of major bleeding with anticoagulation in atrial fibrillation.  A higher total score indicates a greater risk of major bleeding and argues against anticoagulation.

H - Hypertension (uncontrolled)
A - Abnormal renal or liver function (1 point each)
S - Stroke
B - Bleeding (prior major bleed)
L - Labile INRs
E - Elderly (Age > 65)
D - Drugs (Medications predisposing to bleeding, NSAIDs, anti-platelets) or Alcohol (1 point each)

HAS-BLED Score - Major Bleeding Risk
0 - 0.9 %
1 - 3.4 % 
2 - 4.1 %
3 - 5.8 %
4 - 8.9 %
5 - 9.1 %
≥6 - > 10%

Source: https://pubmed.ncbi.nlm.nih.gov/211

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GrepMed @GrepMed · 7 months ago
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