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Major Bleeding Risk With Anticoagulants
Aka: Major Bleeding Risk With Anticoagulants
- See Also
- Orbit Bleeding Risk Score
- HAS-BLED Score
- Risk Factors: Fragility (1 point for each unless otherwise noted)
- Advanced Age (1 point if age>65, 2 points if age>75 years)
- Comorbidity and reduced functional capacity
- Frequent Falls
- Alcohol Abuse
- Recent surgery
- Risk Factors: Comorbidity (1 point for each unless otherwise noted)
- Cancer (1 point or 2 points if metastatic)
- Diabetes Mellitus
- Liver Failure
- Renal Failure
- Prior Cerebrovascular Accident
- Risk Factor: Bleeding Disorder (1 point for each unless otherwise noted)
- Anemia
- Antiplatelet Therapy
- Thrombocytopenia
- Poor Anticoagulant control
- Prior bleeding problems
- Interpretation: Absolute Bleeding Risk (based on total risk points from above)
- Low risk (0 risk factors)
- Initial risk <3 months: 1.6%
- Later risk >3 months: 0.8%
- Moderate risk (1 risk factor)
- Initial risk <3 months: 3.2%
- Later risk >3 months: 1.6%
- High risk (2 or more risk factors)
- Initial risk <3 months: 12.8%
- Later risk >3 months: 6.5%
- References
- Kearon (2012) Chest141(2 suppl):e419S-494S [PubMed]