bleeding risk calculator
Tuesday, March 20, 2018
HASBLED Calculator
H | Hypertension: (uncontrolled, >160 mmHg systolic) | 1 |
A | Abnormal kidney function: Dialysis, transplant, Cr >2.26 mg/dL or >200 µmol/L
Abnormal liver function:Cirrhosis or Bilirubin >2x Normal or AST/ALT/AP >3x Normal |
1
1 |
S | Stroke: Prior history of stroke | 1 |
B | Bleeding: Prior Major Bleeding or Predisposition to Bleeding | 1 |
L | Labile INR: Unstable/high INR), Time in Therapeutic Range < 60% | 1 |
E | Elderly: Age > 65 years | 1 |
D | Prior Alcohol or Drug Usage History (≥ 8 drinks/week)
Medication Usage Predisposing to Bleeding: (Antiplatelet agents, NSAIDs) |
1
1 |
- Score greater than or equal to 3: increased risk of bleeding
- Use caution when using anticoagulation medications
- Patients should be assessed and risk reviewed routinely
- HASBLED is only moderately effective in predicting bleeding risk
Shoeb, Marwa; Fang, Margaret C. Assessing bleeding risk in patients taking anticoagulants. Journal of Thrombosis and Thrombolysis. 2013: 35 (3):312–9
This entry was tagged anticoagulation, bleeding risk