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Table 4 Bleeding risk scoring system: HAS-BLED. Adapted from Pisters R et al. Chest. 2010;138;1093–100 [42]

From: A case-based approach to implementing guidelines for stroke prevention in patients with atrial fibrillation: balancing the risks and benefits

 

Risk factor

Points

H

Hypertension

1

A

Abnormal renal and liver function (1 point each)

1 or 2

S

Stroke

1

B

Bleeding

1

L

Labile INRs

1

E

Elderly (age >65 y)

1

D

Drugs or alcohol (1 point each)

1 or 2

Risk score

Bleeds per 100 patient-years

Risk of bleeding

0

1.13

Low

1

1.02

Moderate

2

1.88

3

3.74

High

4

8.70

5

12.50

  1. INR international normalized ratio