HAS-BLED Score

Posted in Anticoagulation.

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Why this page is important: The main use of the HAS-BLED tool is to identify people at high risk of bleeding who could benefit from increased vigilance and a specific focus on correction of modifiable risk factors such as uncontrolled hypertension, poor control of international normalized ratio (INR), concurrent medication (for example concurrent use of aspirin or a nonsteroidal anti-inflammatory drug), and harmful alcohol consumption.

HAS-BLED

A HAS-BLED score of ≥3 indicates that caution is warranted when prescribing oral anticoagulation and regular review is recommended.

European Heart Rhythm Association; European Association for Cardio-Thoracic Surgery, Camm AJ, Kirchhof P, Lip GY, Schotten U, Savelieva I, Ernst S, Van Gelder IC, Al-Attar N, Hindricks G, Prendergast B, Heidbuchel H, Alfieri O, Angelini A, Atar D, Colonna P, De Caterina R, De Sutter J, Goette A, Gorenek B, Heldal M, Hohloser SH, Kolh P, Le Heuzey JY, Ponikowski P, Rutten FH. Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J. 2010; 31: 2369–2429.