Health
HAS-BLED Score (Major Bleeding Risk) Calculate the HAS-BLED score to estimate major bleeding risk in patients on oral anticoagulation (most commonly combined with CHA₂DS₂-VASc in atrial fibrillation). Each component scores 1 point: Hypertension (uncontrolled, systolic BP >160), Abnormal renal function (dialysis/transplant/Cr >2.26 mg/dL), Abnormal liver function, prior Stroke, prior major Bleeding/predisposition, Labile INR (TTR <60% on warfarin), Elderly (age >65), Drugs (antiplatelet/NSAID), Alcohol (≥8 drinks/week). Range 0–9 (renal/liver and drugs/alcohol can each contribute up to 2). Interpretation: 0 low, 1–2 moderate, ≥3 high risk — regular review and correct reversible factors; a high score alone does NOT justify withholding anticoagulation. Derived from Pisters 2010 (Chest) and the 2023 ACC/AHA/ACCP/HRS AF guideline. The 'labile INR' criterion mainly applies to warfarin users; predictive value is lower for DOACs. Not medical advice.