Clotblog with Dr Samuel Goldhaber

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Quantifying bleeding risk with HAS-BLED

Jul 29, 2011 09:30 EDT


With its practical method of calculation, the HAS-BLED scoring system enables us to quantify the likelihood of major bleeding in anticoagulated patients with atrial fibrillation and aids communication among clinicians and patients.

Do you use the HAS-BLED score? How useful is it for your practice?

See:

Lip GYH. Implications of the CHADS-VASc and HAS-BLED scores for thromboprophylaxis in atrial fibrillation.  Am J Med 2011; 124:111-114. Available here.

Lip GYH, Frison L, Halperin JL, et al. Comparative validation of a novel risk Score for predicting bleeding risk in anticoagulated patients with atrial fibrillation. J Am Coll Cardiol 2011; 57:173-180. Available here.

Pisters R, Lane D, Nieuwlaat R et al. A novel user-friendly score (HAS-BLED) to assess 1-Year risk of major bleeding in patients with atrial fibrillation. The Euro Heart Survey. Chest 2010; 138:1093-1100. Available here.

New bleeding score, HAS-BLED, will help guide anticoagulation in AF








Your comments
Quantifying bleeding risk with HAS-BLED
# 1 of 1
August 9, 2011 10:46 (EDT)
J Schwaiger

I think its positive in the way that you can collect more information, a great teaching tool for students I find. But thats all... I found it never really helpful up to now. The ones with the highest risk here have the highest risk there. The end? Good clinical judgement continues to guide you in this difficult question and you still fail sometimes... 

 


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Who's Talking
Samuel Z Goldhaber, MD
Professor of Medicine
Harvard Medical School
Director, Venous Thromboembolism Research Group
Co-Director, Anticoagulation Management Service
Cardiovascular Division
Brigham and Women's Hospital
Boston, MA