HAS-BLED

Question 1

What is the HAS-BLED score?

Answer 1

The HAS-BLED is a therapeutic bleeding risk stratification score for those on oral anticoagulants in atrial fibrillation

Question 2

What are the components of HAS-BLED?

Answer 2

1. Hypertension (Systolic >= 160mmHg) - 1
2. Abnormal renal function - 1
3. Abnormal liver function - 1
4. Age >= 65 years - 1
5. Stroke in past - 1
6. Bleeding - 1
7. Labile INRs - 1
8. Excessive alcohol intake at same time - 1
9. Drugs (concurrent use) - 1

Question 3

What does the score mean in HAS-BLED?

Answer 3

1. Score of 3 or more indicates increased one year bleed risk on anticoagulation sufficient to justify caution or more regular review
2. Risk is for intracranial bleed, bleed requiring hospitalization or a haemoglobin drop > 2g/L or that needs transfusion