Thehas-Bledscore (Estimates the Annual Risk of Major Bleeding for Patients on Warfarin for Atrial Fibrillation)
| Variable | Score | |
|---|---|---|
| H | Systolic BP >160 mmHg | 1 for yes, 0 for no |
| A | Abnormal renal or liver function Renal disease: Dialysis, transplant or serum creatinine >200micromol/L Liver disease: Cirrhosis, serum bilirubin >2× normal or AST/ALT/alkaline phosphatase >3× normal | 1 for yes, 0 for no 1 for yes, 0 for no |
| S | Stroke history | 1 for yes, 0 for no |
| B | Bleeding risk Prior major bleeding or predisposition to bleeding | 1 for yes, 0 for no |
| L | Labile INR Time in therapeutic range <60% | 1 for yes, 0 for no |
| E | Elderly Age >65 | 1 for yes, 0 for no |
| D | Drug/alcohol history Medication usage predisposing to bleeding (antiplatelet agents, NSAIDs) Alcohol consumption ≥8 units/week | 1 for yes, 0 for no 1 for yes, 0 for no |
| Total score | 0–9 |