Risk score for predicting bleeding in Afib patients

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By  |  November 8, 2010 | 

In this large derivation and validation cohort, the HAS-BLED risk score helped predict the risk of bleeding in patients with Afib (which can help determine accuracy of anti-platelet or oral anticoagulation drug benefit). The acronym applies a point each for: HTN (<160mmHg), Abnormal liver or renal function (1 point each), Stroke history, Bleed history (or h/o anemia), Labile INR (<60% therapeutic), Elderly (>age 65), Drugs (anti-platelet or NSAIDs)/alcohol (>8/week). Those with a score of 0 had 1 bleed/100 patient years; those with a score of 5+ had 13 bleeds/100 patient years. Overall C-stat of 0.72. This easy to calculate score can help determine anticoagulation candidacy in patients with Afib (abstract)

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About the Author: Danielle Scheurer

Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.

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