HAS-BLED score for bleeding risk in anticoagulated atrial fibrillation
HAS-BLED score for bleeding risk in anticoagulated atrial fibrillation [select name="Q1" value="no (0 points)=0|YES (1 point)=1"] 160 mm Hg) [select name="Q2" value="no (0 points)=0|YES (1 point)=1"] <-- Abnormal renal function (chronic dialysis, renal transplantation, or serum creatinine ≥ 2.3 mg/dL) [select name="Q3" value="no (0 points)=0|YES (1 point)=1"] <-- Cirrhosis or bilirubin > 2x normal, Alkaline phosphatase > 3x normal, liver transaminases > 3x normal [select name="Q4" value="no (0 points)=0|YES (1 point)=1"] <-- Stroke [select name="Q5" value="no (0 points)=0|YES (1 point)=1"] <-- Bleeding tendency/predisposition (history of bleeding or predisposition such as anemia) [select name="Q6" value="no (0 points)=0|YES (1 point)=1"] <-- Labile INRs - if on warfarin - (history of over- anticoagulation or time in therapeutic range < 60%) [select name="Q7" value="no (0 points)=0|YES (1 point)=1"] <-- Elderly (age > 65 y) [select name="Q8" value="no (0 points)=0|YES (1 point)=1"] <-- Drugs (concomitant antiplatelet or nonsteroidal anti-inflammatory drugs) [select name="Q9" value="no (0 points)=0|YES (1 point)=1"] <-- Alcohol intake in excess (> 8 drinks weekly) Score --> [calc memo="number" value="score1=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)"] / 9 points Result --> [calc memo="interpretaton" value="score2=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9);score2>5?'Major bleeding risk 12-15% per year - caution is warranted when prescribing oral anticoagulation and regular review is recommended':score2>4?'Major bleeding risk 9.1% per year - caution is warranted when prescribing oral anticoagulation and regular review is recommended':score2>3?'Major bleeding risk 8.9% per year - caution is warranted when prescribing oral anticoagulation and regular review is recommended':score2>2?'Major bleeding risk 5.8% per year - caution is warranted when prescribing oral anticoagulation and regular review is recommended':score2>1?'Major bleeding risk 4.1% per year':score2>0?'Major bleeding risk 3.4% per year':'Major bleeding risk 1% per year'"] [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"] reference: [link url="http://www.ncbi.nlm.nih.gov/pubmed/20299623" memo="link"] Pisters R, Lane DA, Nieuwlaat R, de Vos CB, Crijns HJ, Lip GY. 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 Nov;138(5):1093-100 [/conditional]
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 1, 14 form elements, 109 boilerplate words, 1 checkboxes, 9 drop downs, 1 links, 2 calculations, 1 conditionals, 10 total clicks
More SOAPnotes by this Author:
Send Feedback for this SOAPnote
You must be logged in to post a comment.