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. 2023 Aug 31;9(3):12–15. doi: 10.32481/djph.2023.08.004

Table 3, HAS-BLED Score to Estimate Bleeding Risk in Anticoagulated Patients With Atrial Fibrillation16.

Risk Factor Number of Points
Hypertension (uncontrolled, >160 mm Hg systolic) 1
Renal disease (Cr level >2.26 mg/dL, dialysis or transplant) 1
Liver disease (cirrhosis or bilirubin >2x ULN with AST/ALT/AP >3x ULN) 1
Stroke history 1
Prior major bleeding or predisposition to bleeding 1
Labile INR (unstable INR, time in therapeutic range <60%) 1
Elderly (age >65 years) 1
Drugs (predisposing to bleeding [aspirin, clopidogrel, NSAIDS]) 1
Alcohol (≥8 drinks/week) 1

ALT = alanine aminotransferase; AP = alkaline phosphatase; AST = aspartate aminotransferase; Cr = creatinine; HAS-BLED = hypertension, abnormal liver/renal function, stroke, bleeding tendency/predisposition, labile INR, elderly (>65 years), drugs/alcohol concomitantly; INR = international normalized ratio; NSAIDs = nonsteroidal anti-inflammatory drugs; ULN = upper limits of normal.