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. 2019 Dec 2;42(6):186–191. doi: 10.18773/austprescr.2019.067

Table 2. The HAS-BLED score.

Risk factor Clinical characteristic Points
H Hypertension
systolic blood pressure >160 mmHg
1
A Abnormal liver OR kidney function
dialysis/renal transplantation/serum creatinine ≥200 mmol/L
cirrhosis or bilirubin 2x upper limit of normal with AST/ALT/ALP 3x upper limit normal
1 each
S Stroke 1
B Bleeding
history of bleeding or a bleeding diathesis
1
L Labile INRs 1
E Elderly
>65 years
1
D Drugs OR alcohol
concomitant use of antiplatelets/NSAIDs
≥8 drinks/week
1 each

HAS-BLED score ≥3 is considered as a high-risk of bleeding

ALP alkaline phosphatase

ALT alanine aminotransferase

AST aspartate aminotransferase

NSAIDs non-steroidal anti-inflammatory drugs

Source: reference 17