Last updated: August 17, 2026

HAS-BLED score

Condition Points
 H  Hypertension: (uncontrolled, >160 mmHg systolic) 1
 A  Abnormal renal function: Dialysis, transplant, Cr >2.26 mg/dL or >200 µmol/LAbnormal liver function: Cirrhosis or Bilirubin >2x Normal or AST/ALT/AP >3x Normal 1
1
 S  Stroke: Prior history of stroke 1
 B  Bleeding: Prior Major Bleeding or Predisposition to Bleeding 1
 L  Labile INR: (Unstable/high INR), Time in Therapeutic Range < 60% 1
 E  Elderly: Age > 65 years 1
 D  Prior Alcohol or Drug Usage History (≥ 8 drinks/week)Medication Usage Predisposing to Bleeding: (Antiplatelet agents, NSAIDs) 1
1
Scientific case review

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