Possible limitations of using the HAS-BLED bleeding score in real life settings

Atrial fibrillation (AF) is the most prevalent sustained arrhythmia associated with a fivefold to sevenfold increased risk of ischemic stroke. Current recommendations are to consider oral anticoagulation (OAC) for all AF patients with a CHA2DS2VASc score of 1 or higher . In conjunction with the CHA2DS2VASc score, the HAS-BLED bleeding score is recommended for use when weighing the risk of thrombosis against the risk of bleeding . Although HAS-BLED is an objective and easily remembered scoring system, I have found that it is prone to misinterpretation by end-users.

Source: Thrombosis Research - February 12, 2014 Category: Hematology Authors: Sadi Gulec Tags: Editorials Source Type: research