Skor HAS-BLED untuk Risiko Perdarahan


Keluaran: Tekan hitung

BLED-HAS-BLED-Score-for-Bleeding-Risk

Understanding-the-HAS-BLED-Score-A-Comprehensive-Guide

The-HAS-BLED-score-is-a-widely-recognized-tool-used-by-medical-professionals-to-evaluate-the-risk-of-major-bleeding-in-patients-with-atrial-fibrillation-AF-This-scoring-system-helps-guide-treatment-decisions-and-manage-anticoagulation-therapies-effectively-In-this-article-we-ll-delve-into-the-details-of-the-HAS-BLED-score-explaining-each-component-how-it-s-calculated-and-its-significance-in-real-world-scenarios

What-is-the-HAS-BLED-score

The-HAS-BLED-score-is-an-acronym-that-stands-for

Each-parameter-in-the-HAS-BLED-score-is-assigned-a-value-of-0-or-1-except-for-some-conditions-where-it-can-be-2-The-total-score-is-derived-by-summing-these-values-A-higher-total-score-indicates-an-increased-risk-of-bleeding-complications-Let-s-break-down-each-component-for-better-understanding

Hypertension-(H)

Hypertension-refers-to-persistently-high-blood-pressure-In-the-context-of-the-HAS-BLED-score-uncontrolled-blood-pressure-systolic-greater-than-160-mmHg-is-assigned-a-value-of-1

Abnormal-Liver-Renal-Function-(A)

This-component-addresses-the-functionality-of-the-liver-and-kidneys-Abnormal-liver-function-includes-chronic-hepatic-disease-e-g-cirrhosis-or-biochemical-evidence-of-significant-hepatic-derangement-For-renal-function-it-includes-severe-chronic-kidney-disease-or-being-on-dialysis-Each-of-these-conditions-scores-1-point-with-a-possible-total-of-2-if-both-liver-and-renal-functions-are-abnormal

Stroke-(S)

A-history-of-stroke-particularly-hemorrhagic-stroke-contributes-to-the-score-Patients-with-a-previous-stroke-score-1-point

Bleeding-History-or-Predisposition-(B)

Patients-with-a-history-of-bleeding-disorders-previous-major-bleeding-episodes-or-a-predisposition-to-bleeding-receive-1-point-in-this-category

Labile-INRs-(L)

International-Normalized-Ratio-INR-is-a-measure-used-to-gauge-the-effectiveness-of-anticoagulation-therapy-Labile-INRs-indicate-unstable-or-poorly-controlled-anticoagulation-which-scores-1-point

Elderly-(E)

Patients-aged-65-years-and-older-automatically-score-1-point-Age-related-physiological-changes-increase-the-risk-of-bleeding-making-this-a-crucial-factor

Drugs-Alcohol-(D)

The-final-component-considers-the-concomitant-use-of-drugs-that-promote-bleeding-e-g-antiplatelet-agents-nonsteroidal-anti-inflammatory-drugs-and-excessive-alcohol-consumption-Each-of-these-factors-scores-1-point-with-a-possible-total-of-2-if-both-are-present

Calculating-the-HAS-BLED-Score

The-formula-to-calculate-the-HAS-BLED-score-based-on-the-parameters-defined-is

(hypertension-abnormalLiverFunction-abnormalRenalFunction-stroke-bleedingHistory-labileINRs-elderly-drugs-alcohol)=>hypertension+abnormalLiverFunction+abnormalRenalFunction+stroke+bleedingHistory+labileINRs+elderly+drugs+alcohol

For-instance-let-s-consider-a-hypothetical-patient

The-HAS-BLED-score-for-this-patient-would-be-1-0-1-1-0-0-1-0-1-5

Real-Life-Examples

Consider-a-patient-with-chronic-atrial-fibrillation-who-is-being-evaluated-for-anticoagulation-therapy-The-healthcare-provider-might-assess-the-patient-s-bleeding-risk-using-the-HAS-BLED-score-If-the-patient-has-a-score-of-2-they-would-be-classified-as-having-a-modest-risk-of-bleeding-This-helps-determine-the-appropriate-anticoagulant-and-the-level-of-monitoring-required

In-another-scenario-a-patient-with-a-HAS-BLED-score-of-5-would-be-considered-at-high-risk-for-bleeding-This-would-prompt-more-frequent-monitoring-and-could-influence-the-decision-to-use-alternative-therapies-or-dosing-strategies

Frequently-Asked-Questions-FAQ

1-What-does-a-high-HAS-BLED-score-indicate

A-high-HAS-BLED-score-suggests-an-elevated-risk-of-major-bleeding-necessitating-closer-monitoring-and-potentially-adjusting-the-approach-to-anticoagulation-therapy

2-How-often-should-the-HAS-BLED-score-be-reassessed

The-HAS-BLED-score-should-be-reassessed-periodically-especially-if-there-are-significant-changes-in-the-patient-s-health-status-or-medication-regimen

3-Can-the-HAS-BLED-score-be-used-in-other-conditions-besides-atrial-fibrillation

While-primarily-designed-for-patients-with-atrial-fibrillation-the-HAS-BLED-score-can-be-informative-in-other-settings-where-assessing-bleeding-risk-is-essential

In summary the HAS BLED score serves as a practical and evidence based tool to evaluate bleeding risk in patients with AF guiding clinical decisions and optimizing patient care

Tags: obat, Kardiologi, Penilaian Risiko