A tool to support the clinical decisions of doctors and health professionals, not for self-diagnosis or self-treatment.
This calculator is inside the patient's file in Clinicato: open it from "Medical tools" while you chart the visit, it fills in from the patient's details and vital signs where they are recorded, and adds its result to the visit's plan in one tap, with the "Medical tools" add-on. Try it in your clinic
Calculator
How it works and when to use it
One point each for: uncontrolled hypertension, abnormal kidney function, abnormal liver function, prior stroke, prior bleeding or predisposition, labile INR, age over 65, drugs that raise bleeding, and alcohol, for a maximum of 9.
A score of 3 or more means high bleeding risk, to be met by treating the modifiable factors and reviewing more often, not by stopping anticoagulation on the score alone.
Reference: Pisters R et al. Chest 2010;138:1093-100; ESC 2020 AF guidelines
Frequently asked questions
Does a high score rule out anticoagulation?
No, in the ESC guidance it is not used alone to withhold treatment, but to correct causes and follow the patient more closely.
Which factors can be changed?
Such as controlling blood pressure, stopping unneeded painkillers and antiplatelets, cutting alcohol and stabilising the INR.
Tools you may also need
- CHA2DS2-VASc calculator CHA2DS2-VASc and CHA2DS2-VA, and the anticoagulation advice.
- QTc calculator QTc by three formulas and whether it is prolonged.
- Body surface area (BSA) calculator Body surface area in m² by two formulas.
- Ideal and adjusted body weight (Devine) Ideal weight, actual weight as a percentage of it, and adjusted weight.
- Creatinine clearance calculator Creatinine clearance in mL/min with three weights.
- eGFR calculator eGFR in mL/min/1.73m² and its stage from G1 to G5.
Clinic software for this specialty
Try Clinicato for your clinic
These calculators are free here for everyone, and in Clinicato 49 medical tools work inside the patient's file with the "Medical tools" add-on: filled from the visit and the vital signs, with the result added to the visit's plan, next to appointments, prescriptions and invoices.