IMPROVE bleeding risk score: Difference between revisions

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Revision as of 06:27, 10 February 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Overview

The IMPROVE bleeding risk score estimates the risk of bleeding among acutely ill hospitalized patients.

IMPROVE Bleeding Risk Score

The IMPROVE bleeding risk score estimates the risk of bleeding among acutely ill hospitalized patients.[1]

IMPROVE Bleeding Risk Score Calculator

Variable Score
Age ≥ 85 years 3.5
40-84 years 1.5
< 40 0
Gender Male 1
Female 0
Kidney function Normal kidney function (GFR ≥ 60 mL/min/m2) 0
Moderate kidney failure (GFR 30-59 mL/min/m2) 1
Severe kidney failure (GFR < 30 mL/min/m2) 2.5
Liver function Normal liver function (INR ≤ 1.5) 0
Liver failure (INR > 1.5) 2.5
Platelet ≥ 50x109/L 0
< 50x109/L 4
Admission to ICU or CCU 2.5
Central venous catheter 2
Active gastric or duodenal ulcer 4.5
Prior bleeding within the last 3 months 4
Rheumatic disease 2
Active malignancy 2

Interpretation

The IMPROVE risk score for bleeding can be interpreted as such:[1]

  • Score ≥7: Increased risk of bleeding
  • Score <7: Not increased risk of bleeding

See also

References

  1. 1.0 1.1 Decousus H, Tapson VF, Bergmann JF, Chong BH, Froehlich JB, Kakkar AK; et al. (2011). "Factors at admission associated with bleeding risk in medical patients: findings from the IMPROVE investigators". Chest. 139 (1): 69–79. doi:10.1378/chest.09-3081. PMID 20453069.

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