IMPROVE bleeding risk score

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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.[1]

IMPROVE Bleeding Risk Score

Calculation of the IMPROVE Bleeding Risk Score

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


Interpretation of the IMPROVE Bleeding Risk Score

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

  • Score ≥7: Elevated risk of bleeding
  • Score <7: Not elevated risk of bleeding

References

  1. 1.0 1.1 1.2 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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