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IMPROVE bleeding risk score
Introduction
Overview
Overview
The IMPROVE bleeding risk score estimates the risk of bleeding among acutely ill hospitalized patients.
IMPROVE Bleeding Risk Score
IMPROVE Bleeding Risk Score
The IMPROVE bleeding risk score estimates the risk of bleeding among acutely ill hospitalized patients.[1][2]
IMPROVE Bleeding Risk Score Calculator
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 | ≥ 50×109/L | 0 |
| < 50×109/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
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
References
References
- ↑ 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.
- ↑ Hostler DC, Marx ES, Moores LK, Petteys SK, Hostler JM, Mitchell JD, Holley PR, Collen JF, Foster BE, Holley AB (February 2016). “Validation of the International Medical Prevention Registry on Venous Thromboembolism Bleeding Risk Score”. Chest. 149 (2): 372–9. doi:10.1378/chest.14-2842. PMID 26867833.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]