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🩸 ATRIA Bleeding Score (AF)

Predict warfarin-associated haemorrhage in atrial fibrillation with the ATRIA score.

ATRIA Bleeding Score (AF)

Anaemia (Hb < 13 M / < 12 F g/dL)
Severe renal disease (eGFR < 30 or dialysis)
Age ≥ 75 years
Prior haemorrhage
Diagnosed hypertension

When to use

Quantify major bleeding risk on anticoagulation.

How it works

Anaemia (3), severe renal disease (3), age ≥ 75 (2), prior haemorrhage (1), hypertension (1). 0–3 low, 4 intermediate, 5–10 high.

Key points

  • Weights anaemia and renal disease heavily.
  • Supports shared decision-making.
  • Targets modifiable risks rather than contraindicating therapy.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

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