🩸 VTE-BLEED Score
UseWhen to use: after acute phase, deciding intensity/monitoring of extended AC.
Strata<2 lower bleed band; ≥2 intensify monitoring and revisit net benefit.
LimitsWhen not to use: alone for acute inpatient bleed risk. · Pitfall: ignoring falls/drugs/procedure plans. · Pair with recurrence scores (HERDOO2/DASH).
SourceKlok FA et al. VTE-BLEED
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
≥2 high band.
When to use
When to use: after acute phase, deciding intensity/monitoring of extended AC.
How it works
Cancer +2; male+SBP≥140 +1; anemia +1.5; prior bleed +1.5; age≥60 +1.5; CrCl/eGFR<60 +1.5.
Key points
- ≥2 high band.
- Stable AC context.
- Next: HERDOO2 / dose review.
References
- Klok FA et al. VTE-BLEED
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Active cancer | No (0) |
|---|---|
| Male with uncontrolled HTN (SBP ≥140 mmHg) | No (0) |
| Anemia (Hb <13 g/dL men or <12 g/dL women) | No (0) |
| History of bleeding | No (0) |
| Age ≥60 years | No (0) |
| Renal dysfunction (CrCl/eGFR <60 mL/min) | No (0) |
→VTE-BLEED0
- Cue:<2 — low bleeding-risk band on stable AC
| Active cancer | Yes (+2) |
|---|---|
| Male with uncontrolled HTN (SBP ≥140 mmHg) | Yes (+1) |
| Anemia (Hb <13 g/dL men or <12 g/dL women) | Yes (+1.5) |
| History of bleeding | Yes (+1.5) |
| Age ≥60 years | Yes (+1.5) |
| Renal dysfunction (CrCl/eGFR <60 mL/min) | Yes (+1.5) |
→VTE-BLEED9
- Cue:≥2 — high bleeding-risk band; intensify monitoring / address modifiable factors
Verification & sources · governance
FAQ
Frequently asked questions
- Does VTE-BLEED Score upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is VTE-BLEED Score calculated in practice? Can you show a worked example?
- Inputs: Active cancer No (0), Male with uncontrolled HTN (SBP ≥140 mmHg) No (0), Anemia (Hb <13 g/dL men or <12 g/dL women) No (0), History of bleeding No (0), Age ≥60 years No (0), Renal dysfunction (CrCl/eGFR <60 mL/min) No (0) → Result: VTE-BLEED 0(Cue: <2 — low bleeding-risk band on stable AC) Inputs: Active cancer Yes (+2), Male with uncontrolled HTN (SBP ≥140 mmHg) Yes (+1), Anemia (Hb <13 g/dL men or <12 g/dL women) Yes (+1.5), History of bleeding Yes (+1.5), Age ≥60 years Yes (+1.5), Renal dysfunction (CrCl/eGFR <60 mL/min) Yes (+1.5) → Result: VTE-BLEED 9(Cue: ≥2 — high bleeding-risk band; intensify monitoring / address modifiable factors)