Why the study?
Guidelines tend to recommend the ORBIT score for predicting bleeding risk in anticoagulated patients with AF, but several newly published studies showed different findings.
Does the ORBIT score improve the prediction of bleeding events compared to the HAS-BLED score in anticoagulated patients with atrial fibrillation?
Population
17 studies of anticoagulated patients with AF
Comparison
HAS-BLED score vs ORBIT score
Design
Systematic review and meta-analysis
Authors
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HAS-BLED performs comparably to ORBIT for major bleeding prediction in anticoagulated AF; supports its clinical use and challenges NICE preference.
Does the ORBIT score improve the prediction of bleeding events compared to the HAS-BLED score in anticoagulated patients with atrial fibrillation?
The HAS-BLED and ORBIT scores demonstrated similar predictive accuracy for major bleeding in anticoagulated AF patients, supporting the continued clinical use of the HAS-BLED score despite recent guidelines favoring ORBIT.
Liu et al. (2023) studied this question.
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