The VTE-BLEED Algorithm

Venous Thromboembolic Disease [VTED] & Bleeding:
The VTE-BLEED Score

Introduction

The VTE-BLEED score was developed to identify patients on anticoagulation for VTED and who were at increased risk of bleeding. The original study was based on a post-hoc analysis of patients enrolled in various trials evaluating Dabigatran [a direct Thrombin inhibitor] versus standard treatment with Warfarin and subsequent studies have evaluated patients on Rivaroxaban [a direct Factor Xa inhibitor].

The algorithm is summarised below:

The VTE Bleed Score:

Select Criteria:

Active Cancer
	Yes	2 Points
Male Patient with Uncontrolled Hypertension [Systolic BP ≥140mm Hg]
	Yes	1 Point
Anaemia [Hb <130g/L Men. Hb <120g/L Women]
	Yes	1.5 Points
History of Bleeding [Major or non-major clinically relevant bleeding]
	Yes	1.5 Points
Renal Dysfunction [CrCl 30-60ml/min]
	Yes	1.5 Points
Age ≥60 yrs
	Yes	1.5 Points

Score
[Max score 9]

VTE-BLEED Score
<2	Low bleeding risk
≥2	High bleeding risk

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