ORBIT Bleeding Score — JoyShine Medical

ORBIT Bleeding Risk Score

Estimates major bleeding risk in atrial fibrillation patients on oral anticoagulation by summing five weighted criteria; use to identify and address modifiable bleeding risk, not to decide for or against anticoagulation.

Older age ≥ 75 years (+1)

Anemia: Hgb < 13 g/dL (men) or < 12 g/dL (women), OR Hct < 40% (men) or < 36% (women) (+2)

Bleeding history (prior GI bleed, intracranial bleed, or hemorrhagic stroke) (+2)

Insufficient kidney function: eGFR < 60 mL/min/1.73 m² (+1)

Treatment with antiplatelet agent (aspirin, clopidogrel, prasugrel, ticagrelor, or aspirin-dipyridamole) (+1)