ORBIT Bleeding Score

ORBIT bleeding-risk score (O'Brien 2015): low hemoglobin/hematocrit (2), age > 74 (1), bleeding history (2), renal insufficiency (1), antiplatelet therapy (1); 0-2 low, 3 intermediate, 4-7 high annual major-bleed risk.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Low Hb / Hct
Yes
Age > 74 years
Yes
Bleeding history
Yes
Renal insufficiency (eGFR < 60)
No
Antiplatelet treatment
No

Result: ORBIT 5 of 7: high annual major-bleed risk 8.1% per O'Brien 2015 Table 3 (4-7 band).

The tool opens with these values already filled in. Replace them with your own.

What the result means

0-2
Low annual major-bleed risk 2.4%/yr per O'Brien 2015 Table 3.
3
Intermediate annual major-bleed risk 4.7%/yr per O'Brien 2015 Table 3.
4-7
High annual major-bleed risk 8.1%/yr per O'Brien 2015 Table 3.

What you enter

  • Low Hb / Hct (2)
  • Age > 74 years (1)
  • Bleeding history (2)
  • Renal insufficiency (eGFR < 60) (1)
  • Antiplatelet treatment (1)
How this is calculated

O'Brien EC, Simon DN, Thomas LE, et al. The ORBIT bleeding score: a simple bedside score to assess bleeding risk in atrial fibrillation. Eur Heart J. 2015;36(46):3258-3264. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.