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Updated: Jan 26, 2026

Computerized Adaptive Testing System of Functional Assessment of Stroke
Published on: January 7, 2019
Bleeding risk assessment for stroke patients on antithrombotic therapy
Luis Castilla-Guerra1, María Del Carmen Fernández-Moreno2, Juan Manuel de la Vega-Sánchez1
1Unidad de Riesgo Vascular, Unidad de Gestión Clínica de Medicina Interna, Hospital Virgen Macarena, Sevilla, España.
Introduction:
After an ischemic cerebrovascular event the risk of new ischemic events is high, therefore antithrombotic therapy are indicated to prevent stroke recurrence.
Discussion:
Despite its clear benefit, these therapies increase the risk of bleeding. Therefore, it is essential to identify high hemorrhagic risk patients. There are different predictive models of hemorrhage, in particular of intracranial hemorrhage, associated with the use of antiaggregants in patients who have presented an ischemic stroke or TIA, such as the CCSC, intracranial scales -B2LEED3S score or S2TOP-BLEED. However, though main international guidelines recommend the use of scales, in particular, the HAS-BLED score, to assess the risk of bleeding in anticoagulated patients, there is no specific recommendation in the case of the use of antiplatelet drugs.
Conclusions:
In this review we present the main models currently available for the prediction of bleeding of antithrombotic therapy in patients who have had a stroke or TIA.
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