Bleeding Score of Rodeghiero et al

Description

Rodeghiero et al reported a bleeding score which can be used to screen a patient for von Willebrand disease as well as other coagulation disorders. The authors are from multiple institutions in Europe and India.

Parameters:

(1) epistaxis

(2) cutaneous symptoms

(3) minor wounds

(4) oral cavity bleeding

(5) gastrointestinal bleeding

(6) muscle hematomas or hemarthrosis

(7) tooth extraction (most severe episode)

(8) surgery (most severe episode)

(9) postpartum hemorrhage

(10) menorrhagia

Parameter	Finding	Points
epistaxis	none or trivial	0
	present	1
	packing, cauterization	2
	transfusion	3
cutaneous symptoms	none or trivial	0
	petechiae or bruises	1
	hematomas	2
	medical consultation	3
minor wounds	none or trivial	0
	1 to 5 episodes per year	1
	medical attention	2
	surgery or blood transfusion	3
oral cavity bleeding	none or trivial	0
	present	1
	medical attention	2
	surgery, blood transfusion	3
gastrointestinal bleeding	none or trivial	0
	present	1
	medical attention	2
	surgery, blood transfusion	3
muscle hematoma or hemarthrosis	none or trivial	0
	present	1
	medical attention	2
	transfusion, intervention	3
tooth extraction	none or trivial	0
	present	1
	suturing or packing	2
	transfusion	3
surgery	none or trivial	0
	present	1
	suturing or re-surgery	2
	transfusion	3
postpartum hemorrhage	none or trivial	0
	present, iron therapy	1
	blood transfusion, dilation and curettage, suturing	2
	hysterectomy	3
menorrhagia	none or trivial	0
	present	1
	consultation, oral contraceptive, iron therapy	2
	transfusion, hysterectomy, dilation and curettage, hormone replacement therapy	3

total score =

= SUM(points for all applicable parameters)

Interpretation:

• minimum score: 0

• maximum score for male: 24

• maximum score for female: 30

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