MDCalc

ISTH-SCC Bleeding Assessment Tool

Evaluates bleeding symptoms in patients with inherited bleeding disorders.

Only symptoms and treatment BEFORE and AT diagnosis should be considered.

Age, years

Epistaxis

Cutaneous

Bleeding from minor wounds

Oral cavity

GI bleeding

Hematuria

Tooth extraction

Surgery

Menorrhagia

Postpartum hemorrhage

Muscle hematomas

Hemarthrosis

CNS bleeding

Other bleeding

Umbilical stump bleeding, cephalohematoma, cheek hematoma caused by sucking during breast/bottle feeding, conjunctival hemorrhage or excessive bleeding following circumcision/venipuncture

Result:

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Advice
  • Results may inform the need for further diagnostic workup in patients with a suspected inherited bleeding disorder.
    • Low scores are associated with a low likelihood of a bleeding disorder, and additional evaluation may not be warranted.
    • Elevated scores indicate an increased risk of bleeding; further evaluation for an underlying inherited bleeding disorder is appropriate (e.g., laboratory studies, specialty consultation).
  • Results are not intended to be diagnostic but should be used as part of a comprehensive evaluation in conjunction with clinical judgment and specialty consultation.
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