ISTH-SCC Bleeding Assessment ToolLoading...EpistaxisNo or trivial0More than 5 per year or more than 10 mins+1CutaneousNo or trivial05 or more bruises (bigger than 1 cm) in exposed areas+1Consultation only+2Extensive+3Spontaneous hematoma requiring blood transfusion+4Bleeding from minor woundsNo or trivial0More than 5 per year or more than 10 mins+1Consultation only+2Surgical hemostasis+3Blood transfusion, replacement therapy, or desmopressin+4Oral cavityNo or trivial0Present+1Consultation only+2Surgical hemostasis or antifibrinolytic required+3Blood transfusion, replacement therapy, or desmopressin+4GI bleedingNo or trivial0Present (not associated with ulcer, portal hypertension, hemorrhoids, angiodysplasia)+1Consultation only+2Surgical hemostasis or antifibrinolytic required+3Blood transfusion, replacement therapy, or desmopressin+4HematuriaNo or trivial0Present (macroscopic)+1Consultation only+2Surgical hemostasis or iron therapy+3Blood transfusion, replacement therapy, or desmopressin+4Tooth extractionNo or trivial or none done0Reported in 25% or less of all procedures, no intervention+1Reported in more than 25% of all procedures, no intervention+2Resuturing or packing+3Blood transfusion, replacement therapy, or desmopressin+4SurgeryNo, trivial or none done0Reported in 25% or less of all procedures, no intervention+1Reported in 25% or less of all procedures, no intervention+2Surgical hemostasis or antifibrinolytic+3Blood transfusion, replacement therapy, or desmopressin+4MenorrhagiaNo or trivial0Consultation only, changing pads more frequently than every 2 hours, clot and flooding, or PBAC score more than 100+1Time off work or school more than 2 per year, requiring antifibrinolytics, or hormonal or iron therapy+2Requiring combined treatment with antifibrinolytics and hormonal therapy or menorrhagia present since menarche and more than 12 months+3Acute menorrhagia requiring hospital adminssion and emergency treatment, requiring blood transfusion or replacement therapy or desmopressin, requiring dilatation and curettage or endometrial ablation or hysterectomy+4Postpartum hemorrhageNo, trivial or no deliveries0Consultation only, use of oxytocin, or lochia more than 6 weeks+1Iron therapy or antifibrinolytics+2Requiring blood transfusion, replacement therapy, desmopressin, or requiring examination under anesthesia and or the use of uterine balloon or package to tamponade the uterus+3Any procedure requiring critical care or surgical intervention+4Muscle hematomasNever0Post trauma or no therapy+1Spontaneous or no therapy+2Spontaneous or traumatic, requiring desmopressin or replacement therapy+3Spontaneous or traumatic, requiring surgical intervention or blood transfusion+4HemarthrosisNever0Post trauma or no therapy+1Spontaneous or no therapy+2Spontaneous or traumatic, requiring desmopressin or replacement therapy+3Spontaneous or traumatic, requiring surgical intervention or blood transfusion+4CNS bleedingNever0Subdural or any intervention+3Intracerebral or any intervention+4Other bleedingNo or trivial0Post trauma or no therapy+1Spontaneous or no therapy+2Spontaneous or traumatic, requiring desmopressin or replacement therapy+3Spontaneous or traumatic, requiring surgical intervention or blood transfusion+4Indicazioni d'usoApprofondimenti e precauzioni