The evaluation of patients with mild to moderate bleeding disorder can be frustratingly
unproductive. Patients frequently present with bothersome symptoms, such as recurrent
epistaxis, easy bruising or menorrhagia, undergo a battery of investigations, only
to reveal normal results. Such patients also may demonstrate a family history or have
had abnormal bleeding after surgical procedures. Comprehensive laboratory-based bleeding
evaluations of patients with suspected bleeding disorders are inconvenient for the
patient, are expensive in some healthcare settings, may be difficult to access, and
are extraordinarily complex to explain to patients. Availability of an easy to use
clinically-based tool with high predictive value for the presence of a laboratory
confirmed bleeding disorder would greatly simplify the evaluation of such patients
and allow clinicians to prioritize those patients requiring laboratory investigation.
This could further simplify clinical monitoring and, potentially, treatment of such
patients.
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References
Gebhart J, Hofer S, Kaider A, et. al. The discriminatory power of bleeding assessment tools in adult patients with a mild to moderate bleeding tendency. Eur J Internal Med, 10.1016/j.ejim.2020.04.023.
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Article info
Publication history
Published online: June 07, 2020
Accepted:
May 14,
2020
Received:
May 11,
2020
Identification
Copyright
© 2020 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
