In this issue of the Journal, Genhart and coworkers present data about the discriminatory
power of bleeding assessment tools (BATs) in adults with a mild to moderate bleeding
tendency [
[1]
]. They compared 97 patients with a definite diagnosis of hemostatic disorder with
228 patients in whom no laboratory abnormality was observed (Bleeders of unknown cause,
BUCs). Not very surprisingly, they found that both the Vicenza or ISTH bleeding scores
were not able to discriminate between the two subgroups of bleeding patients. These
findings led Drs Malec and Crowther to conclude, in an accompanying commentary, that the use of these
BATs should be confined to specialized centers that they should not be used to guide
which patients receive laboratory testing, or undergo more aggressive monitoring or
treatment [
- Gebhart J.
- Hofer S.
- Kaider A.
- Rejtö J.
- Ay C.
- Pabinger I.
The discriminatory power of bleeding assessment tools in adult patients with a mild
to moderate bleeding tendency.
Eur J Internal Med. 2020; (https://doi.org/)https://doi.org/10.1016/j.ejim.2020.04.023
[2]
].- Malec L.
- Crowther M.
The value of bleeding scores in the assessment of patients presenting with bleeding
of unknown cause: complex algorithms with little predictive value.
Eur J Internal Med. 2020; https://doi.org/10.1016/j.ejim.2020.05.025
Keywords
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References
- The discriminatory power of bleeding assessment tools in adult patients with a mild to moderate bleeding tendency.Eur J Internal Med. 2020; (https://doi.org/)https://doi.org/10.1016/j.ejim.2020.04.023
- The value of bleeding scores in the assessment of patients presenting with bleeding of unknown cause: complex algorithms with little predictive value.Eur J Internal Med. 2020; https://doi.org/10.1016/j.ejim.2020.05.025
- Comparison of the unstructured clinician gestalt, the wells score, and the revised Geneva score to estimate pretest probability for suspected pulmonary embolism.Ann Emerg Med. 2013; 62e112https://doi.org/10.1016/j.annemergmed.2012.11.002
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- ISTH/SSC bleeding assessment tool: a standardized questionnaire and a proposal for a new bleeding score for inherited bleeding disorders.J Thromb Haemost. 2010; 8: 2063-2065https://doi.org/10.1111/j.1538-7836.2010.03975.x
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- The bleeding score predicts clinical outcomes and replacement therapy in adults with von Willebrand disease.Blood. 2014; 123: 4037-4044https://doi.org/10.1182/blood-2014-02-557264
Tosetto A., Badiee Z., Baghaipour M.-R., Baronciani L., Battle J., Berntorp E., Bodó I., Budde U., Castaman G., Eikenboom J.C.J., Eshghi P., Ettorre C., Goodeve A., Goudemand J., Charles Richard Morris H., Hoorfar H., Karimi M., Keikhaei B., Lassila R., Leebeek F.W.G., Lopez Fernandez M.F., Mannucci P.M., Mazzucconi M.G., Morfini M., Oldenburg J., Peake I., Parra Lòpez R., Peyvandi F., Schneppenheim R., Tiede A., Toogeh G., Trossaert M., Zekavat O., Zetterberg E.M.K., Federici AB Bleeding symptoms in patients diagnosed as type 3 Von Willebrand Disease: results from 3WINTERS-IPS, an international and collaborative cross-sectional study. J Thromb Haemostasisn/a (n/a). doi:10.1111/jth.14886.
Article info
Publication history
Published online: June 15, 2020
Accepted:
June 6,
2020
Received:
June 1,
2020
Identification
Copyright
© 2020 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
