Classification and descriptions of the grades of bleeding
| WHO bleeding grade and characteristics . |
|---|
| Grade 1* |
| Mucocutaneous hemorrhage (oral blood blisters) |
| Petechiae (lesions < 2 mm in size) |
| Purpura < 2.54 cm (1-inch) diameter |
| Ecchymosis (lesions < 10 cm in size) |
| Oropharyngeal bleeding |
| Conjunctival bleeding |
| Epistaxis < 1 hour in duration and not requiring intervention |
| Abnormal vaginal bleeding (nonmenstrual) with spotting (< 2 pads per day) |
| Grade 2* |
| Ecchymosis (lesions > 10 cm in size) |
| Hematoma |
| Epistaxis > 1 hour in duration or packing required |
| Retinal hemorrhage without visual impairment |
| Abnormal vaginal bleeding (not normal menses) using > 2 pads/day |
| Melena, hematemesis, hemoptysis, hematuria, hematochezia |
| Bleeding from invasive sites, musculoskeletal bleeding |
| Grade 3† |
| Melena |
| Hematemesis |
| Hemoptysis |
| Hematuria—including intermittent gross bleeding without clots |
| Abnormal vaginal bleeding |
| Hematochezia |
| Epistaxis |
| Oropharyngeal |
| Bleeding from invasive sites, musculoskeletal bleeding, or soft tissue bleeding |
| Grade 4 |
| Debilitating bleeding including retinal bleeding with visual impairment (defined as a field deficit and there must be a consult note documenting visual impairment) |
| Nonfatal CNS bleeding with neurologic signs and symptoms |
| Fatal bleeding from any source |
| WHO bleeding grade and characteristics . |
|---|
| Grade 1* |
| Mucocutaneous hemorrhage (oral blood blisters) |
| Petechiae (lesions < 2 mm in size) |
| Purpura < 2.54 cm (1-inch) diameter |
| Ecchymosis (lesions < 10 cm in size) |
| Oropharyngeal bleeding |
| Conjunctival bleeding |
| Epistaxis < 1 hour in duration and not requiring intervention |
| Abnormal vaginal bleeding (nonmenstrual) with spotting (< 2 pads per day) |
| Grade 2* |
| Ecchymosis (lesions > 10 cm in size) |
| Hematoma |
| Epistaxis > 1 hour in duration or packing required |
| Retinal hemorrhage without visual impairment |
| Abnormal vaginal bleeding (not normal menses) using > 2 pads/day |
| Melena, hematemesis, hemoptysis, hematuria, hematochezia |
| Bleeding from invasive sites, musculoskeletal bleeding |
| Grade 3† |
| Melena |
| Hematemesis |
| Hemoptysis |
| Hematuria—including intermittent gross bleeding without clots |
| Abnormal vaginal bleeding |
| Hematochezia |
| Epistaxis |
| Oropharyngeal |
| Bleeding from invasive sites, musculoskeletal bleeding, or soft tissue bleeding |
| Grade 4 |
| Debilitating bleeding including retinal bleeding with visual impairment (defined as a field deficit and there must be a consult note documenting visual impairment) |
| Nonfatal CNS bleeding with neurologic signs and symptoms |
| Fatal bleeding from any source |