Updated bleeding scale for pediatric patients with ITP
| Grade . | Bleeding . | Management approach . |
|---|---|---|
| Grade 1 (minor) | Minor bleeding, few petechiae (≤100 total) and/or ≤5 small bruises (≤3 cm in diameter), no mucosal bleeding | Consent for observation |
| Grade 2 (mild) | Mild bleeding, many petechiae (>100 total) and/or >5 large bruises (>3 cm in diameter), no mucosal bleeding | Consent for observation |
| Grade 3 (moderate) | Moderate bleeding, overt mucosal bleeding, troublesome lifestyle | Intervention to reach grade 1 or 2 |
| Grade 4 (severe) | Severe bleeding, mucosal bleeding leading to decrease in Hb > 2 g/dL or suspected internal hemorrhage | Intervention |
| Grade . | Bleeding . | Management approach . |
|---|---|---|
| Grade 1 (minor) | Minor bleeding, few petechiae (≤100 total) and/or ≤5 small bruises (≤3 cm in diameter), no mucosal bleeding | Consent for observation |
| Grade 2 (mild) | Mild bleeding, many petechiae (>100 total) and/or >5 large bruises (>3 cm in diameter), no mucosal bleeding | Consent for observation |
| Grade 3 (moderate) | Moderate bleeding, overt mucosal bleeding, troublesome lifestyle | Intervention to reach grade 1 or 2 |
| Grade 4 (severe) | Severe bleeding, mucosal bleeding leading to decrease in Hb > 2 g/dL or suspected internal hemorrhage | Intervention |
This bleeding scale is based on the one used in the previous consensus report,1 updated based on the authors’ opinion.
Hb, hemoglobin.