Modified Buchanan and Adix bleeding score for pediatric immune thrombocytopenia (ITP)

Grade	Severity	Description
0	None	No bleeding of any kind
1	Minor	Few petechiae (≤100 total) and/or ≤5 small bruises (≤3 cm diameter) No mucosal bleeding
2	Mild	Many petechiae (>100 total) and/or >5 large bruises (>3 cm diameter)
3	Moderate – Low risk	Blood crusting in nares, painless oral purpura, oral/palatal petechiae, buccal purpura along molars only, mild epistaxis ≤5 minutes
3	Moderate – High risk	Epistaxis >5 minutes, hematuria, hematochezia, painful oral purpura, significant menorrhagia
4	Severe	Mucosal bleeding or suspected internal hemorrhage (lung, muscle, joint, etc) that requires immediate medical attention or intervention
5	Life-threatening/fatal	Documented intracranial hemorrhage or life-threatening or fatal hemorrhage at any site

ITP: immune thrombocytopenia.

From: Schoettler ML, Graham D, Tao W, et al. Increasing observation rates in low-risk pediatric immune thrombocytopenia using a standardized clinical assessment and management plan (SCAMP®). Pediatr Blood Cancer 2017; 64:10.1002/pbc.26303. https://onlinelibrary.wiley.com/doi/10.1002/pbc.26303. Copyright © 2017 John Wiley & Sons Ltd. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).

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Modified Buchanan and Adix bleeding score for pediatric immune thrombocytopenia (ITP)