Practical-Manual-Scores-Algorithms-Haemostasis-Thrombosis

BleedingThe SMOG system (cont.)Type of bleeding Grades based on the worst incident episode since last visitORGAN(and internal mucosae)Gastrointestinal bleedingnot explained by visible mucosalbleeding or lesion:• Hematemesis,• Melena,• Hematochezia,• RectorrhagiaLung bleeding• Hemoptysis• Tracheobronchial bleeding0 1 2 3 4No Any episode if reportedby the patientNo Any episode if reportedby the patientHematuria No • Any episode if reportedby the patient• Microscopic (lab analysis)Menorrhagia(compared to pre-ITP or to a phaseof disease with normal platelet count)No • Doubling nr. of pads ortampons in last cyclecompared to pre-ITP orto a phase of diseasewith normal platelet count• Score > 100 using PBACin the last cycle, if normalscore in pre-ITP cycles orin a phase of disease withnormal platelet count• Present at this visit• Described in a medicalreport• Present at this visit• Described in a medicalreport• Macroscopic• Described in a medicalreport• Changing pads morefrequently than every 2 hrs.or clot and flooding• Requiring combinedtreatment withantifibrinolytics and hormonaltherapy or gynecologicalinvestigation(either at this visit or describedin a medical report)• Requiring endoscopy or othertherapeutic procedures or inhospitalevaluation at the timeof this visit• Medical report prescribingendoscopy or other therapeuticprocedures or in-hospitalevaluation• Requiring bronchoscopy orother therapeutic procedures orin-hospital evaluation at the timeof this visit• An equivalent episode ifdescribedin a medical report• Macroscopic, and requiringcystoscopy or other therapeuticprocedures or in-hospitalevaluation at the time of this visit• An equivalent episode ifdescribedin a medical reportAcute menorrhagia requiringhospital admissionor endometrial ablation(either at this visit or describedin a medical report)RBC transfusion orHb drop > 2 g/dLRBC transfusion orHb drop > 2 g/dLRBC transfusion orHb drop > 2 g/dLRBC transfusion orHb drop > 2 g/dL56