TABLE 1.
Grade | ||
---|---|---|
0 | None | No new hemorrhage 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 |
Low Risk* Moderate |
Blood crusting in nares, painless oral purpura, oral/palatal petechiae, buccal purpura along molars only, mild epistaxis ≤ 5 minutes |
High Risk* Moderate |
Epistaxis > 5 minutes, hematuria, hematochezia, painful oral purpura, significant menorrhagia |
|
4 | Severe | Mucosal bleeding or suspected internal hemorrhage (brain, 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 |
Modification: Original Buchanan and Adix Grade 3/Moderate- overt mucosal bleeding (epistaxis, gum bleeding, oropharyngeal blood blisters, menorrhagia, gastrointestinal bleeding, etc) that does not require immediate medical attention or intervention