Table 4 Modified Buchanan bleeding score [6]
From: ESPED survey on newly diagnosed immune thrombocytopenia in childhood: how much treatment do we give?
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 | Moderate Low risk | Blood crusting in nares, painless oral purpura, oral/palatal petechiae, buccal purpura along molars only, mild epistaxis ≤ 5 min |
Moderate High risk | Epistaxis > 5 min, 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 |