Table 3 Reporting of bleeding after... | American Society of Hematology

Table 3

Reporting of bleeding after hemostatic challenges or surgery

Type and date of intervention/ procedure	Platelet counts before and during	Bleeding grade
Type and date of intervention/ procedure	Platelet counts before and during	0	1	2	3	4
Permanent or deciduous tooth extraction*	[ ] ________ Date ________	[ ] No	[ ] Present	[ ] Requiring revisiting or antifibrinolytics	[ ] Resuturing or packing	[ ] RBC transfusion or Hb drop >2 g/dL
Date _________	[ ] ________ Date ________
Date _________	[ ] ________ Date ________
Invasive procedures†/surgery	[ ] ________ Date ________	[ ] No	[ ] Present but not requiring revisiting or protracted observation	[ ] Requiring revisiting or prolonged in-hospital stay	[ ] Requiring return to operating room or causing organ damage or occurring in critical areas (e.g. CNS)	[ ] Requiring critical care or directly contributing to death
Date _________	[ ] ________ Date ________
Date _________	[ ] ________ Date ________
Parturition	[ ] ________ Date ________	[ ] No	[ ] Present	[ ] Requiring iron therapy or prolonged in hospital stay	[ ] RBC transfusion or Hb drop >2 g/dL	[ ] Requiring critical care or surgical intervention
Date _________	[ ] ________ Date ________
Date _________	[ ] ________ Date ________

Type and date of intervention/ procedure	Platelet counts before and during	Bleeding grade
Type and date of intervention/ procedure	Platelet counts before and during	0	1	2	3	4
Permanent or deciduous tooth extraction*	[ ] ________ Date ________	[ ] No	[ ] Present	[ ] Requiring revisiting or antifibrinolytics	[ ] Resuturing or packing	[ ] RBC transfusion or Hb drop >2 g/dL
Date _________	[ ] ________ Date ________
Date _________	[ ] ________ Date ________
Invasive procedures†/surgery	[ ] ________ Date ________	[ ] No	[ ] Present but not requiring revisiting or protracted observation	[ ] Requiring revisiting or prolonged in-hospital stay	[ ] Requiring return to operating room or causing organ damage or occurring in critical areas (e.g. CNS)	[ ] Requiring critical care or directly contributing to death
Date _________	[ ] ________ Date ________
Date _________	[ ] ________ Date ________
Parturition	[ ] ________ Date ________	[ ] No	[ ] Present	[ ] Requiring iron therapy or prolonged in hospital stay	[ ] RBC transfusion or Hb drop >2 g/dL	[ ] Requiring critical care or surgical intervention
Date _________	[ ] ________ Date ________
Date _________	[ ] ________ Date ________

These criteria are proposed as provisional, are not used to calculate the patient’s SMOG, and are provided to help in the description of bleeding after hemostatic challenges.

CNS, central nervous system.

Spontaneous loss of a deciduous tooth is considered in Table 2.

†

Biopsy, epidural anesthesia, catheter insertion, and so on.

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