ISTH Bleeding Assessment Tool — quantifies personal/family bleeding history to identify abnormal bleeding and guide coagulation workup
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Clinical background · Scoring criteria · Evidence-based pearls
The ISTH Bleeding Assessment Tool (ISTH-BAT) was developed in 2010 by the Scientific and Standardisation Committee (SSC) of the International Society on Thrombosis and Haemostasis to provide a standardised, validated instrument for quantifying bleeding history in patients suspected of having inherited bleeding disorders. Before the ISTH-BAT, at least five different bleeding questionnaires were in use, making it impossible to compare data across centres and studies. The ISTH-BAT assigns severity scores (0-4) for each of 14 bleeding symptoms and calculates a total bleeding score (BS). An abnormal BS (>3 in males or >5 in females) has been validated as predictive of von Willebrand disease, platelet function disorders, and other inherited bleeding conditions.
Other evidence-based tools commonly used alongside this calculator
HAS-BLED Score
Bleeding risk assessment in patients on anticoagulation therapy
PESI Score
Pulmonary Embolism Severity Index for risk stratification
Antiphospholipid Syndrome (APS) Risk Assessment
Risk stratification and treatment guidance for Antiphospholipid Syndrome — based on antibody profile and clinical features
Absolute Neutrophil Count (ANC)
Calculate ANC for infection risk assessment in neutropenic patients
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