isth_scc_bleeding_tool: ISTH-SCC Bleeding Assessment Tool (BAT)

Description

Calculates the ISTH-SCC BAT score to screen for inherited bleeding disorders (e.g., von Willebrand disease, platelet disorders). The tool evaluates bleeding severity across 13 domains, assigning points (0-4) based on the level of medical intervention required.

Usage

isth_scc_bleeding_tool(epistaxis_score, cutaneous_score, minor_wounds_score,
                       oral_cavity_score, gi_bleeding_score, pulmonary_score,
                       hematuria_score, menorrhagia_score, postpartum_hemorrhage_score,
                       surgery_bleeding_score, dental_bleeding_score,
                       cns_bleeding_score, other_bleeding_score, age, sex)

Value

A list containing:

ISTH_BAT_Score: The calculated total score.
Interpretation: Screening result based on age/sex-specific cutoffs.
Cutoff_Applied: The threshold used for the interpretation.

Arguments

epistaxis_score: Numeric (0-4). Score for nosebleeds.
cutaneous_score: Numeric (0-4). Score for bruising/petechiae.
minor_wounds_score: Numeric (0-4). Score for bleeding from minor cuts.
oral_cavity_score: Numeric (0-4). Score for gum bleeding/oral cavity.
gi_bleeding_score: Numeric (0-4). Score for gastrointestinal bleeding.
pulmonary_score: Numeric (0-4). Score for hemoptysis.
hematuria_score: Numeric (0-4). Score for blood in urine.
menorrhagia_score: Numeric (0-4). Score for heavy menstrual bleeding.
postpartum_hemorrhage_score: Numeric (0-4). Score for bleeding after delivery.
surgery_bleeding_score: Numeric (0-4). Score for bleeding during/after surgery.
dental_bleeding_score: Numeric (0-4). Score for bleeding after dental procedures.
cns_bleeding_score: Numeric (0-4). Score for intracranial/CNS bleeding (usually 0 or 4).
other_bleeding_score: Numeric (0-4). Score for other types (e.g., ovulation, muscle/joint).
age: Numeric. Patient age in years.
sex: String. "Male" or "Female".

Details

General Scoring Key: 0 = No symptoms 1 = Reported, no medical attention 2 = Medical attention (consultation) 3 = Surgical intervention, packing, cauterization, or antifibrinolytics 4 = Blood transfusion, replacement therapy, or desmopressin

Abnormal Cutoffs: Children (<18y): >= 3 Adult Males: >= 4 Adult Females: >= 6

References

Rodeghiero F, Tosetto A, Abshire T, et al. ISTH/SSC bleeding assessment tool: a standardized questionnaire and a proposal for a new bleeding score for inherited bleeding disorders. J Thromb Haemost. 2010;8(9):2063-2065. doi:10.1111/j.1538-7836.2010.03975.x

Examples

Run this code


# Example 1: Abnormal (Adult Female)
# Menorrhagia (3 - intervention), Epistaxis (2 - consult), Cutaneous (2 - consult)
# Score = 7 (Cutoff 6)
isth_scc_bleeding_tool(2, 2, 0, 0, 0, 0, 0, 3, 0, 0, 0, 0, 0, 30, "female")

# Example 2: Normal (Adult Male)
# Cutaneous (1), Minor wounds (1)
# Score = 2 (Cutoff 4)
isth_scc_bleeding_tool(0, 1, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 40, "male")

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