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This bleeding questionnaire is a tool designed to ensure a comprehensive bleeding history has been obtained and to help decide which patients should be considered for investigation of a bleeding tendency.
The most common bleeding condition in children is trauma, and after that immune thrombocytopenia. The commonest inherited bleeding disorder is von Willebrand disease which is symptomatic in approximately 1:1000 people.
The questionnaire has been validated for von Willebrand disease but is likely to be applicable to a wider range of platelet function disorders. A negative score is 2 or less and in most circumstances this would preclude investigation or referral of the child to a haematologist.
If there are further questions about the questionnaire please discuss with the on call paediatric haematologist.
View a PDF copy of the Bleeding Questionnaire and Scoring Sheet by clicking on the image below:
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- Date last published: 27 January 2017
- Document type: Clinical Guideline
- Services responsible: Paediatric Haematology/Oncology
- Author(s): Peter Bradbeer
- Editor: Greg Williams
- Review frequency: 2 years
- Keywords: von Willebrand disease, platelet function disorders
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