Bleeding Scales Applicable to Critically Ill Children

A Systematic Review

Marianne E. Nellis, Julie Levasseur, Judy Stribling, E. Vincent S. Faustino, Nicole D Zantek, Sujit Sheth, Oliver Karam

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To summarize current bleeding scales and their validation to assess applicability to bleeding in critically ill children. DATA SOURCES: We conducted electronic searches of Ovid MEDLINE, Ovid EMBASE, Cochrane Library, and Web of Science Core Collection databases from database inception to 2017. STUDY SELECTION: Included studies contained a bleeding score, bleeding measurement tool, or clinical measurement of hemorrhage. DATA EXTRACTION: We identified 2,097 unique citations; 20 full-text articles were included in the final review. DATA SYNTHESIS: Of the 18 studies that included subjects (two others were expert consensus definitions), seven (39%) were pediatric-only, seven (39%) were adult-only, and four (22%) included both adults and children. Nine (50%) occurred with inpatients (two studies in critical care units), seven (39%) involved outpatients and two (11%) included both inpatients and outpatients. Thirty-nine percent of the scales were developed for those with idiopathic thrombocytopenic purpura and only two (12%) described critically ill patients. The majority (80%) included need for treatment (either RBC transfusion or surgical intervention). The majority (65%) did not report measures of reliability or validation to clinical outcomes. CONCLUSIONS: There is a lack of validated bleeding scales to adequately assess bleeding and outcomes in critically ill children. Validated scales of bleeding are necessary and urgently needed.

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Critical Illness
Hemorrhage
Inpatients
Outpatients
Library Science
Databases
Idiopathic Thrombocytopenic Purpura
Critical Care
MEDLINE
Pediatrics

PubMed: MeSH publication types

  • Journal Article

Cite this

Bleeding Scales Applicable to Critically Ill Children : A Systematic Review. / Nellis, Marianne E.; Levasseur, Julie; Stribling, Judy; Faustino, E. Vincent S.; Zantek, Nicole D; Sheth, Sujit; Karam, Oliver.

In: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, Vol. 20, No. 7, 01.07.2019, p. 603-607.

Research output: Contribution to journalArticle

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