Evaluation of adolescents with heavy menstrual bleeding using the International Society of Thrombosis Haemostasis- Bleeding Assessment Tool and The Pediatric Bleeding Questionnaire scores
Heavy menstrual bleeding (HMB) is a common condition in adolescents. However, bleeding disorders are known to be one of the causes of HMB in adolescent girls, so they should be considered. Simple methods that can be used in primary health care are needed to determine whether patients have bleeding d...
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| Veröffentlicht in: | The Turkish journal of pediatrics 2023-03, Vol.65 (2), p.301-308 |
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| container_title | The Turkish journal of pediatrics |
| container_volume | 65 |
| creator | Öner, Nergiz Şahin, Gürses Yeşil, Şule Kurucu, Burçak Çapkınoğlu, Emre Kılcı, Azize Ceren Gök, Şeyma Ünüvar Fettah, Ali |
| description | Heavy menstrual bleeding (HMB) is a common condition in adolescents. However, bleeding disorders are known to be one of the causes of HMB in adolescent girls, so they should be considered. Simple methods that can be used in primary health care are needed to determine whether patients have bleeding disorders. The aim of this study was to evaluate the bleeding score of patients admitted with HMB and to determine the diagnostic value of patients who were symptomatic but whose initial hemostatic tests were normal.
A total of 113 adolescents with HMB and 20 healthy adolescent girls were included in the study. The Pediatric Bleeding Questionnaire (PBQ) and the International Society of Thrombosis Haemostasis-Bleeding Assessment Tool (ISTH-BAT) were used for evaluation.
Overall, approximately 18% (n= 20) of the adolescents in the study were diagnosed with a bleeding disorder. The cut off value for the `clinically significant bleeding score` was found to be 3.5.
The PBQ and ISTH-BAT can help distinguish a significant bleeding history from an otherwise trivial bleeding and can be included in the algorithm for the primary care of adolescents with HMB with suspected bleeding disorders. |
| doi_str_mv | 10.24953/turkjped.2022.761 |
| format | Article |
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A total of 113 adolescents with HMB and 20 healthy adolescent girls were included in the study. The Pediatric Bleeding Questionnaire (PBQ) and the International Society of Thrombosis Haemostasis-Bleeding Assessment Tool (ISTH-BAT) were used for evaluation.
Overall, approximately 18% (n= 20) of the adolescents in the study were diagnosed with a bleeding disorder. The cut off value for the `clinically significant bleeding score` was found to be 3.5.
The PBQ and ISTH-BAT can help distinguish a significant bleeding history from an otherwise trivial bleeding and can be included in the algorithm for the primary care of adolescents with HMB with suspected bleeding disorders.</description><identifier>ISSN: 0041-4301</identifier><identifier>EISSN: 2791-6421</identifier><identifier>DOI: 10.24953/turkjped.2022.761</identifier><identifier>PMID: 37114695</identifier><language>eng</language><publisher>Turkey: Akdema Informatics and Publishing</publisher><subject>Adolescent ; Anemia ; Blood clot ; Blood platelets ; Child ; Children & youth ; Families & family life ; Female ; Girls ; Health aspects ; Hematology ; Hemophilia ; Hemostasis ; Humans ; Independent variables ; Iron ; Laboratories ; Medical research ; Medicine, Experimental ; Menorrhagia - diagnosis ; Menorrhagia - etiology ; Menstruation ; Normal distribution ; Pediatrics ; Primary care ; Primary health care ; Quality of life ; Questionnaires ; Society ; Surveys ; Surveys and Questionnaires ; Teenage girls ; Teenagers ; Thrombosis ; Thrombosis - diagnosis ; Trade and professional associations</subject><ispartof>The Turkish journal of pediatrics, 2023-03, Vol.65 (2), p.301-308</ispartof><rights>COPYRIGHT 2023 Akdema Informatics and Publishing</rights><rights>Copyright Hacettepe University Faculty of Medicine Mar/Apr 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-87f38bcf380d6a6adc3b6397e12fa52f61d2280fa1564246a1249db7bcca7f2d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37114695$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Öner, Nergiz</creatorcontrib><creatorcontrib>Şahin, Gürses</creatorcontrib><creatorcontrib>Yeşil, Şule</creatorcontrib><creatorcontrib>Kurucu, Burçak</creatorcontrib><creatorcontrib>Çapkınoğlu, Emre</creatorcontrib><creatorcontrib>Kılcı, Azize Ceren</creatorcontrib><creatorcontrib>Gök, Şeyma Ünüvar</creatorcontrib><creatorcontrib>Fettah, Ali</creatorcontrib><title>Evaluation of adolescents with heavy menstrual bleeding using the International Society of Thrombosis Haemostasis- Bleeding Assessment Tool and The Pediatric Bleeding Questionnaire scores</title><title>The Turkish journal of pediatrics</title><addtitle>Turk J Pediatr</addtitle><description>Heavy menstrual bleeding (HMB) is a common condition in adolescents. However, bleeding disorders are known to be one of the causes of HMB in adolescent girls, so they should be considered. Simple methods that can be used in primary health care are needed to determine whether patients have bleeding disorders. The aim of this study was to evaluate the bleeding score of patients admitted with HMB and to determine the diagnostic value of patients who were symptomatic but whose initial hemostatic tests were normal.
A total of 113 adolescents with HMB and 20 healthy adolescent girls were included in the study. The Pediatric Bleeding Questionnaire (PBQ) and the International Society of Thrombosis Haemostasis-Bleeding Assessment Tool (ISTH-BAT) were used for evaluation.
Overall, approximately 18% (n= 20) of the adolescents in the study were diagnosed with a bleeding disorder. The cut off value for the `clinically significant bleeding score` was found to be 3.5.
The PBQ and ISTH-BAT can help distinguish a significant bleeding history from an otherwise trivial bleeding and can be included in the algorithm for the primary care of adolescents with HMB with suspected bleeding disorders.</description><subject>Adolescent</subject><subject>Anemia</subject><subject>Blood clot</subject><subject>Blood platelets</subject><subject>Child</subject><subject>Children & youth</subject><subject>Families & family life</subject><subject>Female</subject><subject>Girls</subject><subject>Health aspects</subject><subject>Hematology</subject><subject>Hemophilia</subject><subject>Hemostasis</subject><subject>Humans</subject><subject>Independent variables</subject><subject>Iron</subject><subject>Laboratories</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Menorrhagia - diagnosis</subject><subject>Menorrhagia - etiology</subject><subject>Menstruation</subject><subject>Normal distribution</subject><subject>Pediatrics</subject><subject>Primary care</subject><subject>Primary health care</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Society</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Teenage girls</subject><subject>Teenagers</subject><subject>Thrombosis</subject><subject>Thrombosis - diagnosis</subject><subject>Trade and professional associations</subject><issn>0041-4301</issn><issn>2791-6421</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpFkcFu1DAQhi0EotvCC3BAljhnsZ1svDkuVaGVKgFiOVsTZ9z1ksSLxynaZ-Pl6rRd9TK2NN__ezw_Yx-kWKqqWZWf0xT_7A_YLZVQaqlr-YotlG5kUVdKvmYLISpZVKWQZ-ycaC-E0qLRb9lZqaWs6ma1YP-v7qGfIPkw8uA4dKFHsjgm4v982vEdwv2RDzhSihP0vO0ROz_e8YnmmnbIb8aEcXy0yMCvYD2m42y23cUwtIE88WvAIVCCfC_4l5PHhgiJsnni2xB6DmOXRch_5Dak6O0L-nNCml8YwUfkZENEesfeOOgJ3z-fF-z316vt5XVx-_3bzeXmtrCVKFOx1q5ctzYX0dVQQ2fLti4bjVI5WClXy06ptXAgV3lvVQ0yb7drdWstaKe68oJ9evI9xPB3nsPsw5R_3JNRaymVlroRL9Qd9Gj86EKKYAdP1mx00yhVKaUzpZ4oGwNRRGcO0Q8Qj0YK85iqOaVq5lRNTjWLPj4PMLVDbpwkpxjLB_9UpBI</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Öner, Nergiz</creator><creator>Şahin, Gürses</creator><creator>Yeşil, Şule</creator><creator>Kurucu, Burçak</creator><creator>Çapkınoğlu, Emre</creator><creator>Kılcı, Azize Ceren</creator><creator>Gök, Şeyma Ünüvar</creator><creator>Fettah, Ali</creator><general>Akdema Informatics and Publishing</general><general>Hacettepe University Faculty of Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>EDSIH</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>20230301</creationdate><title>Evaluation of adolescents with heavy menstrual bleeding using the International Society of Thrombosis Haemostasis- Bleeding Assessment Tool and The Pediatric Bleeding Questionnaire scores</title><author>Öner, Nergiz ; 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However, bleeding disorders are known to be one of the causes of HMB in adolescent girls, so they should be considered. Simple methods that can be used in primary health care are needed to determine whether patients have bleeding disorders. The aim of this study was to evaluate the bleeding score of patients admitted with HMB and to determine the diagnostic value of patients who were symptomatic but whose initial hemostatic tests were normal.
A total of 113 adolescents with HMB and 20 healthy adolescent girls were included in the study. The Pediatric Bleeding Questionnaire (PBQ) and the International Society of Thrombosis Haemostasis-Bleeding Assessment Tool (ISTH-BAT) were used for evaluation.
Overall, approximately 18% (n= 20) of the adolescents in the study were diagnosed with a bleeding disorder. The cut off value for the `clinically significant bleeding score` was found to be 3.5.
The PBQ and ISTH-BAT can help distinguish a significant bleeding history from an otherwise trivial bleeding and can be included in the algorithm for the primary care of adolescents with HMB with suspected bleeding disorders.</abstract><cop>Turkey</cop><pub>Akdema Informatics and Publishing</pub><pmid>37114695</pmid><doi>10.24953/turkjped.2022.761</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0041-4301 |
| ispartof | The Turkish journal of pediatrics, 2023-03, Vol.65 (2), p.301-308 |
| issn | 0041-4301 2791-6421 |
| language | eng |
| recordid | cdi_proquest_journals_2811271790 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Anemia Blood clot Blood platelets Child Children & youth Families & family life Female Girls Health aspects Hematology Hemophilia Hemostasis Humans Independent variables Iron Laboratories Medical research Medicine, Experimental Menorrhagia - diagnosis Menorrhagia - etiology Menstruation Normal distribution Pediatrics Primary care Primary health care Quality of life Questionnaires Society Surveys Surveys and Questionnaires Teenage girls Teenagers Thrombosis Thrombosis - diagnosis Trade and professional associations |
| title | Evaluation of adolescents with heavy menstrual bleeding using the International Society of Thrombosis Haemostasis- Bleeding Assessment Tool and The Pediatric Bleeding Questionnaire scores |
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