13

Pediatric Bleeding Questionnaire (PBQ)

Score
-1 0 1 2 3 4
Symptom
Epistaxis - No or trivial (≤5 per >5 per year OR >10 Consultation only Packing, cauterization or Blood transfusion, replacement
year) minutes duration antifibrinolytics therapy or desmopressin
Cutaneous - No or trivial (≤1cm) >1cm AND no trauma Consultation only - -

Minor wounds - No or trivial (≤5 per >5 per year OR >5 Consultation only or Steri- Surgical hemostasis or Blood transfusion, replacement
year) minutes duration strips antifibrinolytics therapy or desmopressin
Oral cavity - No Reported at least once Consultation only Surgical hemostasis or Blood transfusion, replacement
antifibrinolytics therapy or desmopressin
Gastrointestinal - No Identified cause Consultation or spontaneous Surgical hemostasis, -
tract antifibrinolytics, blood
transfusion, replacement therapy
or desmopressin
Tooth extraction No bleeding in at least None done or no Reported, no Consultation only Resuturing, repacking or Blood transfusion, replacement
2 extractions bleeding in 1 consultation antifibrinolytics therapy or desmopressin
extraction
Surgery No bleeding in at least None done or no Reported, no Consultation only Surgical hemostasis or Blood transfusion, replacement
2 surgeries bleeding in 1 consultation antifibrinolytics therapy or desmopressin
Menorrhagia - No Reported or consultation Antifibrinolytics or D&C or iron therapy Blood transfusion, replacement
only contraceptive pill use therapy, desmopressin or
hysterectomy
Post-partum No bleeding in at least No deliveries or no Reported or consultation D&C, iron therapy or Blood transfusion, replacement -
2 deliveries bleeding in 1 delivery only antifibrinolytics therapy or desmopressin
Muscle hematoma - Never Post-trauma, no therapy Spontaneous, no therapy Spontaneous or traumatic, Spontaneous or traumatic,
requiring replacement therapy or requiring surgical intervention
desmopressin or blood transfusion
Hemarthrosis - Never Post-trauma, no therapy Spontaneous, no therapy Spontaneous or traumatic, Spontaneous or traumatic,
requiring replacement therapy or requiring surgical intervention
desmopressin or blood transfusion
Central nervous - Never - - Subdural, any intervention Intracerebral, any intervention
system
Other * - No Reported Consultation only Surgical hemostasis, Blood transfusion, replacement
antifibrinolytics or iron therapy therapy or desmopressin

Table 1 shows the scoring key for the Pediatric Bleeding Questionnaire. In the last
row, the symptoms included in the “Other” category are: umbilical stump bleeding,
cephalohematoma, post-circumcision bleeding, post-venipuncture bleeding, and
macroscopic hematuria.