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Use of electronic self‐administered bleeding assessment tool in diagnosis of paediatric bleeding disorders
Introduction In the era of electronic medical records, pen‐and‐paper‐based physician‐administered bleeding assessment tools (BAT) remain under‐utilized in the clinical setting, as they are noted to be time‐consuming. Aim The current study reviews the use of an electronic self‐administered bleeding a...
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Published in: | Haemophilia : the official journal of the World Federation of Hemophilia 2021-09, Vol.27 (5), p.710-716 |
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Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Introduction
In the era of electronic medical records, pen‐and‐paper‐based physician‐administered bleeding assessment tools (BAT) remain under‐utilized in the clinical setting, as they are noted to be time‐consuming.
Aim
The current study reviews the use of an electronic self‐administered bleeding assessment tool (eBAT) prospectively in a paediatric haematology clinic and in comparison with a physician administered BAT (pBAT).
Materials and Methods
This was reviewed and approved in the current form because the aims statement includes the method regarding comparison of 2 groups. So no additional section required.
Results
A total of 94 BAT response pairs were available for analysis. The median time required for patients or parents to complete the eBAT was 8 min, with less than a third of the patients requiring over 10 min. The median bleeding scores noted in this study were 4 for both the BATs, with strong positive correlation between the eBAT and the physician administered bleeding questionnaire. The eBAT had a sensitivity of 93.8% (95% CI 82.8%–98.7%), a specificity of 34.8% (95% CI 21.4%–50.3%), a positive predictive value (PV) of 60.0% (95% CI 54.5%–65.2%) and a negative PV of 84.2% (95% CI 62.5%–94.5%) for identifying a bleeding disorder.
Conclusions
Findings indicate that eBAT is a valid and time‐efficient screening tool for evaluating patients’ bleeding symptoms, which can improve clinical applicability of BATs by reducing time for bleeding history review. |
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ISSN: | 1351-8216 1365-2516 |
DOI: | 10.1111/hae.14349 |