AUTHOR=Roşu Vasile Eduard , Spoială Elena-Lia , Roşu Tamara Solange , Ivanov Anca-Viorica , Mocanu Adriana , Munteanu Alecsandra , Lupu Vasile Valeriu , Miron Ingrith , Gavrilovici Cristina TITLE=The Use of Clinical Scores in the Management of Immune Thrombocytopenic Purpura in Children JOURNAL=Frontiers in Pediatrics VOLUME=10 YEAR=2022 URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.870064 DOI=10.3389/fped.2022.870064 ISSN=2296-2360 ABSTRACT=

While the majority of children with recently diagnosed ITP have a benign, self-limiting condition, most often with a spontaneously recovery, 40% of children with ITP progress toward persistent ITP and 10–20% goes toward chronicity. Several clinical scores have been developed with the aim to perform a better monitoring outcome or to differentiate transient vs. persistent ITP (e.g., Donato score). Our paper aims to describe and to compare the most important scores used in the management of ITP in children: bleeding severity scores and chronicity prediction scores. These scores include a combination of different already known risk factors: age, gender, presence of a previous infections or vaccination, bleeding grade, type of onset, platelet count at diagnosis. The real utility of these scores has been a matter of debate and no consensus has been reached so far as to their necessity to be implemented as compulsory tool in the care of children with ITP.