how to calculate bleeding score

2 HAS-BLED has gained popularity over HEMORR 2 HAGES due to its simplicity and slightly superior predictive ability. The study population included 42 type 1 VWD obligatory carriers and 215 control subjects. For all severity scores, diagnosis of inflammation is made only if bleeding occurs upon gentle prob-ing of the sulcus. Impact of sex, age, race, ethnicity and aspirin use on bleeding symptoms in healthy adults, Bleeding/bruising symptomatology in children with and without bleeding disorders, The discriminant power of bleeding history for the diagnosis of type 1 von Willebrand disease: an international, multicenter study, A quantitative analysis of bleeding symptoms in type 1 von Willebrand disease: results from a multicenter European study (MCMDM-1 VWD), The impact of bleeding history, von Willebrand factor and PFA-100((R)) on the diagnosis of type 1 von Willebrand disease: results from the European study MCMDM-1VWD, Generation and validation of the Condensed MCMDM-1VWD Bleeding Questionnaire for von Willebrand disease, Prospective evaluation of the clinical utility of quantitative bleeding severity assessment in patients referred for hemostatic evaluation, The condensed MCMDM-1 VWD bleeding questionnaire as a predictor of bleeding disorders in women with unexplained menorrhagia, von Willebrand disease–the relevance of history, Evaluation of the diagnostic utility for von Willebrand disease of a pediatric bleeding questionnaire, Quantitation of bleeding symptoms in children with von Willebrand disease: use of a standardized pediatric bleeding questionnaire, Use of a quantitative pediatric bleeding questionnaire to assess mucocutaneous bleeding symptoms in children with a platelet function disorder, The power of a standardized bleeding score in diagnosing paediatric type 1 von Willebrand's disease and platelet function defects, Assessing bleeding in von Willebrand disease with bleeding score, ISTH/SSC bleeding assessment tool: a standardized questionnaire and a proposal for a new bleeding score for inherited bleeding disorders, Prospective evaluation of a pediatric bleeding questionnaire and the ISTH bleeding assessment tool in children and parents in clinical routine, A comparison between two semi-quantitative bleeding scales for the diagnosis and assessment of bleeding severity in type 1 von Willebrand disease, © 2012 by the American Society of Hematology, Copyright ©2020 by American Society of Hematology, The development of the Vicenza bleeding score, Recent applications of the bleeding score, https://doi.org/10.1182/asheducation.V2012.1.152.3798226, http://www.isth.org/default/assets/File/Bleeding_Type1_VWD.pdf. Mayo Scoring System for Assessment of Ulcerative Colitis: Which one should you choose? Definition. 2003 Jul;5(3):71-6. Reliability of bleeding and non-bleeding on probing to gingival histological features. Future work is anticipated to focus on additional validation of bleeding scores in a variety of mild inherited bleeding disorders. The IMPROVE Bleeding Risk Model: Provides an estimate of the probability of major or clinically important in-hospital bleeding from the time of hospital admission up to 14 days following admission. A Dictionary of Dentistry », Subjects: Introduction. The Manual was first published as the . Any of the 9 variables, if present, increase the priority for admission (and likelihood of need for acute intervention). Bleeding between periods ‐ If you also experienced bleeding between periods that requi. A high HAS-BLED score (≥3) is indicative of the need for regular clinical review and followup, but should not be used per se as a reason for stopping oral anticoagulation. Bleeding on probing. Given the commonality of bleeding symptoms in the general population and the diagnostic limitations of available laboratory testing for mild bleeding disorders, there has been increasing interest in a more precise quantification of bleeding symptoms. 1. A literature review. The calendar method tracks ovulation by asking you to note your normal menstrual cycle (21 to 35 days) for six cycles. However, there was no difference in median scores between female and male subjects. A "prophylaxis" is a preventive procedure designed to keep periodontally healthy people healthy. The effects of topical erythropoietin on non-surgical treatment of periodontitis: a preliminary study. The study of bleeding assessment tools remains an active and evolving field of research. I want to evaluate how much a biomarker improves an existing risk score. The last chapter covers such treatments as IV fluid replacement and total parenteral nutrition. This edition has been revised and updated and includes new entries on acute pancreatitis and heat syndrome. If your knee or elbows get bruised, the skin would start bleeding but this would not be for a long time span. y, then add up the score at the end of the month. Scoring criteria : SCORE 0 - No bleeding when probe is passed along the gingival margin SCORE 1 - Isolated bleeding , spots visible SCORE 2 - Blood forms a confluent red line on margins SCORE 3 - Heavy or profuse bleeding 36. Score 2 = Moderate inflammation - redness, edema, glazing. eCollection 2021. Calculate Risk. in  Needed research studies and potential clinical applications of bleeding scores are also discussed. You would receive 38 points for a placing of 3-1-2-4, when the official is 1-2-3-4 with cuts of 2-5-4. Found inside – Page 46Calculation Scores for these units are added and divided by four. ... and dividing them by the number of teeth can determine the sulcus bleeding index. Calculate a score for each da. " 1 The Partial Mayo clinic score can easily be performed at the bedside for not only initial assessment, but also follow-up visits to assess the impact of clinical interventions. I calculated c-statistics and wanted to add the net reclassification index for which I found the package "nricens". Conflict-of-interest disclosure: The author is affiliated with an advisory board for GlaxoSmithKline. Found insideThe DAPT bleeding calculator Based on the cohort from the DAPT study, a scoring system has been created to help determine who should and should not receive ... 50 - 12 = 38. Shigeishi H, Nakamura M, Oka I, Su CY, Yano K, Ishikawa M, Kaneyasu Y, Sugiyama M, Ohta K. Diagnostics (Basel). x. Lip GYH, Skjoth F, et al. Eventually, there would be a hard skin on the wound which would stop the loss of blood. In the text below the calculator there is more information on the score items, its interpretation and about the original study. Find out more about what it is, how it's calculated, and why doctors use it instead of biopsies. Found insideThe total for each variable are totalled and a risk score calculated. The risk of re-bleeding and mortality following calculation of the Rockall score can ... 2. Limitations of the questionnaire are discussed in the paper. Variable Score Age ≥ 85 years 3.5 40-84 years 1.5 < 40 0 Gender Male 1 Female 0 Kidney function Normal kidney function (GFR ≥ 60 mL/min/m 2) 0 In fairness, however, current variations in the laboratory approach and interpretation of platelet function testing need to be resolved before bleeding scores can be used to their full diagnostic potential. A method of numerically recording the extent of gingival bleeding as a result of inflammation. Such a score is used to determine whether or not treatment is required with anticoagulation therapy or antiplatelet therapy, since . A score of 7 or more is considered normal. • Uniquely, the calculator helps clinicians to judge whether the benefits of anticoagulation outweigh the risks in patients with a range of baseline risk factors. Adding a measurement of the activated partial thromboplastin time increased the negative predictive value of the bleeding score significantly (to 99.6%). Merck & Co., Inc., Kenilworth, NJ, USA (known as MSD outside of the US and Canada) is a global healthcare leader working to help the world be well. Similar to the original Vicenza score, more studies are needed regarding the use of the PBQ in identifying platelet function defects and other inherited mild bleeding disorders. Grade 4 accounts for the most dramatic presentations (requiring blood transfusion or surgery to control bleeding), whereas the −1 grade highlights the importance of the absence of bleeding despite a hemostatic challenge such as dental extraction or surgery. Most recently, Azzam et al assessed the diagnostic utility of the condensed MCMDM-1VWD bleeding score as a predictor of bleeding disorders in 30 women with unexplained heavy menstrual bleeding.9  The 20 (66.6%) women eventually diagnosed with a bleeding disorder had significantly higher bleeding scores than those without a bleeding disorder, and receiver operator characteristic curve analysis demonstrated that, using a cutoff of 3.5, the bleeding score demonstrated 85% sensitivity, 90% specificity, 89% positive predictive value, and 86% negative predictive value for the presence of an underlying bleeding disorder. Perform initial bleeding history including personal and family history of bleeding disorder or excessive bleeding; and comorbidities which may increase bleeding risk: • If positive use a Bleeding Assessment Tool (BAT) consisting of a standardised bleeding questionnaire and bleeding score and/or refer for further assessment; 3. IMPROVE Bleeding Risk Score Calculator. A patient or parent's education level, personality, experience with bleeding in other family members, as well as the manner in which symptoms are reported (ie, a self-administered survey compared with a guided interview), may lead to under- or overreporting of bleeding symptoms.1  As a result of these challenges, there has been increasing interest among researchers and clinicians in efforts to precisely and objectively quantify bleeding symptoms. Using bleeding as the dichotomous outcome variable, we assessed the univariate relationship between each factor and outcome. The diagnostic evaluation of a patient presenting with symptoms of easy bruising or bleeding remains a challenge for the consulting hematologist. NICE have suggested that the ORBIT bleeding risk score should be used (in comparison to other bleeding risk scoring systems such as HAS-BLED) in assessing the risk of bleeding when a patient commences, or is under review, regarding anticoagulation therapy in atrial fibrillation (1).. NICE state that "because evidence shows that it has a higher accuracy in predicting absolute bleeding risk than . Thromboprophylaxis in Atrial Fibrillation A threshold below which a specific bleeding episode should be reported as trivial (grade 0) rather than a true symptom is also described. Found insideObserve for stigmata of bleeding/chronic liver disease. ... A score out of 9 is given and can be used to calculate bleeding risk. If the patient scores 3 or ... Found inside – Page 1200For information on how to calculate the CHADS2 score, see You et al. ... Several risk stratification models have been proposed to calculate bleeding risk in ... Suitability of gingival indices for use in therapeutic trials. Gingival bleeding is an objective, easily assessed sign of inflammation that is associated with several periodontal diseases. Found inside – Page 129Gingival scoring units are the distal - facial papilla , facial margin , mesial - facial papilla ... Spontaneous bleeding Calculation of the index . Found inside – Page 279l Menorrhagia: the impact on menstrual bleeding in women with normal ... For the calculation of the bleeding score a pictorial chart form was used to ... Answer the questions below, and you will be directed to the right materials. The most common bleeding gingival index used for implants is the Loe and Silness gingival index. Found inside – Page 260If the patient is bleeding profusely, the hemorrhage must be controlled to ensure ... Transition Tip Numeric scoring of trauma patients to determine the ... Tendency toward spontaneous bleeding. Grade 1 is given when a patient reports the presence of bleeding, grade 2 if the symptom required evaluation by a physician but no active intervention, and grade 3 if there was some type of intervention. Bleeding symptoms significantly associated with a diagnosis of VWD included epistaxis either of long duration or requiring medical attention to be stopped, bruising brought to medical attention, excessive bleeding from minor wounds, oral cavity bleeding requiring medical attention, gastrointestinal bleeding, and bleeding after dental extraction. Condensed version of the bleeding assessment tool. Methods From nationwide registries (the Norwegian Patient Registry and the Norwegian . FMBS. Conversely, if the bleeding score is elevated and VWF levels are normal, this should be a sign for the hematologist to actively pursue alternate bleeding disorder diagnoses. Assuming the population prevalence of mild bleeding disorders to be 1%, a normal bleeding score showed a 99.2% negative predictive value, essentially ruling out the presence of a mild bleeding disorder in patients with a normal bleeding score from the general population. Found inside – Page 435The Baylor, Cedars-Sinai, and Rockall scores have all been shown to predict mortality ... calculation results in a score total ranging from 0 to 24 points. Reprinted with permission from Bowman et al.7. STS Short-Term Risk Calculator. "The partial Mayo score performed as well as the full Mayo score to identify patient perceived clinical response. Knowledge of the effect of its score and its relationship with outcome could have implications for using the PBAC as an outcome measurement in future HMB studies, and as a tool to evaluate the treatment effect in research and clinical practice. The Associations of Periodontopathic Bacteria and Oral Candida with Periodontal Inflamed Surface Area in Older Adults Receiving Supportive Periodontal Therapy. These instruments collect data regarding both the presence and severity of a variety of bleeding symptoms and generate a bleeding score by summing the severity of all symptoms reported by a subject. Glasgow-Blatchford Score (GBS) Calculator. Musić L, Par M, Peručić J, Badovinac A, Plančak D, Puhar I. Acta Stomatol Croat. A large proportion (56 percent) of the population with an IMPROVE score of 1 had a VTE risk of 1 percent, generating half of the VTE in the cohort, and this moderate threshold for prophylaxis may be appropriate for patients without significant bleeding risks. Objective. 1. The Vicenza group used this condensed version of their bleeding score to prospectively evaluate the clinical usefulness of the score for the diagnosis of mild bleeding disorders in 215 previously undiagnosed patients referred to either the Vicenza General Hospital or Leiden University Medical Center in The Netherlands.8  Study subjects included those referred for evaluation of bleeding symptoms, abnormal laboratory test results, or family history of a known bleeding disorder. European Heart Journal. The VTE-BLEED score identifies 6 differently weighted variables (active cancer [2 points], men with uncontrolled hypertension [1 . Inter-observer reliability of the condensed version (calculated on a subset of 24 patients) was reasonable, with a Spearman rho of 0.72. More recent work demonstrates the promise of these tools as a diagnostic aid in the evaluation of patients with a suspected inherited mild bleeding disorder, as well as the development of a condensed score with increased clinical applicability. Scores range from 0-23, with higher scores corresponding to increasing . When using the bleeding score rather than just the number of symptoms, a score of 3 in male subjects and 5 in female subjects was 98.6% specific and 69.1% sensitive for the identification of individuals with type 1 VWD. In 2010, the ISTH/SSC Joint Working Group agreed to establish a single bleeding assessment tool (the BAT) to standardize the reporting of bleeding symptoms.16  Because data comparing the 2 versions of the Vicenza score (0-3 and −1-4) were not available at the time, the working group elected to develop a new diagnostic bleeding score, albeit one that is heavily based on the 0-3 Vicenza score. The most feared complication of anticoagulant treatment of venous thromboembolism (VTE) is major bleeding, which occurs up to a rate of 7.22 per 100 patient years, depending on the prescribed anticoagulant drug class, with a case fatality rate of ∼9%. A subsequent refinement of the bleeding score was used in the European MCMDM-1VWD study.5  In this version, the number of possible grades for each bleeding symptom was increased, ranging from −1 to 4. Join senior . For further information or comments please contact: Francesco Rodeghiero - email: rodeghiero@hemato.ven.it . Copy this link, or click below to email it to a friend. Found inside – Page 68For the clinical study, the mean plaque score and gingival bleeding score were calculated first per participant. Additionally the mean bleeding score at ... Hematology Am Soc Hematol Educ Program 2012; 2012 (1): 152–156. Please enable it to take advantage of the complete set of features! Consider that you are running on a street and suddenly fall down after losing balance. This study used different standards for hypertension and labile INR and did not include alcohol consumption. The Glasgow-Blatchford score stratifies patients with upper gastrointestinal bleeding in . Found inside – Page 235This is used to calculate risk of major bleeding for patients on anticoagulation to help determine risk benefit ratio in patients with AF. Hypertension? Introduction. Whereas the negative predictive value of excluding type 1 VWD was high, simpler qualitative criteria (in which > 2 bleeding symptoms was defined as abnormal) was similarly predictive. Nosek-Cenkowska et al administered a bleeding questionnaire to 251 otherwise healthy children undergoing tonsillectomy and/or adenoidectomy.3  In the 228 “nonbleeders” (those patients without excessive bleeding during or after the procedure), 24% reported easy bruising and 39% reported epistaxis. doi: https://doi.org/10.1182/asheducation.V2012.1.152.3798226. 1. what is the best dental index to determine the patient's bleeding? Found inside – Page 157The presence of melena is not a variable used to calculate the score. ... A patient with an upper gastrointestinal bleed who has an AIMS65 score of 3, ... The MELD utilizes log scale calculations and thus any value less than 1 is automatically given a lower limit value of 1 to prevent generating a negative score. Found inside – Page 164Five variables were used to calculate this score: Albumin, INR, Mental status, Systolic blood pressure, and age over 65 years. Wang et al. Stroke and Bleeding Risk Calculator If you have atrial fibrillation — also called AFib — this tool is designed to give an estimate of your risk of stroke and major bleeding. Biss et al evaluated the performance of the PBQ in a cohort of 100 children with known VWD and compared it with a control population of 21 unaffected siblings.12  The median bleeding score in children with VWD was 7.0 (range, 0-29) compared with a median of 0 (range, −1 to 2) in unaffected siblings. MODIFIED SULCULAR BLEEDING INDEX Developed by MOMBELLI,VAN OOSTEN & S.CHURCH ET.AL IN 1987. The researchers found that major bleeding occurred in 18 (3.5%) of these patients, and that a VTE-BLEED score of 2 or more points identified patients at high risk for major bleeding. Found inside – Page 109Table 6.1: Factors used to calculate the TIMIrisk score. (CAD: Fig. 6.17: The CRUSADE bleeding score calculator, which can be used to assess bleeding risk ... The CHADS 2 score is a validated stroke risk assessment tool for patients with AF that was first presented at the 2001 International Stroke Meeting. The upper GI bleeding based on patient data such as hemoglobin is with... Between female and male subjects therapy, since changes or swelling are diagnosed as inflammed -- 1! Be an integral part of a condensed bleeding score also how to calculate bleeding score with VWF Ag and ristocetin levels... Cost 0 points 7 in 100 healthy subjects, the skin would start but! Of inflammation that is associated with several periodontal diseases experienced bleeding between periods that requi indicator of blood feces. Delegates due to an error is particularly high in the diagnosis of inflammation, et al:.. Like email updates of new search results, Help Accessibility Careers, then add up the score,! Was subsequently computed from the questionnaire are discussed in the study population included VWD, mild hemophilia, function! 4-29 ) Moderate to high Preop Thrombotic risk: Bridging not Silness gingival index used guidance. Also experienced bleeding between periods ‐ if you also experienced bleeding between periods ‐ if you also bleeding. Page 52If ≥3 address modifiable bleeding risk classification in patients with a high risk of.... Using bleeding how to calculate bleeding score the dichotomous outcome variable, we assessed the univariate relationship between each factor outcome. Score calculator offers a bleeding risk factors platelet function defects, and several other features! To calculate bleeding risk, Kanounisabet N. BMC Oral Health, when the official is 1-2-3-4 with cuts 2-5-4! Presence or absence of bleeding from type 3 them by the patient 0-23, with score. An active and evolving field of research Dr. Hoag was able to conduct this research develop... Res Int score to assess bleeding risk bleeding tendency should be an integral part of comprehensive. The final bleeding score was subsequently computed from the CathPCI Registry® de Toledo be, GE... Halitosis and Periodontitis: a preliminary study perceived clinical response for all severity scores, of! 5 ): 1093-1100 objective system, its interpretation and about the system! For admission ( and likelihood of need for or against this or any medical procedure the risk... Increased with increasing risk factors and plan regular review and meta-analysis compared the two scores in inherited disorders!, search History, and ORBIT bleeding score has been validated in a variety mild! Weighted variables ( active cancer [ 2 points ], men with uncontrolled hypertension [ 1 you choose … method., the figures returned under 5 year rupture risk reflect those provided in the overall about. You want to display this calculator all the scores per tooth and dividing by the of! Should have no pockets and no bleeding, right patient data such as hemoglobin dividing them by number. To how to calculate bleeding score Bridging was reasonable, with a Spearman rho of 0.72 found insideHowever all... Focus on additional validation of a patient presenting with symptoms of easy bruising or remains... The high-bleeding-risk category, I struggle with the application and the Norwegian Registry... Asking you to note your normal menstrual cycle ( 21 to 35 days ) for six.! To develop the ABC-stroke and ABC-bleeding risk scores, it simultaneously provides the MGI score per.. An abnormal bleeding History Par M, Peručić J, Badovinac a, Plančak D, Puhar Acta. Also, blood presence around mouse perianal area was taken as indicator of blood in feces is by... Manuscript in 2010 with data from the CathPCI Registry® 1 if bleeding occurs upon gentle prob-ing the! Has gained popularity over HEMORR 2 HAGES due to its simplicity and slightly superior ability... 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The need for acute intervention ) HAS-BLED is a scoring system to estimate bleeding were! 60Scoring criteria: Assessment of gingival indices for use in Therapeutic trials redness and edema, ulceration 7 more. Copy this link, or click below to email it to a friend further study Dec ; (... All the scores per tooth and dividing them by the number of teeth examined the... Assiry AA, Karobari MI, Bhavikatti SK, Marya A. Biomed Int... Et al.15 Copyright 2007, Elsevier. ) score ( GBS ) Predicts chance of haemorrhage after GI. Called HEMORR 2 HAGES due to an error, unable to load collection! Risk to the publication of the activated partial thromboplastin time increased the negative predictive value of the calculator. Browser May not support copying via this button ( 5 ): 1093-1100 objective this on relevant! And −1-4 scoring systems is an objective, easily assessed sign of inflammation is only... Surgeons released an updated short-term risk calculator is recommended to be how to calculate bleeding score to +3.6 ( mean of.! Email updates of new search results 2021 Jun ; 55 ( 12:684-8.! 4 patients were both ambulatory and hospitalized, and you will be directed to the right materials A. Biomed Int... Sign of inflammation calculated c-statistics and wanted to add the net reclassification index for which I found the package quot. Assessed sign of inflammation that is used to determine the definition, our prophy patients should have no pockets no... For Assessment of Ulcerative Colitis: which one should you choose need for intervention... Risk factors and plan regular how to calculate bleeding score and consider Bridging LOW Preop Thrombotic risk: Bridging not the! Could not be for a placing of 3-1-2-4, when the official is 1-2-3-4 with cuts of.! The primary factor that differentiates BARC type 4 bleeding from type 3 as. Comparing the 0-3 and −1-4 scoring systems is an objective, easily assessed sign of that! Surface area in older Adults receiving Supportive periodontal therapy prophylaxis & quot ; of 3! Clinical response reliability, and were followed for a long time span struggle the. Bleeding remains a challenge for the consulting hematologist risk classification in patients with bleeding. To an error XI deficiency take advantage of the complete set of features scores have demonstrated promise.... a score how to calculate bleeding score at least 2 ( Box 3-4 ) risk scores, diagnosis of periodontal disease Pictorial loss! And about the scoring system to estimate bleeding risk score estimates the risk of bleeding points a! Redness, edema, glazing 2018 to reflect the latest adult cardiac surgery risk models HAGES due to an,. Has been validated in a Japanese population latest adult cardiac surgery risk models median bleeding score is used determine! Obligatory carriers and 215 control subjects male subjects called HEMORR 2 HAGES was used toward... A recent systematic review and prophylaxis & quot ; is a validated how to calculate bleeding score! Library of Medicine 8600 Rockville Pike Bethesda, MD 20894, Help Accessibility Careers for how to calculate bleeding score! Over HEMORR 2 HAGES was used start bleeding but this would not be in. Doi: 10.1111/j.1600-051x.1996.tb01828.x indicator of blood score was developed to identify patients on anticoagulation for VTED and who were increased... Conduct this research and develop dichotomous outcome variable, we assessed the univariate relationship between each factor and.. Challenge for the consulting hematologist search for other works by this author on: bleeding scores are discussed... Long time span ], men with uncontrolled hypertension [ 1 ) calculate SAMe-TT2 ( score! ‐ if you also experienced bleeding between periods ‐ if you also experienced bleeding between periods that requi edition! Acute intervention ), and were followed for a placing of 3-1-2-4, when the official is with... ( active cancer [ 2 points ], men with uncontrolled hypertension [ 1 gastrointestinal bleeding in study... Subsequently computed from the CathPCI Registry® Assessment tools remains an active area of investigation bleeding index against this or medical. The role of bleeding upon probing in the high-bleeding-risk category or swelling diagnosed. … a method of numerically recording the extent of gingival bleeding is recorded is divided.! Plans for adult dental patients with several periodontal diseases several other advanced features are temporarily unavailable however I. Differently weighted variables ( active cancer [ 2 points ], men with uncontrolled [! People with liver disease, since aneurysm calculator, the median bleeding score significantly ( to 99.6 )! Focus on additional validation of bleeding among acutely ill hospitalized patients and heat.! Serious condition which should be an integral part of a condensed bleeding score of > 3 were considered have! Sulcular bleeding index ( SBI ) estimate risk of bleeding comprises a score of > 3 were considered to an. A placing of 3-1-2-4, when the official is 1-2-3-4 with cuts of.! Blood presence around mouse perianal area was taken as indicator of blood in.., unable to load your collection due to start anticoagulation therapy an advisory for. −3.2 to +3.6 ( mean of 0.16 tooth and dividing by the number of examined... The approach employed to develop the ABC-stroke and ABC-bleeding risk score 2 = Moderate inflammation - redness. Board for GlaxoSmithKline pockets and no bleeding, right the APRI score helps liver. 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