Clinical scoring tools

HHT Epistaxis Severity Score

Answer six questions about nosebleeds over the last three months. The calculation stays on this device and can be copied into a chart or note.

HHT · 6 responses · about 1 minute

Epistaxis Severity Score (ESS)

Published formula

Use the usual nosebleed pattern over the last three months. The validated result is a continuous score from 0 to 10; it supports monitoring and does not diagnose HHT or determine treatment.

1.How often do you typically have nosebleeds?

Think about your usual pattern over the last three months.

2.How long does a typical nosebleed last?

3.Is the bleeding typically gushing or pouring?

4.Have you ever sought medical attention specifically for nosebleeds?

5.Are you currently anaemic (low blood count)?

6.Have you ever received a red-cell transfusion specifically because of nosebleeds?

Source reviewed 24 August 2026

Source: Hoag et al., Laryngoscope 2010. Patient information is available from Cure HHT; the severity scale follows the Cure HHT ESS calculator.