Table 5

Bleeding complications during lepirudin treatment

Anticoagulation intensity*Investigation cohort
Evaluation cohort
Over (n = 14)Target (n = 31)Under (n = 8)Target (n = 15)
Life-threatening bleeding 
Hb decrease, g/L Median (IQR) 11 (9-15) 10 (3-14) 10 (6-17) 10 (3-14) 
Hb decrease ≥20 g/L n/N (%) 3/14 (21.4) 3/31 (9.7) 2/8 (25.0) 1/15 (6.7) 
Patients requiring PRBC n/N (%) 6/14 (43.6) 10/31 (32.6) 1/8 (12.5) 5/15 (33.3) 
Patients requiring > 2 PRBCs n/N (%) 4/14 (28.6) 3/31 (9.7) 1/8 (12.5) 1/15 (6.7) 
Units of PRBC/transfused patient Median 
Anticoagulation intensity*Investigation cohort
Evaluation cohort
Over (n = 14)Target (n = 31)Under (n = 8)Target (n = 15)
Life-threatening bleeding 
Hb decrease, g/L Median (IQR) 11 (9-15) 10 (3-14) 10 (6-17) 10 (3-14) 
Hb decrease ≥20 g/L n/N (%) 3/14 (21.4) 3/31 (9.7) 2/8 (25.0) 1/15 (6.7) 
Patients requiring PRBC n/N (%) 6/14 (43.6) 10/31 (32.6) 1/8 (12.5) 5/15 (33.3) 
Patients requiring > 2 PRBCs n/N (%) 4/14 (28.6) 3/31 (9.7) 1/8 (12.5) 1/15 (6.7) 
Units of PRBC/transfused patient Median 
*

Over, TT/aPTT above therapeutic ranges; Target, TT/aPTT within therapeutic ranges; Under, TT/aPTT below therapeutic ranges at initial monitoring 4 hours after starting lepirudin infusion.

PRBCs indicates packed red blood cells.

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