Bleeding events
Patient sex . | Age, y . | Critically ill . | Type(s) of bleeding . | Platelet count at bleed(s), ×109/L . | Anticoagulation at bleed(s) . | WHO grade(s) . | Comments . |
---|---|---|---|---|---|---|---|
Male | 67 | Yes | GI | 47 | Therapeutic (UFH) | 2 | On anticoagulation for pulmonary embolus and clotting of CVVH circuit at time of bleed |
Male | 59 | No | Hemoptysis | 134 | None | 1 | Recurrent |
Male | 62 | Yes | GI | 242 | Prophylactic (UFH) | 3 | |
Male | 37 | No | Hemoptysis | 426 | Prophylactic (enoxaparin) | 2 | |
Male | 68 | Yes | Oral mucosa bleeding | 227 | Prophylactic (enoxaparin) | 2 | Recurrent |
Male | 56 | No | Epistaxis | 208 | Prophylactic (enoxaparin) | 2 | Recurrent |
Male | 49 | Yes | Epistaxis; bleeding from multiple cannulation sites | 115; 184 | Prophylactic (enoxaparin) for both events | 3; 1 | Epistaxis recurrent and required otolaryngology consult and prolonged packing; DIC |
Male | 59 | Yes | Bleeding from multiple cannulation sites; intracranial hemorrhage | 155; 257 | Therapeutic (UFH) for both events | 1; 4 | Fatal intracranial hemorrhage; DIC |
Female | 65 | Yes | Internal bleeding | 177 | Prophylactic (UFH) | 3 | Recurrent; strong clinical suspicion of internal bleeding due to rapidly declining hemoglobin (>2 g/dL drop each time requiring transfusion) with no other cause (unable to scan) |
Male | 69 | Yes | Oropharyngeal bleeding from tongue mass | 414 | Prophylactic (UFH) | 2 | Recurrent; required consult from otolaryngology and prolonged oral packing. Tongue mass was a suspected, but not a known, cancer. |
Male | 34 | No | Hemoptysis | 142 | Therapeutic (UFH) | 1 | |
Female | 44 | Yes | Pulmonary hemorrhage | 47 | Therapeutic (UFH) | 3 | Anticoagulated with impella in place; DIC |
Male | 79 | Yes | GI | 297 | Therapeutic (UFH) | 3 | |
Male | 67 | No | Spontaneous right kidney hematoma | 157 | Prophylactic (enoxaparin) | 2 | |
Male | 59 | Yes | GI | 1 | None | 3 | Developed COVID-19–associated immune thrombocytopenia 3 d prior to bleed |
Male | 83 | No | GI | 46 | Warfarin | 2 | INR: 6.5 at time of bleed |
Male | 84 | No | GI | 66 | Warfarin | 2 | INR: 1.5 at time of bleed |
Male | 70 | No | GI | 262 | Clopidogrel | 3 | |
Male | 65 | Yes | GI | 59 | Prophylactic (enoxaparin) | 3 |
Patient sex . | Age, y . | Critically ill . | Type(s) of bleeding . | Platelet count at bleed(s), ×109/L . | Anticoagulation at bleed(s) . | WHO grade(s) . | Comments . |
---|---|---|---|---|---|---|---|
Male | 67 | Yes | GI | 47 | Therapeutic (UFH) | 2 | On anticoagulation for pulmonary embolus and clotting of CVVH circuit at time of bleed |
Male | 59 | No | Hemoptysis | 134 | None | 1 | Recurrent |
Male | 62 | Yes | GI | 242 | Prophylactic (UFH) | 3 | |
Male | 37 | No | Hemoptysis | 426 | Prophylactic (enoxaparin) | 2 | |
Male | 68 | Yes | Oral mucosa bleeding | 227 | Prophylactic (enoxaparin) | 2 | Recurrent |
Male | 56 | No | Epistaxis | 208 | Prophylactic (enoxaparin) | 2 | Recurrent |
Male | 49 | Yes | Epistaxis; bleeding from multiple cannulation sites | 115; 184 | Prophylactic (enoxaparin) for both events | 3; 1 | Epistaxis recurrent and required otolaryngology consult and prolonged packing; DIC |
Male | 59 | Yes | Bleeding from multiple cannulation sites; intracranial hemorrhage | 155; 257 | Therapeutic (UFH) for both events | 1; 4 | Fatal intracranial hemorrhage; DIC |
Female | 65 | Yes | Internal bleeding | 177 | Prophylactic (UFH) | 3 | Recurrent; strong clinical suspicion of internal bleeding due to rapidly declining hemoglobin (>2 g/dL drop each time requiring transfusion) with no other cause (unable to scan) |
Male | 69 | Yes | Oropharyngeal bleeding from tongue mass | 414 | Prophylactic (UFH) | 2 | Recurrent; required consult from otolaryngology and prolonged oral packing. Tongue mass was a suspected, but not a known, cancer. |
Male | 34 | No | Hemoptysis | 142 | Therapeutic (UFH) | 1 | |
Female | 44 | Yes | Pulmonary hemorrhage | 47 | Therapeutic (UFH) | 3 | Anticoagulated with impella in place; DIC |
Male | 79 | Yes | GI | 297 | Therapeutic (UFH) | 3 | |
Male | 67 | No | Spontaneous right kidney hematoma | 157 | Prophylactic (enoxaparin) | 2 | |
Male | 59 | Yes | GI | 1 | None | 3 | Developed COVID-19–associated immune thrombocytopenia 3 d prior to bleed |
Male | 83 | No | GI | 46 | Warfarin | 2 | INR: 6.5 at time of bleed |
Male | 84 | No | GI | 66 | Warfarin | 2 | INR: 1.5 at time of bleed |
Male | 70 | No | GI | 262 | Clopidogrel | 3 | |
Male | 65 | Yes | GI | 59 | Prophylactic (enoxaparin) | 3 |
GI, gastrointestinal.