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. 2024 May 15;50(6):849–860. doi: 10.1007/s00134-024-07454-z

Table 2.

Definition of disseminated intravascular coagulation according to the criteria of the International Society on Thrombosis and Haemostasis [46] and the modified Japanese Ministry of Health and Welfare criteria [47]

Criteria ISTH JMHWa Score
Clinical symptoms NA Organ failure 1
Platelet count (G/L)

> 100

50–100

< 50

NA

0

1

2

d-dimers or FDP

No increase

Moderate increase

Severe increase

FDPs ≥ 20

0

1

2

PT increase (s)b or PT ratio

< 3 s

3–6 s

> 6 s

1.25–1.67 (PT ratio)

> 1.67 (PT ratio)

0

1

2

Fibrinogen (g/L)

≥ 1

< 1

NA

0

1

Diagnosis of DIC ≥ 5 points ≥ 4 points

DIC disseminated intravascular coagulation, FDP fibrin degradation products, ISTH International Society on Thrombosis and Haemostasis, JMHW Japanese Ministry of Health and Welfare, NA not applicable, PT prothrombin time, s second

aJMWH criteria are modified for patients with thrombocytopenia of central origin, including bone marrow invasion by hematological malignancies [47]. These modified criteria do not include points for platelet count or bleeding

bThe value of prothrombin time increase is given in second(s) above the normal upper limit