Table 2.
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