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. 2024 Sep 27;5(5):929–939. doi: 10.1002/jha2.1013

TABLE 5.

Treatment‐emergent bleeding/bruising events by antithrombotic therapy class.

Antithrombotic agents a

Direct factor Xa inhibitors

(n = 79)

Heparins

(n = 40)

Platelet aggregation inhibitors

(n = 112)

Salicylic acid and derivatives b

(n = 12)

Thrombolytics c

(n = 5)

Events All grades n (%)

Grade ≥3

n (%)

All grades

n (%)

Grade ≥3

n (%)

All grades

n (%)

Grade ≥3

n (%)

All grades

n (%)

Grade ≥3

n (%)

All grades

n (%)

Grade ≥3

n (%)

Bleeding/bruising 37 (46.8) 2 (2.5) 22 (55.0) 1 (2.5) 49 (43.8) 4 (3.6) 4 (33.3) 1 (8.3) 3 (60) 0
Hematuria 4 (5.1) 0 2 (5) 0 7 (6.3) 0 0 0 0 0
Epistaxis 6 (7.6) 0 2 (5) 0 4 (3.6) 0 2 (16.7) 0 0 0
Gingival bleeding 3 (3.8) 0 1 (2.5) 0 2 (1.8) 0 0 0 0 0
Hemoptysis 1 (1.3) 0 2 (5) 0 2 (1.8) 0 0 0 1 (20) 0
Hemarthrosis 1 (1.3) 1 (1.3) 1 (2.5) 0 0 0 0 0 0 0
Hematochezia 2 (2.5) 1 (1.3) 0 0 0 0 0 0 0 0
Blood Loss anemia 0 0 0 0 1 (0.9) 0 0 0 0 0
Bleeding/bruising subcategories
Bruising d 22 (27.8) 0 12 (30) 0 32 (28.6) 0 3 (25.0) 0 2 (40) 0
Contusion 18 (22.8) 0 10 (25) 0 25 (22.3) 0 2 (16.7) 0 1 (20) 0
Petechiae 4 (5.1) 0 1 (2.5) 0 5 (4.5) 0 1 (8.3) 0 0 0
Ecchymosis 1 (1.3) 0 1 (2.5) 0 2 (1.8) 0 0 0 1 (20) 0
Increased tendency to bruise 1 (1.3) 0 0 0 2 (1.8) 0 0 0 0 0
Hemorrhage/hematoma d 13 (16.5) 0 10 (25) 1 (2.5) 18 (16.1) 4 (3.6) 2 (16.7) 1 (8.3) 1 (20) 0
Hematoma 2 (2.5) 0 5 (12.5) 0 3 (2.7) 0 1 (8.3) 0 0 0
Conjunctival hemorrhage 4 (5.1) 0 0 0 1 (0.9) 0 0 0 0 0

 Upper gastrointestinal

hemorrhage

0 0 0 0 3 (2.7) 2 (1.8) 0 0 0 0
Vitreous hemorrhage 1 (1.3) 0 1 (2.5) 0 1 (0.9) 0 0 0 0 0
Hemorrhage 1 (1.3) 0 0 0 0 0 0 0 0 0
Gastrointestinal hemorrhage 0 0 0 0 1 (0.9) 0 0 0 0 0
Postprocedural hemorrhage 0 0 1 (2.5) 1 (2.5) 1 (0.9) 1 (0.9) 1 (8.3) 1 (8.3) 0 0
Subdural hematoma 0 0 1 (2.5) 0 2 (1.8) 1 (0.9) 0 0 0 0
Pulmonary hemorrhage 0 0 0 0 0 0 0 0 0 0
Subarachnoid hemorrhage 0 0 0 0 0 0 0 0 0 0
a

Patients may have received more than one type/subtype of concomitant antithrombotic therapy.

b

Patients were taking salicylic acid and derivatives for indications besides platelet aggregation inhibition including pain management, fever, and other uses.

c

Among the five patients who received thrombolytics, three appeared to have been for prevention or treatment of central venous catheter occlusions, and two were for unknown reasons.

d

Bruising and hemorrhage/hematoma are subcategories of bleeding/bruising.