TABLE 5.
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 |
Patients may have received more than one type/subtype of concomitant antithrombotic therapy.
Patients were taking salicylic acid and derivatives for indications besides platelet aggregation inhibition including pain management, fever, and other uses.
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.
Bruising and hemorrhage/hematoma are subcategories of bleeding/bruising.