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. 2011 Jun 23;6(6):e21134. doi: 10.1371/journal.pone.0021134

Table 1. Scoring templates for overt- and non-overt (NO) disseminated intravascular coagulation (DIC) in patients with hemorrhagic fever with renal syndrome.

Score DIC1 DIC2 DIC3a DIC4b Score NO-DIC1 NO-DIC2
Platelet count, 109/L 2 <50 <50 <50 <50 1 <100
1 50–100 50–100 50–100 50–100 0 >100
0 >100 >100 >100 >100
D-dimer, mg/L 3 >2.0 >2.48 >2.0 >2.48 1 ≥0.2 ≥0.64
2 0.2–2.0 0.64–2.48 0.2–2.0 0.64–2.48 0 <0.2 <0.64
0 <0.2 <0.64 <0.2 <0.64
PK-INR c 2 >1.4 >1.4 >1.4 >1.4 1 ≥1.2
1 1.2–1.4 1.2–1.4 1.2–1.4 1.2–1.4 0 <1.2
0 <1.2 <1.2 <1.2 <1.2
Fibrinogen, g/L 1 <1.0 <1.0
0 ≥1.0 ≥1.0
Fibrinogen/CRP-ratio 1 <104 <104 Falling values add 1 point and rising
0 ≥104 ≥104 values subtract 1 point for PK and
D-dimer (vice versa for platelets)

DIC1 and NO-DIC1 correspond to standard ISTH scoring using local decision limit. DIC—2 and NO-DIC-2 uses D-dimer cut-offs based on ICU-patients. DIC3-4 are corrected with a fibrinogen/CRP-ratio instead of fibrinogen.

The original ISTH SSC template uses “moderately” and “strongly” increased values for D-dimer cutoffs [35]. In this table laboratory cutoffs are set from local decision limits and also corrected with a fibrinogen/CRP ratio [37]. Overt DIC-score ≥5p: compatible with overt DIC, <5p: suggestive for non-overt DIC.

a

D-dimer cutoff as in DIC1, fibrinogen corrected with fibrinogen/CRP-ratio.

b

D-dimer cutoff as in DIC2, fibrinogen corrected with fibrinogen/CRP-ratio.

c

PK-INR <1.2 was equal to PT-prolongation <3 sec, a value between 1.2 and 1.4 was equal to PT-prolongation >3 but <6 sec, and values >1.4 were equal to PT-prolongation >6 sec.