Major bleeding |
• Associated with a fall in hemoglobin of 2 g/dL or more |
• Leading to a transfusion of two or more units of packed red blood cells or whole blood |
• Occurring in a critical site: intracranial, intra-spinal, intra-ocular, pericardial, intra-articular, intramuscular with compartment syndrome, retro-peritoneal |
• Contributing to death |
Clinically relevant non-major bleeding |
• Any bleeding compromising hemodynamics |
• Any bleeding leading to hospitalization |
• Subcutaneous hematoma larger than 25 cm2, or 100 cm2 if there was a traumatic cause |
• Intramuscular hematoma documented by ultrasonography |
• Epistaxis lasting > 5 minutes, repetitive (defined as two or more episodes of bleeding more extensive than spots on a handkerchief within 24 hours), or leading to an intervention (e.g.,,, packing or electrocoagulation) |
• Gingival bleeding occurring spontaneously (not related to eating, flossing or tooth brushing) or lasting > 5 minutes |
• Macroscopic spontaneous hematuria or hematuria that lasted > 24 hours after instrumentation (e.g., catheter placement or surgery) of the urogenital tract |
• Macroscopic gastrointestinal hemorrhage, including at least one episode of melena or hematemesis, with positive results on a fecal occult-blood test |
• Hemoptysis, if more than a few speckles in the sputum and not occurring within the context of pulmonary embolism |
• Any other bleeding type considered to have clinical consequences for a patient such as medical intervention, the need for unscheduled contact (visit or telephone call) with a physician, or temporary cessation of a study drug or associated with pain or impairment of daily life activities |
Minor bleeding |
All other overt bleeding episodes not meeting the criteria for major or clinically relevant bleeding or post-partum bleeding. |