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. 2012 Dec 4;2012:bcr2012007411. doi: 10.1136/bcr-2012-007411

Table 3.

4 T's score for heparin-induced thrombocytopenia

Category 2 points 1 point 0 point
Thrombocytopaenia >50% fall or nadir ≥20 ×109/l 30–50% fall or nadir 10–19×109/l <30% fall or nadir < 10 ×109/l
Timing of the decrease in platelet count Day 5 to 10 or ≤day 1 with recent heparin (past 30 days) >Day 10 or timing unclear or < day 1 if heparin exposure within 30–100 days <Day 4 with no recent heparin use
Thrombosis or other sequelae Proven thrombosis, skin necrosis, or acute systemic reaction after heparin bolus Progressive, recurrent, or silent thrombosis; erythematous skin lesions None
Other causes of thrombocytopenia None evident Possible Definitive