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. 2018 Jul 20;125(12):1581–1589. doi: 10.1111/1471-0528.15388

Table 2.

Characteristics, diagnostic measures, treatment and outcomes of major abnormal vaginal bleeding events in the Hokusai‐VTE trial

Edoxaban Warfarin
Number of women with major abnormal vaginal bleeding 8 3
Classifying for FIGO criteria AUB, n (%) 8 (100) 3 (100)
Prolonged menstrual bleeding 2 0
Intermenstrual bleeding 2 0
Heavy menstrual bleeding 8 3
Anaemia 5 2
Unscheduled contact 8 3
Diagnostic tests applieda, n (%) 4 (50) 1 (33)
Ultrasonography 2 1
Biopsy 2 1
Hysteroscopy 1 0
Unknown 0 0
Diagnosis, n (%) 2 (25) 3 (100)
Uterine myoma 2 1
Endometriosis 0 1
Cervical cancer 0 1
Haematoma 0 0
Hospital admission, n (%) 7 (88) 3 (100)
Treatment, n (%)
Transfusion of packed cells 3 (38) 2 (67)
Iron supplements 2 (25) 0
Hormone therapy
Estrogen containing 0 0
Progestagen containing 0 0
IUD 0 0
Tranexamic acid 2 (25) 0
Unknown 2 (25) 1 (33)
No treatment 2 (25) 0
Radiologic or surgical interventions, n (%)
Hysterectomy 2 (25) 2 (67)
Endometrial ablation or curettage 1 (12) 0
No interventions 5 (63) 1 (33)
Other 0 0
Unknown 0 0
Change in anticoagulant, n (%)
Unchanged 2 (25) 0
Temporary interruption 3 (38) 3 (100)
Permanent stop 1 (12) 0
Switch to another anticoagulant 1 (12) 0
Adjusted treatment dose 1 (12) 0
Unknown 0 0
Life‐threatening bleeding – n (%) 0 1 (33)
Fatal bleeding – n (%) 0 0
Repetitive bleeding, n (%) 1 (13) 0
Recurrent VTE, n (%) 2 (25) 0
Classification of presentation of major vaginal bleed, n (%)
Category 1 3 (38) 0
Category 2 4 (50) 2 (67)
Category 3 1 (12) 1 (33)
Category 4 0 0
Classification of course of major vaginal bleed, n (%)
Category 1 2 (25) 1 (33)
Category 2 6 (75) 2 (67)
Category 3 0 0
Category 4 0 0

AUB, abnormal uterine bleeding; FIGO, International Federation of Gynaecology and Obstetrics; IUD, intrauterine device; VTE, venous thromboembolism.

a

Patients may have undergone multiple diagnostic tests.