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. 2018 Oct;8(5):647–662. doi: 10.21037/cdt.2018.06.09

Table 1. The variance in bleeding criteria definitions (6,32-37).

No. BARC TIMI GUSTO ISTH PLATO
0 No bleeding Minimal Overt haemorrhage associated with a fall in hemoglobin <3 g/dL (hematocrit of <9%) Mild Bleeding that does not meet criteria for either severe or moderate bleeding Non-clinically relevant minor Bleeding not requiring intervention/admission Miniminal Bleeding not requiring intervention
1 Bleeding is not actionable
2 Any overt, actionable bleed Minor Any clinically overt sign of haemorrhage associated with a fall in hemoglobin of 3 to ≤5 g/dL (or hematocrit 9 to ≤5%) Moderate Bleeding that requires blood transfusion but does not result in hemodynamic compromise Clinically relevant minor Overt bleeding that does not meet the criteria for major criteria, does do require a response in at least one of the following: a hospital admission for bleeding; a physician guided medical or surgical treatment for bleeding; a change in antithrombotic therapy (including interruption or discontinuation of study drug) Minor Bleeding requiring medical intervention to stop or treat
3a Overt bleeding plus hemoglobin drop 3 to <5 g/dL and any transfusion with overt bleeding
3b Overt bleeding plus hemoglobin drop ≥5 g/dL; includes cardiac tamponade and bleeding requiring surgical intervention or vasoactive agents Major Intracranial or clinically significant overt signs of haemorrhage associated with a drop in hemoglobin of >5 g/dL (hematocrit of >15%) Severe or life-threatening Intracranial hemorrhage or bleeding that causes hemodynamic compromise and requires intervention Major Any of the following: fatal bleeding; symptomatic bleeding in a critical area or organ, such as intracranial, intraspinal, intraocular, retroperitoneal, intraarticular or pericardial, or intramuscular with compartment syndrome; bleeding causing a fall in hemoglobin level of 2 g/dL (1.24 mmol/L) or more, or leading to transfusion of
two or more units of whole blood or red cells
Major Any of the following: significantly disabling hemoglobin drop of 3 to 5 g/dL; requiring transfusion of 2 to 3 units of whole blood or red cells
3c Intracranial or intraocular bleed compromising vision
4 CABG-related bleeding: perioperative intracranial bleeding within 48 h; reoperation after closure of sternotomy for the purpose of controlling bleeding; transfusion of ≥5 U whole blood or packed red blood cells within 48 h; chest tube output ≥2 L within 24 h Life-threatening Any of the following: fatal; intracranial; intrapericardial with cardiac tamponade; resulting in shock requiring vasopressors or surgery; hemoglobin drop of ≥5 g/dL; requiring transfusion of ≥4 units of whole blood or red cells
5 Fatal bleeding