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. 2020 Jun 3;136(4):489–500. doi: 10.1182/blood.2020006520

Table 2.

Bleeding events

Patient sex Age, y Critically ill Type(s) of bleeding Platelet count at bleed(s), ×109/L Anticoagulation at bleed(s) WHO grade(s) Comments
Male 67 Yes GI 47 Therapeutic (UFH) 2 On anticoagulation for pulmonary embolus and clotting of CVVH circuit at time of bleed
Male 59 No Hemoptysis 134 None 1 Recurrent
Male 62 Yes GI 242 Prophylactic (UFH) 3
Male 37 No Hemoptysis 426 Prophylactic (enoxaparin) 2
Male 68 Yes Oral mucosa bleeding 227 Prophylactic (enoxaparin) 2 Recurrent
Male 56 No Epistaxis 208 Prophylactic (enoxaparin) 2 Recurrent
Male 49 Yes Epistaxis; bleeding from multiple cannulation sites 115; 184 Prophylactic (enoxaparin) for both events 3; 1 Epistaxis recurrent and required otolaryngology consult and prolonged packing; DIC
Male 59 Yes Bleeding from multiple cannulation sites; intracranial hemorrhage 155; 257 Therapeutic (UFH) for both events 1; 4 Fatal intracranial hemorrhage; DIC
Female 65 Yes Internal bleeding 177 Prophylactic (UFH) 3 Recurrent; strong clinical suspicion of internal bleeding due to rapidly declining hemoglobin (>2 g/dL drop each time requiring transfusion) with no other cause (unable to scan)
Male 69 Yes Oropharyngeal bleeding from tongue mass 414 Prophylactic (UFH) 2 Recurrent; required consult from otolaryngology and prolonged oral packing. Tongue mass was a suspected, but not a known, cancer.
Male 34 No Hemoptysis 142 Therapeutic (UFH) 1
Female 44 Yes Pulmonary hemorrhage 47 Therapeutic (UFH) 3 Anticoagulated with impella in place; DIC
Male 79 Yes GI 297 Therapeutic (UFH) 3
Male 67 No Spontaneous right kidney hematoma 157 Prophylactic (enoxaparin) 2
Male 59 Yes GI 1 None 3 Developed COVID-19–associated immune thrombocytopenia 3 d prior to bleed
Male 83 No GI 46 Warfarin 2 INR: 6.5 at time of bleed
Male 84 No GI 66 Warfarin 2 INR: 1.5 at time of bleed
Male 70 No GI 262 Clopidogrel 3
Male 65 Yes GI 59 Prophylactic (enoxaparin) 3

GI, gastrointestinal.