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. 2021 Sep 27;161(3):710–727. doi: 10.1016/j.chest.2021.09.024

Table 5.

Adverse Events by Study Group and Severity Grade

Variable Study Group
Total
Control (n = 25) tPA Bolus (n = 19) tPA Drip (n = 6)
Severity grade 5
 Arrest 2 0 0 2
 Liver failure 0 0 1 1
 Renal failure 0 0 1 1
 Worsening of lung function 4 3 1 8
 Total no. of events 6 3 3 12
 No. of participants 6 3 1 10
 % of participants 24.0 12.0 4.0 40.0
Severity grade 4
 Cardiac arrhythmia 2 0 0 2
 Failed extubation 0 1 0 1
 Hyperkalemia 1 0 0 1
 Hypotension 2 1 0 3
 Liver failure 1 0 0 1
 Multiple organ failure 0 0 1 1
 Peritonitis 1 0 0 1
 Pneumonia 3 0 0 3
 Septic shock 1 0 0 1
 Worsening of lung function 1 0 1 2
 Total no. of events 12 2 2 16
 No. of participants 5 2 1 8
 % of participants 20.0 8.0 4.0 32.0
Severity grade 3
 Candidiasis 0 1 0 1
 Cardiac arrhythmia 1 0 0 1
 Delirium 0 1 0 1
 Deep venous thrombosis 1 0 0 1
 Hypervolemia 0 1 0 1
 Hypotension 0 1 0 1
 Ileus 0 1 0 1
 Pulmonary embolism 1 1 0 2
 Pneumonia 1 2 0 3
 Renal failure 4 0 0 4
 Septic shock 1 0 0 1
 Urinary tract infection 1 1 0 2
 Worsening of lung function 2 0 0 2
 Total no. of events 12 9 0 21
 No. of participants 8 6 0 14
 % of participants 32.0 24.0 0 56.0
Severity grade 2
 Acidosis (respiratory) 1 0 0 1
 Alkalosis, metabolic or respiratory 1 0 0 1
 Aspiration 1 1 0 2
 Bacteremia 2 0 1 3
 Bleeding abdominal 1 0 0 1
 Bleeding hemoptysis 0 1 0 1
 Bleeding rectal tear 1 0 0 1
 Bleeding urinary 0 1 0 1
 Candidiasis 1 0 0 1
 Cardiac arrhythmia 1 2 0 3
 Delirium 2 1 0 3
 Diarrhea 1 0 0 1
 Deep venous thrombosis 3 1 0 4
 EBV 1 0 0 1
 Failure to wean off ventilation 0 1 0 1
 Fracture 1 0 0 1
 HSV 1 0 0 1
 Hyperfibrinogenemia 1 0 0 1
 Hyperglycemia 0 0 1 1
 Hyperkalemia 0 1 0 1
 Hypervolemia 1 0 1 2
 Hypotension 2 1 0 3
 Myopathy 2 1 0 3
 Pleural effusion 0 1 1 2
 Pneumonia 4 2 0 6
 Pneumothorax 1 0 0 1
 Renal failure 0 2 1 3
 Sepsis 0 1 0 1
 Thrombosis arterial 1 0 0 1
 Tongue edema 0 0 1 1
 Urinary retention 1 0 0 1
 Urinary tract infection 1 0 0 1
 Worsening of lung function 2 0 0 2
 Total no. of events 34 17 6 57
 No. of participants 14 6 3 23
 % of participants 56.0 24.0 12.0 92.0
Severity grade 1
 Agitation 0 1 0 1
 Alkalosis, metabolic 0 2 0 2
 Anemia 5 4 0 9
 Aspiration 2 1 0 3
 Bacteremia 1 0 0 1
 Benzodiazepine or opiate withdrawal 0 1 0 1
 Biliary dilation 0 1 0 1
 Bleeding nasal 1 0 0 1
 Bleeding oral 2 2 0 4
 Bleeding vaginal 0 1 0 1
 Bronchial obstruction 2 0 0 2
 Cardiac arrhythmia 2 3 0 5
 Constipation 2 4 0 6
 Dehydration 0 1 0 1
 Delirium 4 2 0 6
 Diarrhea 1 2 0 3
 DVT 3 0 0 3
 Dysphagia 0 2 0 2
 Dysphonia 2 0 0 2
 Encephalopathy 2 0 0 2
 Eosinophilia 1 1 0 2
 Facial edema 0 0 1 1
 Fall 0 1 0 1
 Fever 7 2 1 10
 Hyperglycemia 3 1 0 4
 Hyperkalemia 1 0 0 1
 Hypernatremia 2 3 0 5
 Hypertension 2 2 0 4
 Hypervolemia 1 0 0 1
 Hypoglycemia 1 0 0 1
 Hypokalemia 0 1 0 1
 Hyponatremia 0 1 0 1
 Hypotension 5 1 0 6
 Hypovolemia 1 0 0 1
 Ileus 1 3 0 4
 Leukocytosis 2 3 0 5
 Myopathy 4 4 0 8
 Paraphimosis 1 0 0 1
 Pleural effusion 0 1 0 1
 Pneumatocele 0 1 0 1
 Pneumonia 2 3 1 6
 Pressure ulcer 1 2 0 3
 Pulmonary hypertension 2 0 0 2
 Rash 0 1 0 1
 Renal failure 2 2 0 4
 Renal tubular acidosis 1 0 0 1
 Sinusitis 0 1 0 1
 Thrombocytosis 0 1 0 1
 Thrombocytosis 0 1 0 1
 Transaminitis 1 1 0 2
 Urinary retention 0 2 0 2
 Urinary tract infection 0 2 0 2
 Vomit 0 2 0 2
 Worsening of lung function 3 0 0 3
 Total no. of events 73 70 3 146
 No. of participants 11 11 2 24
 % of participants 44.0 44.0 8.0 96.0

Severity grade: 1 = mild to 5 = life threatening or fatal; includes death only as a consequence of an adverse event. EBV = Epstein-Barr virus; HPV = herpes simplex virus; tPA = tissue plasminogen activator.