Table 2.
4Ts pretest clinical score of HIT [23].
2 Points | 1 Point | 0 Point | |
---|---|---|---|
Thrombocytopenia | Platelet count fall > 50% and platelet nadir ≥ 20 G/L | Platelet count fall 30%–50% or platelet nadir 10–19 G/L | Platelet count fall < 30% or platelet nadir < 10 G/L |
Timing of platelet count fall | Clear onset between days 5–10; or platelet fall ≤ 1 day with prior heparin exposure within 30 days | Consistent with days 5–10 fall, but not clear; onset after day 10; or fall ≤ 1 day with prior heparin exposure between 30–100 days ago | Platelet count fall < 4 days without recent exposure |
Thrombosis or other sequelae | New thrombosis (confirmed); skin necrosis; acute systemic reaction post IV UFH bolus | Progressive or recurrent thrombosis; non-necrotizing (erythematous) skin lesions; suspected thrombosis | None |
oTher causes for thrombocytopenia | None apparent | Possible | Definite |
IV: intravenous; UFH: unfractionated heparin.