Major bleeding | ā¢ Associated with a fall in hemoglobin of 2 g/dL or more |
ā¢ Leading to a transfusion of two or more units of packed red blood cells or whole blood | |
ā¢ Occurring in a critical site: intracranial, intra-spinal, intra-ocular, pericardial, intra-articular, intramuscular with compartment syndrome, retro-peritoneal | |
ā¢ Contributing to death | |
Clinically relevant non-major bleeding | ā¢ Any bleeding compromising hemodynamics |
ā¢ Any bleeding leading to hospitalization | |
ā¢ Subcutaneous hematoma larger than 25 cm2, or 100 cm2 if there was a traumatic cause | |
ā¢ Intramuscular hematoma documented by ultrasonography | |
ā¢ Epistaxis lasting > 5 minutes, repetitive (defined as two or more episodes of bleeding more extensive than spots on a handkerchief within 24 hours), or leading to an intervention (e.g.,,, packing or electrocoagulation) | |
ā¢ Gingival bleeding occurring spontaneously (not related to eating, flossing or tooth brushing) or lasting > 5 minutes | |
ā¢ Macroscopic spontaneous hematuria or hematuria that lasted > 24 hours after instrumentation (e.g., catheter placement or surgery) of the urogenital tract | |
ā¢ Macroscopic gastrointestinal hemorrhage, including at least one episode of melena or hematemesis, with positive results on a fecal occult-blood test | |
ā¢ Hemoptysis, if more than a few speckles in the sputum and not occurring within the context of pulmonary embolism | |
ā¢ Any other bleeding type considered to have clinical consequences for a patient such as medical intervention, the need for unscheduled contact (visit or telephone call) with a physician, or temporary cessation of a study drug or associated with pain or impairment of daily life activities | |
Minor bleeding | All other overt bleeding episodes not meeting the criteria for major or clinically relevant bleeding or post-partum bleeding. |