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The risk of major bleeding in patients with suspected heparin-induced thrombocytopenia.


ABSTRACT:

Background

The presence of a hypercoagulable disorder such as heparin-induced thrombocytopenia (HIT) may protect against anticoagulant-associated bleeding.

Objectives

To determine the incidence of major bleeding in patients with suspected HIT.

Methods

We performed a retrospective analysis of 310 patients suspected of having HIT from the Hospital of the University of Pennsylvania and an affiliated community hospital. We compared the cumulative incidence of major bleeding following suspicion for HIT by ultimate HIT status (HIT+ or HIT-) and exposure to an alternative anticoagulant (Tx+ or Tx-). Secondary outcomes included the incidence of new/progressive thrombosis and 30-day mortality.

Results

The incidence of major bleeding was high in the HIT+Tx+, HIT- Tx+, an

SUBMITTER: Pishko AM 

PROVIDER: S-EPMC6913895 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature

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