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Table 2 Scoring system for overt disseminated intravascular coagulation proposed by International Society on Thrombosis and Haemostasis

From: A multicenter, prospective validation study of the Japanese Association for Acute Medicine disseminated intravascular coagulation scoring system in patients with severe sepsis

 

Score

Platelet counts

 

   <50 × 109/l

2

   ≥50 <100 × 109/l

1

   ≥100 × 109/l

0

Elevated fibrin-related markera

 

   Strong increase

3

   Moderate increase

2

   No increase

0

Prolonged prothrombin time

 

   ≥6 seconds

2

   ≥3 <6 seconds

1

   <3 seconds

0

Fibrinogen level

 

   <100 g/ml

1

   ≥100 g/ml

0

Calculate score

 

   If >5, compatible with overt DIC; repeat scoring daily

 

   If <5, suggestive (not affirmative) for nonovert DIC; repeat next 1 to 2 days.

 
  1. DIC, disseminated intravascular coagulation. aFor example, soluble fibrin monomers/fibrin degradation products.