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Table 3 Characteristics of patients experiencing serious bleeding events

From: Drotrecogin alfa (activated): real-life use and outcomes for the UK

Characteristics

Admissions experiencing serious bleeding events (n = 80)

Site of serious bleeding event (n [%])

   Gastrointestinal

29 (33.7)

   Skin or soft tissue

19 (22.1)

   Intra-abdominal

9 (10.5)

   Intracranial

7 (8.1)

   Intrathoracic

5 (5.8)

   Genitourinary

3 (3.5)

   Retroperitoneal

0 (0.0)

   Other (source identified)a

6 (7.0)

   Other (source unidentified)

5 (5.8)

Age (years; mean ± SD)

58.5 (14.9)

APACHE II score (mean ± SD)

   Acute physiology score

19.6 (7.5)

   Score

22.9 (7.6)

ICNARC model physiology score (mean ± SD)

30.5 (8.3)

Serious conditions in past medical historyb (n [%])

   Liver

1 (1.3)

   Cardiovascular

0 (0.0)

   Respiratory

0 (0.0)

   Renal

1 (1.3)

   Immunosuppressed

4 (5.0)

Admission typec (n [%])

   Medical

55 (68.8)

   Elective surgical

3 (3.8)

   Emergency surgical

22 (27.5)

Organ systems failing during first 24 hours of stay in critical care (n [%])

   Cardiovascular

79 (98.8)

   Respiratory

72 (90.0)

   Renal

32 (40.5)

   Haematological

28 (35.0)

   Metabolic acidosis

68 (85.0)

Number of organ systems failing during first 24 hours of stay in critical care (n [%])

   <2

1 (1.3)

   2

5 (6.3)

   3

38 (47.5)

   4

26 (32.5)

   5

10 (12.5)

Primary site of infectiond (n [%])

   Lung

20 (27.0)

   Abdomen

33 (44.6)

   Urinary tract

5 (6.8)

   Other

16 (21.6)

Positive blood culturee (n [%])

26 (36.1)

Organisms cultured (n [%])

   Any

52 (65.8)

   Gram-negative

22 (42.3)

   Gram-positive

26 (50.0)

   Fungus

12 (23.1)

Mortality (n [%])

   Unit

31 (3 8.8)

   Hospitalf

39 (48.8)

Location at 28 days (n [%])

   Died

30 (37.5)

   Unit

22 (27.5)

   Hospital

22 (27.5)

   Out of Hospitalf

6 (7.5)

Unit length of stay (days; median [IQR])

   Unit survivors

20.7 (12.7–28.5)

   Unit non-survivors

9.8 (5.9–23.9)

Hospitalg length of stay (days; median [IQR])

   Hospital survivors

60 (43–105)

   Hospital nonsurvivors

19 (8–32)

  1. aOther (source identified) was four from the oral/nasal cavity and two from the lungs/trachea. bEvidence defined as follows, during prior 6 months (except those terms highlighted with asterisk, which are not restricted to the preceding 6 months): liver (biopsy proven cirrhosis, portal hypertension, hepatic encephalopathy); cardiovascular (very severe cardiovascular disease [New York Heart Association functional classification IV]); respiratory (severe respiratory disease [shortness of breath with light activity, for example walking 20 m on level ground], home ventilation); renal (chronic renal replacement therapy for irreversible renal disease); immunosuppressed (AIDS*, steroid treatment [daily], radiotherapy, chemotherapy, metastatic disease, acute myelogenous/lymphocytic leukaemia or multiple myeloma, chronic myelogenous/lymphocytic leukaemia, lymphoma, congenital immunohumoral or cellular immune deficiency state*). cSurgical admissions are defined as those admitted directly to the unit from theatre and recovery. dPrimary site of infection was not reported for six (7.5%) admissions. eA blood culture was reported as not done for six (7.5%) admissions. fDischarged alive from acute hospital at or before 28 days. gExcluding readmissions within the same hospital stay. APACHE, Acute Physiology and Chronic Health Evaluation; ICNARC, Intensive Care National Audit & Research Centre; IQR, interquartile range; SD, standard deviation.