Erschienen in:
01.02.2015 | Commentary
4Ts scoring with hemofiltration or hemodialysis clotting
verfasst von:
Theodore E. Warkentin
Erschienen in:
Journal of Clinical Monitoring and Computing
|
Ausgabe 1/2015
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Excerpt
In this issue of
Journal of Clinical Monitoring and Computing, Perbet et al. [
1] report 2 intensive care unit (ICU) patients with hemofiltration filter clotting associated with heparin-induced thrombocytopenia (HIT), an immune-mediated prothrombotic adverse drug reaction [
2,
3]. In both patients, early (within 6 h) hemofilter thrombosis occurred at a time when the patients were not thrombocytopenic. The authors propose that hemofilter clotting should be considered a thrombotic event in the 4Ts scoring system (discussed subsequently), even in the absence of thrombocytopenia. The authors specifically suggest [
1] that rapid hemofiltration clotting should score as 2 points for the category, Thrombosis, in this scoring system. …