Description

Kaatz et al reported criteria for nonmajor bleeding in a patient receiving anticoagulants for atrial fibrillation or venous thromboembolic disease. The authors are from Hurley Medical Center (Flint), Michigan State University, North Shore-LIJ Health System and McMaster University.


Patient selection: receiving an anticoagulant

 

Criteria for nonmajor bleeding:

(1) any sign or symptom of hemorrhage (including evidence on imaging studies)

(2) does not meet the ISTH criteria for major bleeding

(3) at least one of the following:

(3a) requires intervention by a healthcare professional

(3b) results in hospitalization

(3c) results in an increased level of care

(3d) prompts a face-to-face evaluation (not just telephone call or electronic communication)

 

where:

• A telehealth consult probably would qualify for a face-to-face evaluation.


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