Table 7.

Hemorrhagic Events Among Recipients of HSCT

No. of Events %
Type of transplant  
 Allogeneic 112  78  
 Autologous  31  22  
Platelet recovery 
 Pre  126  89  
 Post  16  11  
Severity grade* 
 Moderate  80  56  
 Severe  24  17 
 Life-threatening  39  27  
Cause of bleed  
 Invasive procedure  17  12  
 Coagulopathy  6  4  
 All other 120  84  
Site of bleed  
 Genitourinary  35  24 
 Gastrointestinal  31  22  
 Oral/nasal/soft tissue 24  16  
 Diffuse alveolar hemorrhage  21  15 
 Other pulmonary  10  7  
 Intracranial  10  
 Vascular  8  6  
 Other  4  3  
Platelet count on day of onset  
 Not available  9  6  
 <5,000/L 5  3  
 6,000-10,000/L  9  6  
 11,000-15,000/L 17  12  
 16,000-20,000/L  10  7  
 21,000-50,000/L 58  41  
 >50,000/L  35  25 
No. of Events %
Type of transplant  
 Allogeneic 112  78  
 Autologous  31  22  
Platelet recovery 
 Pre  126  89  
 Post  16  11  
Severity grade* 
 Moderate  80  56  
 Severe  24  17 
 Life-threatening  39  27  
Cause of bleed  
 Invasive procedure  17  12  
 Coagulopathy  6  4  
 All other 120  84  
Site of bleed  
 Genitourinary  35  24 
 Gastrointestinal  31  22  
 Oral/nasal/soft tissue 24  16  
 Diffuse alveolar hemorrhage  21  15 
 Other pulmonary  10  7  
 Intracranial  10  
 Vascular  8  6  
 Other  4  3  
Platelet count on day of onset  
 Not available  9  6  
 <5,000/L 5  3  
 6,000-10,000/L  9  6  
 11,000-15,000/L 17  12  
 16,000-20,000/L  10  7  
 21,000-50,000/L 58  41  
 >50,000/L  35  25 

*Mild—greater than normally observed, estimated blood loss <250 mL; moderate—estimated loss between 250-500 mL, possibly needing blood replacement; severe—estimated loss >500 mL, requiring blood replacement; and life threatening—estimated loss >1,000 mL, or producing hypotension or intracranial bleed. Cases of pulmonary hemorrhage including diffuse alveolar hemorrhage were graded as life threatening.

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