99 Cardiomyopathy 2 1 1.00 Valve replacement 11 7 0.38 Ischemic CVA 2 2 0.58 DVT/PE Treatment*#
18 6 0.53 Prophylaxis 11 3 0.55 Portal vein thrombosis 0 1 0.30 Hyperhomocysteinemia 1 0 1.00 Lupus Anticoagulant 1 0 1.00 Syndrome Unknown 1 0 1.00 *2 with Protein S deficiency # 2 with Anticardiolipin Syndrome. **5 with 2 indications ***5 with 2 indications. *Data reported as median [IQR]. PCC3, 3 AZD1152 research buy factor prothrombin complex concentrate; LDrFVIIa, low dose recombinant factor VII activated; CVA, cerebral vascular accident; DVT, deep vein thrombosis; PE, pulmonary embolism. Table 2 Indication for warfarin anticoagulation reversal Characteristics PCC3 (n = 74) LD rFVIIa (n = 32) p Neuro, n* 39 23 0.07 CH 19 9 0.79 SDH 7 9 0.014 SAH 6 2 1.00 SCI 1 2 0.22 TBI 6 1 0.67 Craniotomy 0 1 0.30 Abdominal 11 3 0.55 Intraperitoneal Hem. 2 0 1.00 Retroper. hematoma 1 0 1.00 GIB 2 1 1.00 Perf. Viscous/ 0 1 0.30 peritonitis Pneumoperitoneum Compound C order 1 0 1.00 Incarcerated hernia 2 1 1.00 Acute abdomen 1 0 1.00 Diverticulitis 1 0 1.00 Colonic perforation 1 0 1.00 Other 25 8 0.37 Orthopedic 2 3 0.16 Fall w/external inj. 0 1 0.30 Multiple trauma
0 1 0.30 Pulmonary contusion 1 0 1.00 Chest wall trauma 1 0 1.00 Pacemaker placement 2 0 1.00 Emergent surgery 4 1 1.00 Ruptured iliac 1 0 1.00 Artery aneurysm Pseudoaneurysm 1 0 1.00 CFA Hematoma 3 0 1.00 Pneumothorax 2 0 1.00 Posthemorrhagic 1 0 1.00 Hydrocephalus Epistaxis 0 1 0.30 INR > 8 6 0 0.18 Unknown
1 0 1.00 *1 with more than 1 indication. PCC3, 3 factor Trichostatin A prothrombin complex concentrate; LDrFVIIa, low dose recombinant factor VII activated; ICH, intracranial hemorrhage, SDH, subdural hematoma, SAH, subarachnoid hemorrhage, SCI, spinal cord injury, TBI, traumatic brain injury, GIB, gastrointestinal bleed, CVA, cerebral vascular accident; DVT, deep vein thrombosis; Cyclin-dependent kinase 3 PE, pulmonary embolism. Table 3 Warfarin anticoagulation reversal agents prescribed PCC3 (n = 74) LD rFVIIa (n = 32) p Initial coagulation factor dose Total Dose (units)* 1540 [1429-1978] 1000 [1000-1000] NA Weight-based Dose (units/kg)* 19.9 [18.6-20.8] 11.5 [10.1-15.0] NA Other reversal agents administered Vit K, n (%) 57 (77.0%) 22 (68.8%) 0.37 FFP, n (%) 49 (66.2%) 21 (65.6%) 0.95 FFP units* 2 [0-4] 2 [0-4] 0.75 Total cost for reversal agents: Coagulation factor (USD)*: 1116.50 [963-1718] 1230 [1170-1360] 0.26 FFP(USD)*: 393 [0-496] 393 [0-496] 0.65 Total(USD)*: 1526 [1299-2047] 1609.50 [1360-1756] <0.05 *Data as median [IQR]. PCC3, 3 factor prothrombin complex concentrate; LDrFVIIa, low dose recombinant factor VII activated; kg, kilograms; FFP, fresh frozen plasma; vit K, vitamin K, USD, United States Dollars). Table 4 INR response after the first dose of PCC3 or LDrFVIIa PCC3 (n = 74) LD rFVIIa (n = 32) p INR baseline*: 3.1 [2.3-4.1] 2.8 [2.2-3.6] 0.52 INR post coagulation factor*: 1.75 [1.