Comparison between Diagnostic Criteria for Disseminated Intravascular Coagulation (DIC) of the International Society on Thrombosis and Hemostasis (ISTH) and the Korean Society on Thrombosis and Hemostasis (KSTH).
- Author:
Ki Chul HAN
1
;
Sae Hyun KIM
;
Sun Ju LEE
;
Do Hyung KIM
;
Eun Hyang KO
;
Moon Ju JANG
;
So Young CHONG
;
Jong Seok LEE
;
Doyeun OH
Author Information
1. Department of Internal Medicine, College of Medicine, Pochon CHA University, Korea. doh@cha.ac.kr
- Publication Type:Original Article
- Keywords:
DIC;
ISTH;
KSTH;
Diagnostic criteria
- MeSH:
Adult;
Dacarbazine;
Diagnosis;
Disseminated Intravascular Coagulation*;
Hemostasis*;
Humans;
Platelet Count;
Pneumonia;
Sepsis;
Thrombosis*;
Urinary Tract Infections
- From:Korean Journal of Hematology
2004;39(4):223-227
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The criteria set by the International Society on Thrombosis and Hemostasis (ISTH) with the criteria of the Korean Society on Thrombosis and Hemostasis (KSTH) for the diagnosis of DIC was compared to evaluate the agreement between two criteria and the characteristics of each criteria. METHODS: Two hundred ninety-six adult patients with sepsis (57 pneumonia, 75 hepatobiliary and gastrointestinal infection, 25 urinary tract infection, 51 infection associated with malignant diseases and 84 other causes) were studied. The rate of agreement in the diagnosis of DIC by the two diagnostic systems was analyzed. Characteristics of each criteria was also analyzed by the comparison of laboratory criteria. RESULTS: The kappa coefficient and concordance rate, agreement parameters in the diagnosis of DIC by the two diagnostic systems was 0.78 and 89.5%, respectively. The median platelet count was lower and FDP level was higher in the patients diagnosed by ISTH criteria than in patients diagnosed by KSTH criteria. CONCLUSION: The agreement between ISTH and KSTH criteria was significantly high.
