Unifying Concepts

Diagnostic Criteria for Disseminated Intravascular Coagulation (DIC)

Disseminated intravascular coagulation is a condition in which small blood clots develop throughout the bloodstream, blocking small blood vessels. The increased clotting depletes the platelets and clotting factors needed to control bleeding, causing excessive bleeding.

Classification Definition Diagnostic criteria
Biological DIC Hemostatic defect without clinical manifestations

Elevated D-Dimers


1 major criterion for consumption of platelets or coagulation factors


2 minor criteria for consumption of platelets or coagulation factors

Clinical DIC Hemostatic defect with hemorrhagic or ischemic manifestations Same as above + microvascular bleeding and/or thrombosis
Complicated DIC Hemostatic defect with hemorrhagic or ischemic manifestations that jeopardize organ function or patient prognosis Same as above + organ failure (single or multiple)


Details of laboratory criteria

D-Dimers greater than 500 µg·L–1

Platelet consumption

  • Minor: platelet count between 50 and 100,000·/mm3

  • Major: platelet count less than 50,000·/mm3

Consumption of coagulation factors

  • Minor: INR of the PT between 1.2 and 1.5

  • Major: INR of the PT greater than 1.5

INR of the PT = international normalized ratio of the prothrombin time. The elevation of D-Dimers is not specific to DIC. Similarly, the clinical manifestations of DIC are not specific.




  1. Taylor FB Jr, Toh CH, Hoots WK, Wada H, Levi M; Scientific Subcommittee on Disseminated Intravascular Coagulation (DIC) of the International Society on Thrombosis and Haemostasis (ISTH). Towards definition, clinical and laboratory criteria, and a scoring system for disseminated intravascular coagulation. Thromb Haemost. 2001 Nov;86(5):1327-30. [Medline]
Created: Aug 04, 2005
  • Language:

  • Users Online

  • Medical Disclaimer

    El contenido de este sitio web son solo para fines informativos y no reemplazan la consulta con un profesional médico.
  • Recent Posts

  • Categories

  • Copyright by