Accurate 4T Score calculation requires systematic patient assessment, careful evaluation of each scoring component, and proper interpretation of results within the clinical context. Follow this comprehensive methodology to ensure reliable HIT probability assessment and appropriate clinical decision-making.
1. Thrombocytopenia Assessment and Documentation
Begin by documenting the patient's baseline platelet count and current platelet count to calculate the percentage fall. A fall >50% from baseline or a nadir between 20-100 ×10⁹/L scores 2 points, while a 30-50% fall or nadir between 10-19 ×10⁹/L scores 1 point. Falls <30% or nadir <10 ×10⁹/L score 0 points. It's essential to use the patient's true baseline platelet count, not an arbitrary normal range, and to consider the timing of measurements relative to heparin exposure.
2. Timing Analysis and Heparin Exposure History
Carefully document the timing of platelet count fall relative to heparin exposure. Clear onset between 5-10 days after heparin exposure, or ≤1 day with recent heparin exposure (within 30 days), scores 2 points. Timing consistent with 5-10 day fall but not clearly documented scores 1 point. Onset <4 days without recent heparin exposure scores 0 points. Recent heparin exposure includes any heparin use within the past 30 days, including low molecular weight heparin.
3. Thrombosis and Sequelae Evaluation
Assess for new thrombosis, skin necrosis, or acute systemic reactions. Confirmed new thrombosis, skin necrosis, or acute systemic reaction after heparin exposure scores 2 points. Progressive or recurrent thrombosis, erythematous skin lesions, or suspected thrombosis scores 1 point. Absence of these findings scores 0 points. Document the timing of these events relative to heparin exposure and platelet count changes.
4. Alternative Cause Assessment
Evaluate the probability of other causes of thrombocytopenia. No apparent alternative cause scores 2 points, possible alternative cause scores 1 point, and definite alternative cause scores 0 points. Common alternative causes include sepsis, disseminated intravascular coagulation, drug reactions, and bone marrow suppression. Consider the temporal relationship between alternative causes and platelet count changes.
5. Score Calculation and Risk Stratification
Sum all four component scores to obtain the total 4T Score. Scores of 6-8 indicate high probability (≥50% chance of HIT), scores of 4-5 indicate intermediate probability (10-50% chance), and scores of 0-3 indicate low probability (<10% chance). Use this probability assessment to guide diagnostic testing, heparin management, and alternative anticoagulation decisions.