Evidence map›Paper›PMID 32302448›Full record

Observational studyJournal of thrombosis and haemostasis : JTH2020

The procoagulant pattern of patients with COVID-19 acute respiratory distress syndrome.

Marco Ranucci, Andrea Ballotta, Umberto Di Dedda, Ekaterina Baryshnikova, Marco Dei Poli, Marco Resta, Mara Falco, Giovanni Albano, Lorenzo Menicanti

2 registry-linked trialsOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of thrombosis and haemostasis : JTH, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 564 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
564citing papers in PubMed, 3 pooled it
23.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04441502 unknown statusnot on this map

Identification of Predictors for the Evolution of COVID-19 Related Interstitial Pneumonia by Transcriptomic and Seroproteomic Techniques

TypeobservationalSponsorIRCCS Policlinico S. DonatoRan2020 to 2024Enrolled204ConditionsCovid19, Interstitial Pneumonia
NCT04516941 phase3terminatednot on this mapstarted 2021, after this paper: background citation

Efficacy and Safety of Edoxaban and or Colchicine for Patients With SARS-CoV-2 Infection Managed in the Out of Hospital Setting

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2021 to 2022Enrolled60ConditionsSARS-CoV Infection, COVID-19ArmsEdoxaban Tablets, Colchicine Tablets
3 · Its place in the literature

Who cites it

564 citing papers in PubMed, 3 syntheses or guidelines pooled it, 997 citations in OpenAlex.

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504 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Marco RanucciDepartment of Cardiovascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, Milan, Italy.ORCID 0000-0002-4915-3572
Andrea BallottaDepartment of Cardiovascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, Milan, Italy.
Umberto Di DeddaDepartment of Cardiovascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, Milan, Italy.
Ekaterina BaryshnikovaDepartment of Cardiovascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, Milan, Italy.
Marco Dei PoliDepartment of General Anesthesia and Intensive Care, IRCCS Policlinico San Donato, Milan, Italy.
Marco RestaDepartment of General Anesthesia and Intensive Care, IRCCS Policlinico San Donato, Milan, Italy.
Mara FalcoDepartment of Radiology, Koelliker Hospital, Turin, Italy.
Giovanni AlbanoAnesthesia and Intensive Care Department, Humanitas Gavazzeni Clinic, Bergamo, Italy.
Lorenzo MenicantiScientific Directorate, IRCCS Policlinico San Donato, Milan, Italy.
IRCCS Policlinico San Donato · ITHumanitas Gavazzeni · ITOspedale Koelliker · IT

Funding

Clinical Research HospitalIRCCS Policlinico San DonatoItalian Ministry of Health
6 · The paper itself

Abstract

backgroundFew observations exist with respect to the pro-coagulant profile of patients with COVID-19 acute respiratory distress syndrome (ARDS). Reports of thromboembolic complications are scarce but suggestive for a clinical relevance of the problem.

objectivesProspective observational study aimed to characterize the coagulation profile of COVID-19 ARDS patients with standard and viscoelastic coagulation tests and to evaluate their changes after establishment of an aggressive thromboprophylaxis.

methodsSixteen patients with COVID-19 ARDS received a complete coagulation profile at the admission in the intensive care unit. Ten patients were followed in the subsequent 7 days, after increasing the dose of low molecular weight heparin, antithrombin levels correction, and clopidogrel in selected cases.

resultsAt baseline, the patients showed a pro-coagulant profile characterized by an increased clot strength (CS, median 55 hPa, 95% interquartile range 35-63), platelet contribution to CS (PCS, 43 hPa; interquartile range 24-45), fibrinogen contribution to CS (FCS, 12 hPa; interquartile range 6-13.5) elevated D-dimer levels (5.5 μg/mL, interquartile range 2.5-6.5), and hyperfibrinogenemia (794 mg/dL, interquartile range 583-933). Fibrinogen levels were associated (R

conclusionThe pro-coagulant pattern of these patients may justify the clinical reports of thromboembolic complications (pulmonary embolism) during the course of the disease. Further studies are needed to assess the best prophylaxis and treatment of this condition.

Indexed as

Blood CoagulationAgedAnticoagulantsBetacoronavirusBiomarkersBlood Coagulation DisordersBlood Coagulation TestsCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentFemaleFibrinolytic AgentsHost-Pathogen InteractionsHumansMaleMiddle AgedAnticoagulantsBiomarkersFibrinolytic Agentsacute respiratory distress syndromecoagulation parameterCOVID-19D-dimerviscoelastic tests

Identifiers

PMID32302448
PMCPMC9906332
OpenAlexW3016641669

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.