Evidence map›Paper›PMID 32561465›Full record

ArticleJournal of vascular surgery. Venous and lymphatic disorders2020

Coagulopathy, thromboembolic complications, and the use of heparin in COVID-19 pneumonia.

Luca Costanzo, Francesco Paolo Palumbo, Giorgio Ardita, Pier Luigi Antignani, Enrico Arosio, Giacomo Failla, Italian Society for Vascular Investigation and the Italian Society of Vascular Medicine

Open access · bronzeAbstract read
In one paragraph

Article in Journal of vascular surgery. Venous and lymphatic disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Drugs for COVID-19: An Update.Molecules (Basel, Switzerland) · 2022
    Review
  5. Review
  6. Article
  7. Therapeutic approaches for SARS-CoV-2 infection.Methods (San Diego, Calif.) · 2021
    Review
  8. Occurrence, Fate, Effects, and Risks of Dexamethasone: Ecological Implications Post-COVID-19.International journal of environmental research and public health · 2021
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. SARS-CoV-2: Pathogenic Mechanisms and Host Immune Response.Advances in experimental medicine and biology · 2021
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Luca CostanzoAngiology Unit, San Marco Hospital, Department of Cardiovascular Disease, A.O.U. "Policlinico-Vittorio Emanuele", University of Catania, Catania, Italy. Electronic address: lucacost84@gmail.com.
Francesco Paolo PalumboAngiology Unit, San Marco Hospital, Department of Cardiovascular Disease, A.O.U. "Policlinico-Vittorio Emanuele", University of Catania, Catania, Italy.
Giorgio ArditaAngiology Unit, San Marco Hospital, Department of Cardiovascular Disease, A.O.U. "Policlinico-Vittorio Emanuele", University of Catania, Catania, Italy.
Pier Luigi AntignaniVascular Center, Nuova Villa Claudia, Rome, Italy.
Enrico ArosioDepartment of Medicine, University of Verona, Verona, Italy.
Giacomo FaillaAngiology Unit, San Marco Hospital, Department of Cardiovascular Disease, A.O.U. "Policlinico-Vittorio Emanuele", University of Catania, Catania, Italy.
Italian Society for Vascular Investigation and the Italian Society of Vascular Medicine
University of Catania · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The SARS-CoV-2 (COVID-19) is causing a pandemic and potentially fatal disease of global public health concern. Viral infections are known to be associated with coagulation impairment; thus, thrombosis, hemorrhage, or both may occur. Understanding the pathophysiologic mechanisms underlying the development of coagulation disorders during viral infection is essential for the development of therapeutic strategies. Coagulopathy in COVID-19 infection is emerging as a precipitant factor for severe respiratory complications and death. An increase in coagulation markers, such as fibrinogen and D-dimer, has been found in severe COVID-19 cases. Heparin, clinically used as an anticoagulant, also has anti-inflammatory properties, including binding of inflammatory cytokines, inhibition of neutrophil chemotaxis, and protection of endothelial cells, and a potential antiviral effect. We hypothesized that low-molecular-weight heparin may attenuate cytokine storm in COVID-19 patients; therefore, low-molecular-weight heparin could be a valid adjunctive therapeutic drug for the treatment of COVID-19 pneumopathy. In this paper, we review potential mechanisms involved in coagulation impairment after viral infection and the possible role of heparin in the treatment of COVID-19 patients.

Indexed as

BetacoronavirusAnticoagulantsBlood Coagulation DisordersCoronavirus InfectionsCOVID-19Heparin, Low-Molecular-WeightHumansPandemicsPneumonia, ViralSARS-CoV-2ThrombosisAnticoagulantsHeparin, Low-Molecular-WeightCoagulopathyCOVID-19D-dimerLow-molecular-weight heparinPneumoniaThrombosis

Identifiers

PMID32561465
PMCPMC7297687
OpenAlexW3034948891

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.