Evidence map›Paper›PMID 32592539›Full record

ArticleInternational journal of laboratory hematology2020

Manifestations of blood coagulation and its relation to clinical outcomes in severe COVID-19 patients: Retrospective analysis.

Yanhong Zhang, Liwei He, Huixin Chen, Shuangyan Lu, Yongfen Xiong, Juan Liu, Yao Zheng, Shun Wang, Lei Liu

Open access · bronzeAbstract read
In one paragraph

Article in International journal of laboratory hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
0.8field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 39 citations in OpenAlex.

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  19. Therapeutic strategies against COVID-19.Acta bio-medica : Atenei Parmensis · 2020
    Review
  20. Coagulation Biomarkers and Mortality in Severe COVID-19: The Prognostic Value of Factor XIII Decline and Elevated D-Dimers.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
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

9 authors at 2 institutions in 1 country.

Yanhong ZhangDepartment of Transfusion, Wuhan First Hospital, Wuhan, China.
Liwei HeDepartment of Transfusion, Wuhan First Hospital, Wuhan, China.
Huixin ChenDepartment of Transfusion, Wuhan First Hospital, Wuhan, China.
Shuangyan LuDepartment of Transfusion, Wuhan First Hospital, Wuhan, China.
Yongfen XiongDepartment of Transfusion, Wuhan First Hospital, Wuhan, China.
Juan LiuDepartment of Transfusion, Wuhan First Hospital, Wuhan, China.
Yao ZhengDepartment of Transfusion, Wuhan First Hospital, Wuhan, China.
Shun WangDepartment of Transfusion, Wuhan First Hospital, Wuhan, China.
Lei LiuDepartment of Transfusion, General Hospital of Central Theater Command of the PLA, Wuhan, China.ORCID https://orcid.org/0000-0001-6764-3260
Wuhan Third Hospital · CNGeneral Hospital of Central Theater Command

Funding

China Postdoctoral Science Foundation 2019M664008Military Medical Science and Technology Youth Cultivation Project 20QNPY092National Natural Science Foundation of China 81801984
6 · The paper itself

Abstract

introductionCharacteristics of blood coagulation and its relation to clinical outcomes in COVID-19 patients are still rarely reported. We aimed to investigate the blood coagulation function and its influences on clinical outcomes of patients with syndrome coronavirus 2 (SARS-CoV-2) infection.

methodsA total of 71 severe patients with confirmed SARS-CoV-2 infection who were treated in Wuhan First Hospital from February 12 to March 20, 2020, were enrolled. The blood coagulation data in these patients and in 61 healthy controls were collected. The patients with COVID-19 were divided into two groups: the aggravated group and the nonaggravated group, respectively, basing on whether the patients' conditions turned to critically ill or not after admission.

resultsCompared with healthy controls, patients with COVID-19 had significant performances with coagulation dysfunction, including dramatically elevated values of FIB, PT, APTT, INR, FDP, and D-Dimers but markedly reduced AT value (P < .05). Importantly, more noteworthy coagulation disorders similar to the differences between patients and controls were found in the aggravated patients with conditions deterioration after admission than those in the nonaggravated patients without conditions deterioration (P < .05). Moreover, the aggravated patients possessed a longer hospital stay and a higher mortality compared with the nonaggravated patients (P < .001). The coagulation parameters of COVID-19 patients were widely and closely related to the indexes of liver function and inflammation (P < .05), indicating the coagulation dysfunction of these patients may be caused by liver injury and inflammatory storm.

conclusionSevere patients with SARS-CoV-2 infection often possess coagulation dysfunction on admission. A certain correlation exists in coagulation disorder and adverse clinical outcome among severe COVID-19 patients.

Indexed as

BetacoronavirusAgedBlood Coagulation DisordersBlood Coagulation TestsBlood ProteinsCardiovascular DiseasesComorbidityCoronavirus InfectionsCOVID-19Diabetes MellitusFemaleHumansLength of StayLiver Function TestsMaleMiddle AgedBlood Proteinsblood coagulationclinical outcomeCOVID-19inflammationliver function

Identifiers

PMID32592539
PMCPMC7361562
OpenAlexW3037179152

What OpenQuestion holds

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Registered trials

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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.