Evidence map›Paper›PMID 32838111›Full record

ArticleResearch and practice in thrombosis and haemostasis2020

Anticoagulation practice patterns in COVID-19: A global survey.

Rachel P Rosovsky, Kristen M Sanfilippo, Tzu Fei Wang, Sandeep K Rajan, Surbhi Shah, Karlyn A Martin, Fionnuala Ní Áinle, Menno Huisman, Beverley J Hunt, Susan R Kahn and 4 more

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 13% 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, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Anticoagulants for people hospitalised with COVID-19: a rapid reviewThe Cochrane database of systematic reviews · 2022
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  12. The COVID-19 Patient in the Surgical Intensive Care Unit.The Surgical clinics of North America · 2022
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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

14 authors at 13 institutions in 6 countries.

Rachel P RosovskyDepartment of Medicine Massachusetts General Hospital Harvard Medical School Boston MA USA.ORCID https://orcid.org/0000-0002-2392-7365
Kristen M SanfilippoDepartment of Medicine Washington University St. Louis School of Medicine and John Cochran Veterans Administration Medical Center St. Louis MO USA.
Tzu Fei WangDepartment of Internal Medicine Ohio State University Wexner Medical Center Columbus OH USA.ORCID https://orcid.org/0000-0003-2407-9000
Sandeep K RajanDepartment of Medicine University of Nebraska Medical Center College of Medicine Memphis TN USA.
Surbhi ShahDepartment of Medicine University of Minnesota Minneapolis MN USA.
Karlyn A MartinDepartment of Medicine Northwestern University Feinberg School of Medicine Chicago IL USA.
Fionnuala Ní ÁinleDepartment of Hematology Mater Misericordiae University Hospital and Rotunda Hospital University College Dublin (UCD) School of Medicine Dublin Ireland.
Menno HuismanDepartment of Thrombosis and Hemostasis Leiden University Medical Center Leiden The Netherlands.
Beverley J HuntDepartment of Haematology King's College Pathology & Rheumatology Guy's & St Thomas' NHS Foundation Trust London England.ORCID https://orcid.org/0000-0002-4709-0774
Susan R KahnDepartment of Medicine McGill University Montreal QC Canada.ORCID https://orcid.org/0000-0002-5667-8916
Barry KevaneDepartment of Hematology Mater University Hospital University College of Dublin (UCD) School of Medicine Dublin Ireland.
Agnes Y Y LeeDepartment of Medicine University of British Columbia Vancouver BC Canada.
Claire McLintockNational Women's Health Auckland City Hospital Auckland New Zealand.ORCID https://orcid.org/0000-0002-4771-8760
Lisa Baumann KreuzigerDepartment of Medicine Blood Research Institute Versiti Medical College of Wisconsin Milwaukee WI USA.
University College Dublin · IEAuckland City Hospital · NZHarvard University · USJewish General Hospital · CAJohn Cochran VA Medical Center · USLeiden University Medical Center · NLMedical College of Wisconsin · USNorthwestern University · USThe King's College · USThe Ohio State University Wexner Medical Center · USUniversity of British Columbia · CAUniversity of Minnesota · USUniversity of Tennessee Health Science Center · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
NCATS NIH HHS UL1 TR002494
6 · The paper itself

Abstract

Background: Best practice for prevention, diagnosis, and management of venous thromboembolism (VTE) in patients with coronavirus disease 2019 (COVID-19) is unknown due to limited published data in this population. Objectives: We aimed to assess current global practice and experience in management of COVID-19-associated coagulopathy to identify information to guide prospective and randomized studies. Methods: Physicians were queried about their current approach to prophylaxis, diagnosis, and treatment of VTE in patients with COVID-19 using an online survey tool distributed through multiple international organizations between April 10 and 14, 2020. Results: Five hundred fifteen physicians from 41 countries responded. The majority of respondents (78%) recommended prophylactic anticoagulation for all hospitalized patients with COVID-19, with most recommending use of low-molecular-weight heparin or unfractionated heparin. Significant practice variation was found regarding the need for dose escalation of anticoagulation outside the setting of confirmed or suspected VTE. Respondents reported the use of bedside testing when unable to perform standard diagnostic imaging for diagnosis of VTE. Two hundred ninety-one respondents reported observing thrombotic complications in their patients, with 64% noting that the complication was pulmonary embolism. Of the 44% of respondents who estimated incidence of thrombosis in patients with COVID-19 in their hospital, estimates ranged widely from 1% to 50%. One hundred seventy-four respondents noted bleeding complications (34% minor bleeding, 14% clinically relevant nonmajor bleeding, and 12% major bleeding). Conclusion: Well-designed epidemiologic studies are urgently needed to understand the incidence and risk factors of VTE and bleeding complications in patients with COVID-19. Randomized clinical trials addressing use of anticoagulation are also needed.

Indexed as

anticoagulantsbleedingblood coagulationCOVID‐19venous thromboembolism

Identifiers

PMID32838111
PMCPMC7361754
OpenAlexW3041023147

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.