Evidence map›Paper›PMID 32910408›Full record

ArticleJournal of thrombosis and thrombolysis2021

Diagnosis, management, and outcomes of venous thromboembolism in COVID-19 positive patients: a role for direct anticoagulants?

Charalampos Kartsios, Anand Lokare, Husam Osman, Damian Perrin, Shahzad Razaq, Namrah Ayub, Bobby Daddar, Susan Fair

Abstract read
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. COVID-19 and Recurrent Venous Thromboembolism (CORE-VTE).The Canadian journal of hospital pharmacy · 2025
    Article
  3. Review
  4. Cardiovascular implications of the COVID-19: Management of complications and drug safety concerns.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022
    Review
  5. Article
  6. 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

8 authors.

Charalampos KartsiosDepartment of Haematology, Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK. hariskartsios@gmail.com.ORCID http://orcid.org/0000-0003-1418-7040
Anand LokareDepartment of Haematology, Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK.
Husam OsmanDepartment of Virology, Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK.
Damian PerrinDepartment of Acute Medicine, Good Hope Hospital, University Hospitals Birmingham, Birmingham, UK.
Shahzad RazaqDepartment of Pharmacy, University Hospitals Birmingham, Birmingham, UK.
Namrah AyubDepartment of Pharmacy, University Hospitals Birmingham, Birmingham, UK.
Bobby DaddarDepartment of Pharmacy, University Hospitals Birmingham, Birmingham, UK.
Susan FairDepartment of Acute Medicine, Good Hope Hospital, University Hospitals Birmingham, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) has been associated with an increased risk of thromboembolic complications due to systemic coagulation activation. Little is known about the role of direct anticoagulants (DOACs) in COVID-19 related thrombosis. In this audit we sought to distinguish COVID-19 hospitalised patients with a diagnosis of venous thromboembolism (VTE) and record their outcomes over a period of 3 months (01/02/2020-30/04/2020). A total of 1583 patients were diagnosed with laboratory proven COVID-19 disease. Amongst them, 38 patients (0.82%) suffered VTE (median age 68 years, male/female: 20/18). VTE was the presenting symptom on admission in 71%. Pulmonary embolism was diagnosed in 92% of patients; 5 patients required intensive care and 3 underwent thrombolysis. 27 patients received initial treatment with unfractionated heparin/low molecular weight heparin (LMWH) while 10 were treated with direct anticoagulants (DOACs). After a median follow up of 25 days, 29 (76%) patients were alive while 5 were still hospitalised. Most patients (83%) were discharged on DOACs, no VTE recurrence or bleeding was recorded post-discharge. Our results suggest that direct anticoagulants could be a safe and effective treatment option in selected COVID-19 positive patients who have suffered venous thromboembolism.

Indexed as

COVID-19COVID-19 Drug TreatmentPulmonary EmbolismVenous ThromboembolismAftercareAgedClinical AuditCritical CareFactor Xa InhibitorsFemaleFibrin Fibrinogen Degradation ProductsFibrinolytic AgentsHeparinHumansMaleOutcome and Process Assessment, Health CareFactor Xa InhibitorsFibrin Fibrinogen Degradation Productsfibrin fragment DFibrinolytic AgentsHeparinCOVID-19D-dimersDirect anticoagulantsHeparinVenous thromboembolism

Identifiers

PMID32910408
PMCPMC7481340

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.