Evidence map›Paper›PMID 32972320›Full record

ArticleJournal of the American Heart Association2020

High Prevalence of Acquired Thrombophilia Without Prognosis Value in Patients With Coronavirus Disease 2019.

Emile Ferrari, Benjamin Sartre, Fabien Squara, Julie Contenti, Celine Occelli, Fabien Lemoel, Jacques Levraut, Denis Doyen, Jean Dellamonica, Veronique Mondain and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04335162 (Cardiovascular Complications in Patients With COVID-19), which is not on this map. Cited by 33 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 5 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.

NCT04335162 completednot on this map

Cardiovascular Complications in Patients With COVID-19

TypeobservationalSponsorCentre Hospitalier Universitaire de NiceRan2020 to 2021Enrolled198ConditionsCOVID, Acute Coronary Syndrome, Myocardial Infarction, Myocarditis
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 5 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  17. Article
  18. Coagulation Profile of COVID-19 Patients.Life (Basel, Switzerland) · 2022
    Review
  19. COVID-19 and antiphospholipid antibodies.Best practice & research. Clinical haematology · 2022
    Review
  20. Dysregulation of Protein S in COVID-19.Best practice & research. Clinical haematology · 2022
    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

21 authors at 1 institution in 1 country.

Emile FerrariDepartment of Cardiology University Hospital of Nice France.
Benjamin SartreDepartment of Cardiology University Hospital of Nice France.
Fabien SquaraDepartment of Cardiology University Hospital of Nice France.
Julie ContentiDepartment of Emergency University Hospital of Nice France.
Celine OccelliDepartment of Emergency University Hospital of Nice France.
Fabien LemoelDepartment of Emergency University Hospital of Nice France.
Jacques LevrautDepartment of Emergency University Hospital of Nice France.
Denis DoyenDepartment of Intensive Care 1 University Hospital of Nice France.
Jean DellamonicaDepartment of Intensive Care 1 University Hospital of Nice France.
Veronique MondainDepartment of Infectious Diseases University Hospital of Nice France.
David ChirioDepartment of Infectious Diseases University Hospital of Nice France.
Karine RissoDepartment of Infectious Diseases University Hospital of Nice France.
Eric CuaDepartment of Infectious Diseases University Hospital of Nice France.
Jean Christophe OrbanDepartment of Intensive Care 2 University Hospital of Nice France.
Carole IchaiDepartment of Intensive Care 2 University Hospital of Nice France.
Mohamed LabbaouiDepartment of Cardiology University Hospital of Nice France.
Baptiste MossazDepartment of Cardiology University Hospital of Nice France.
Pamela MoceriDepartment of Cardiology University Hospital of Nice France.
Anny Appert-FloryHematology Laboratory University Hospital of Nice France.
Florence FischerHematology Laboratory University Hospital of Nice France.
Pierre ToulonHematology Laboratory University Hospital of Nice France.
Centre Hospitalier Universitaire de Nice · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Recent literature reports a strong thrombotic tendency in patients hospitalized for a coronavirus disease 2019 (COVID-19) infection. This characteristic is unusual and seems specific to COVID-19 infections, especially in their severe form. Viral infections can trigger acquired thrombophilia, which can then lead to thrombotic complications. We investigate for the presence of acquired thrombophilia, which could participate in this phenomenon, and report its prevalence. We also wonder if these thrombophilias participate in the bad prognosis of severe COVID-19 infections. Methods and Results In 89 consecutive patients hospitalized for COVID-19 infection, we found a 20% prevalence of PS (protein S) deficiency and a high (ie, 72%) prevalence of antiphospholipid antibodies: mainly lupus anticoagulant. The presence of PS deficiency or antiphospholipid antibodies was not linked with a prolonged activated partial thromboplastin time nor with D-dimer, fibrinogen, or CRP (C-reactive protein) concentrations. These coagulation abnormalities are also not linked with thrombotic clinical events occurring during hospitalization nor with mortality. Conclusions We assess a high prevalence of positive tests detecting thrombophilia in COVID-19 infections. However, in our series, these acquired thrombophilias are not correlated with the severity of the disease nor with the occurrence of thrombotic events. Albeit the strong thrombotic tendency in COVID-19 infections, the presence of frequent acquired thrombophilia may be part of the inflammation storm of COVID-19 and should not systematically modify our strategy on prophylactic anticoagulant treatment, which is already revised upwards in this pathological condition. Registration URL: https://www.clini​caltr​ials.gov; Unique identifier: NCT04335162.

Indexed as

AgedAntibodies, AntiphospholipidAntiphospholipid SyndromeBiomarkersCoronavirus InfectionsCOVID-19FemaleFranceHumansMaleMiddle AgedPandemicsPneumonia, ViralPrevalencePrognosisProtein SAntibodies, AntiphospholipidBiomarkersPROS1 protein, humanProtein Scoronavirus disease 2019thrombophiliathrombosis

Identifiers

PMID32972320
PMCPMC7763401
OpenAlexW3089321178

What OpenQuestion holds

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LicenceCC BY-NC
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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.