Evidence map›Paper›PMID 32989908›Full record

Observational studyClinical and translational science2020

COVID-19 and Venous Thromboembolism in Intensive Care or Medical Ward.

Giampiero Avruscio, Giuseppe Camporese, Elena Campello, Enrico Bernardi, Paolo Persona, Christian Passarella, Franco Noventa, Marco Cola, Paolo Navalesi, Annamaria Cattelan and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Clinical and translational science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
7.0field-weighted citation impact, top 2% 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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  20. Imaging of the head and neck during the COVID19 pandemic.Operative techniques in otolaryngology--head and neck surgery · 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

15 authors at 2 institutions in 1 country.

Giampiero AvruscioAngiology Unit, Department of Cardiac, Thoracic and Vascular Sciences, Padua University Hospital, Padua, Italy.
Giuseppe CamporeseAngiology Unit, Department of Cardiac, Thoracic and Vascular Sciences, Padua University Hospital, Padua, Italy.
Elena CampelloGeneral Internal Medicine and Thrombotic and Haemorrhagic Diseases Unit, Department of Internal Medicine, Padua University Hospital, Padua, Italy.
Enrico BernardiEmergency Room Unit, Department of Emergency and Accident Medicine, Civic Hospital of Treviso and Conegliano, Padua, Italy.
Paolo PersonaDepartment of Internal Medicine, Anesthesia, and Critical Care, Padua University Hospital, Padua, Italy.
Christian PassarellaDepartment of Internal Medicine, Institute of Anesthesia and Intensive Care, Padua University Hospital, Padua, Italy.
Franco NoventaDepartment of Molecular Medicine and QUOVADIS no-profit Association, Padua University Hospital, Padua, Italy.
Marco ColaDivision of Infectious and Tropical Diseases, Department of Internal Medicine, Padua University Hospital, Padua, Italy.
Paolo NavalesiDepartment of Internal Medicine, Anesthesia, and Critical Care, Padua University Hospital, Padua, Italy.
Annamaria CattelanDivision of Infectious and Tropical Diseases, Department of Internal Medicine, Padua University Hospital, Padua, Italy.
Ivo TiberioDepartment of Internal Medicine, Institute of Anesthesia and Intensive Care, Padua University Hospital, Padua, Italy.
Annalisa BoscoloDepartment of Internal Medicine, Anesthesia, and Critical Care, Padua University Hospital, Padua, Italy.
Luca SpieziaGeneral Internal Medicine and Thrombotic and Haemorrhagic Diseases Unit, Department of Internal Medicine, Padua University Hospital, Padua, Italy.
Paolo SimioniGeneral Internal Medicine and Thrombotic and Haemorrhagic Diseases Unit, Department of Internal Medicine, Padua University Hospital, Padua, Italy.
COVID-VTE Study Group
University of Padua · ITCa' Foncello Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite thromboprophylaxis, patients with coronavirus disease 2019 (COVID-19) exhibit hypercoagulability and higher venous thromboembolic risk, although its real incidence is still unknown. The aim of this study was to evaluate the incidence of venous thromboembolism (VTE) in patients with COVID-19 admitted to both intensive care units (ICUs) and medical wards (MWs). Consecutive patients admitted for COVID-19 to the MW and the ICU at Padua University Hospital, all receiving thromboprophylaxis, underwent systematic ultrasonography of the internal jugular, and the upper and lower limbs veins every 7 days (± 1 day) after the admission; and, if negative, once-weekly until discharge or death. In case of suspected pulmonary embolism, a multidetector computed tomographic angiography was performed. The primary outcome was the proportion of any deep-vein thrombosis (DVT) and symptomatic pulmonary embolism in both groups. An extended blood coagulative test was performed as well. From March 4 to April 30, 2020, a total of 85 patients were investigated, 44 (52%) in MWs and 41 (48%) in the ICU. Despite thromboprophylaxis, VTE occurred in 12 patients in the MWs (27.3%) and 31 patients in the ICU (75.6%) with an odds ratio of 9.3 (95% confidence interval (CI) 3.5-24.5; P < 0.001). Multiple-site DVT occurred in 55.6% of patients (95% CI 39.6-70.5). Increased D-dimer levels significantly correlated with VTE (P = 0.001) and death (P = 0.015). Summarizing, patients with COVID-19 admitted to the MW or ICU showed a high frequency of venous thromboembolism, despite standard-dose or high-dose thromboprophylaxis. Whether thrombosis, particularly asymptomatic events, may play a role in the morbidity and mortality of patients with COVID-19 remain to be clarified.

Indexed as

SARS-CoV-2AgedAged, 80 and overCohort StudiesCOVID-19Critical CareFemaleHumansMaleMiddle AgedVenous Thromboembolism

Identifiers

PMID32989908
PMCPMC7567296
OpenAlexW3089212484

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.