Evidence map›Paper›PMID 33079850›Full record

ReviewAnesthesia and analgesia2020

COVID-19-Associated Coagulopathy and Inflammatory Response: What Do We Know Already and What Are the Knowledge Gaps?

Klaus Görlinger, Daniel Dirkmann, Ajay Gandhi, Paolo Simioni

Registry-linked trialAbstract readReview
In one paragraph

Review in Anesthesia and analgesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04623619 (Use of Acetyl L-Carnitine in Patients With Covid-19 Pneumonia), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing 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.

NCT04623619 naunknown statusnot on this map

Use of Acetyl L-Carnitine in Patients With Covid-19 Pneumonia

TypeinterventionalSponsorAzienda Ospedaliera Universitaria Policlinico Paolo Giaccone PalermoRan2020 to 2021Enrolled100ConditionsCovid19ArmsAcetyl L-Carnitine
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. High-impact papers in the field of anesthesiology: a 10-year cross-sectional study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. COVID-Associated Avascular Necrosis of the Maxilla-A Rare, New Side Effect of COVID-19.Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 2022
    Review
  14. Article
  15. Review
  16. Fibrinolysis and D-dimer in COVID-19: A Twisted Plot!Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  17. Review
  18. Observational
  19. Article
  20. 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

4 authors.

Klaus GörlingerFrom the Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Daniel DirkmannFrom the Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Ajay GandhiClinical Department, Instrumentation Laboratory India Private Limited, New Delhi, India.
Paolo SimioniGeneral Internal Medicine and Thrombotic and Haemorrhagic Diseases Units, Department of Medicine, Padova University Hospital, Padova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with coronavirus disease 2019 (COVID-19) frequently experience a coagulopathy associated with a high incidence of thrombotic events leading to poor outcomes. Here, biomarkers of coagulation (such as D-dimer, fibrinogen, platelet count), inflammation (such as interleukin-6), and immunity (such as lymphocyte count) as well as clinical scoring systems (such as sequential organ failure assessment [SOFA], International Society on Thrombosis and Hemostasis disseminated intravascular coagulation [ISTH DIC], and sepsis-induced coagulopathy [SIC] score) can be helpful in predicting clinical course, need for hospital resources (such as intensive care unit [ICU] beds, intubation and ventilator therapy, and extracorporeal membrane oxygenation [ECMO]) and patient's outcome in patients with COVID-19. However, therapeutic options are actually limited to unspecific supportive therapy. Whether viscoelastic testing can provide additional value in predicting clinical course, need for hospital resources and patient's outcome or in guiding anticoagulation in COVID-19-associated coagulopathy is still incompletely understood and currently under investigation (eg, in the rotational thromboelastometry analysis and standard coagulation tests in hospitalized patients with COVID-19 [ROHOCO] study). This article summarizes what we know already about COVID-19-associated coagulopathy and-perhaps even more importantly-characterizes important knowledge gaps.

Indexed as

AnticoagulantsAnti-Inflammatory AgentsBetacoronavirusBiomarkersBlood CoagulationCoronavirus InfectionsCOVID-19Evidence-Based MedicineFibrin Fibrinogen Degradation ProductsHospital MortalityHost-Pathogen InteractionsHumansInflammationInflammation MediatorsPandemicsPneumonia, ViralAnticoagulantsAnti-Inflammatory AgentsBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DInflammation Mediators

Identifiers

PMID33079850
PMCPMC7389937

What OpenQuestion holds

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Read underepoch 390

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.