Evidence map›Paper›PMID 33137615›Full record

SynthesisJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2021

COVID-19 and Major Organ Thromboembolism: Manifestations in Neurovascular and Cardiovascular Systems.

Presaad Pillai, Joyce Pauline Joseph, Nurul Huda Mohamad Fadzillah, Masliza Mahmod

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.6field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
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  6. Article
  7. Review
  8. Review
  9. COVID-19: A methyl-group assault?Medical hypotheses · 2021
    Article
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  11. 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

4 authors at 3 institutions in 2 countries.

Presaad PillaiDepartment of Neurology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia. Electronic address: presaad87@gmail.com.
Joyce Pauline JosephDepartment of Neurology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia. Electronic address: jpjmy@yahoo.com.
Nurul Huda Mohamad FadzillahGenitourinary and HIV Medicine, Oxfordshire Sexual Health Oxford University Hospitals NHS Trust, United Kingdom. Electronic address: huda.fadzillah@ouh.nhs.uk.
Masliza MahmodDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, John Radcliffe Hospital, Oxford, United Kingdom. Electronic address: masliza.mahmod@cardiov.ox.ac.uk.
Hospital Kuala Lumpur · MYJohn Radcliffe Hospital · GBOxford University Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been shown to cause multisystemic damage. We undertook a systematic literature review and comprehensive analysis of a total of 55 articles on arterial and venous thromboembolism in COVID-19 and articles on previous pandemics with respect to thromboembolism and compared the similarities and differences between them. The presence of thrombosis in multiple organ systems points to thromboembolism being an integral component in the pathogenesis of this disease. Thromboembolism is likely to be the main player in the morbidity and mortality of COVID -19 in which the pulmonary system is most severely affected. We also hypothesize that D-dimer values could be used as an early marker for prognostication of disease as it has been seen to be raised even in the pre-symptomatic stage. This further strengthens the notion that thromboembolism prevention is necessary. We also examined literature on the neurovascular and cardiovascular systems, as the manifestation of thromboembolic phenomenon in these two systems varied, suggesting different pathophysiology of damage. Further research into the role of thromboembolism in COVID-19 is important to advance the understanding of the virus, its effects and to tailor treatment accordingly to prevent further casualties from this pandemic.

Indexed as

Arterial Occlusive DiseasesCerebrovascular DisordersCOVID-19COVID-19 Drug TreatmentFibrinolytic AgentsHumansPrognosisPulmonary EmbolismRisk AssessmentRisk FactorsVenous ThromboembolismVenous ThrombosisFibrinolytic AgentsCardiovascular diseaseCOVID-19D-dimerImmunothrombosisNeurovascular diseaseThromboembolism

Identifiers

PMID33137615
PMCPMC7584882
OpenAlexW3094282797

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.