Evidence map›Paper›PMID 33142844›Full record

ReviewCells2020

Hyperthrombotic Milieu in COVID-19 Patients.

Mohamed Hassan Kamel, Wenqing Yin, Chris Zavaro, Jean M Francis, Vipul C Chitalia

Abstract readReview
In one paragraph

Review in Cells, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
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  8. Anticoagulant therapy in COVID-19: A narrative review.Clinical and translational science · 2023
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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

5 authors.

Mohamed Hassan KamelRenal Section, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA.
Wenqing YinRenal Section, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA.
Chris ZavaroRenal Section, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA.
Jean M FrancisRenal Section, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA.
Vipul C ChitaliaRenal Section, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA.

Funding

Thrombotic complication of uremia: role of prothrombotic uremic solutesR01HL132325 · NHLBI · BOSTON MEDICAL CENTER · PI CHITALIA, VIPUL C · 2016 to 2019
$1.7M
NHLBI NIH HHS R01 HL132325
6 · The paper itself

Abstract

COVID-19 infection has protean systemic manifestations. Experience from previous coronavirus outbreaks, including the current SARS-CoV-2, has shown an augmented risk of thrombosis of both macrovasculature and microvasculature. The former involves both arterial and venous beds manifesting as stroke, acute coronary syndrome and venous thromboembolic events. The microvascular thrombosis is an underappreciated complication of SARS-CoV-2 infection with profound implications on the development of multisystem organ failure. The telltale signs of perpetual on-going coagulation and fibrinolytic cascades underscore the presence of diffuse endothelial damage in the patients with COVID-19. These parameters serve as strong predictors of mortality. While summarizing the alterations of various components of thrombosis in patients with COVID-19, this review points to the emerging evidence that implicates the prominent role of the extrinsic coagulation cascade in COVID-19-related coagulopathy. These mechanisms are triggered by widespread endothelial cell damage (endotheliopathy), the dominant driver of macro- and micro-vascular thrombosis in these patients. We also summarize other mediators of thrombosis, clinically relevant nuances such as the occurrence of thromboembolic events despite thromboprophylaxis (breakthrough thrombosis), current understanding of systemic anticoagulation therapy and its risk-benefit ratio. We conclude by emphasizing a need to probe COVID-19-specific mechanisms of thrombosis to develop better risk markers and safer therapeutic targets.

Indexed as

AnticoagulantsBlood CoagulationCOVID-19HumansSARS-CoV-2ThrombosisVenous ThromboembolismAnticoagulantsCoronavirusCOVID-19embolismendotheliopathykidney failuremicrovascular thrombosismyocardial infarctionrespiratory failureSARS-CoV2strokesthrombosisVTE

Identifiers

PMID33142844
PMCPMC7694011

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.