Evidence map›Paper›PMID 33185785›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2021

Low molecular weight heparin in COVID-19 patients prevents delirium and shortens hospitalization.

Damiano D'Ardes, Claudia Carrarini, Mirella Russo, Fedele Dono, Rino Speranza, Anna Digiovanni, Giovanni Martinotti, Angelo Di Iorio, Marco Onofrj, Francesco Cipollone and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 16% 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, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Five-decade prevalence of delirium in pneumonia, risk factors and associated mortality: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Pooled it
  3. Anticoagulants for people hospitalised with COVID-19: a rapid reviewThe Cochrane database of systematic reviews · 2022
    Pooled it
  4. Article
  5. Observational
  6. Review
  7. Review
  8. Article
  9. Review
  10. Delirium in COVID-19 patients: a multicentric observational study in Italy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Observational
  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

11 authors at 1 institution in 1 country.

Damiano D'ArdesDepartment of Medicine and Aging Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0001-5573-4536
Claudia CarrariniDepartment of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0003-0718-9929
Mirella RussoDepartment of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0002-9937-5923
Fedele DonoDepartment of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0003-3575-2942
Rino SperanzaDepartment of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.
Anna DigiovanniDepartment of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.
Giovanni MartinottiDepartment of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0002-7292-2341
Angelo Di IorioDepartment of Medicine and Aging Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0003-2899-146X
Marco OnofrjDepartment of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0002-0480-2495
Francesco CipolloneDepartment of Medicine and Aging Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0002-5993-9341
Laura BonanniDepartment of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy. l.bonanni@unich.it.ORCID https://orcid.org/0000-0001-7443-9233
University of Chieti-Pescara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 patients present with delirium during their hospitalization.

aimsTo assess the incidence of delirium in hospitalized COVID-19 patients and analyze the possible association with demographic, clinical, laboratory, and pharmacological factors.

methodsCOVID-19 patients were assessed for clinical signs of delirium and administered the assessment test for delirium and cognitive impairment (4AT) and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) scales.

resultsOut of the 56 patients of our cohort, 14 (25.0%) experienced delirium. The use of low molecular weight heparin (LMWH) (enoxaparin 1 mg/kg/daily) was less frequent in patients with delirium (p = 0.004) and was accompanied by lower C reactive protein (CRP) levels (p = 0.006). DISCUSSION: The use of LMWH was associated with absence of delirium, independently of comorbidities and age.

conclusionsThe use of LMWH may help preventing the occurrence of delirium in COVID-19 patients, with possible reduction of length of stay in the hospital and sequelae.

Indexed as

AgedAged, 80 and overAnticoagulantsCognition DisordersCohort StudiesComorbidityConfusionCOVID-19C-Reactive ProteinDeliriumEnoxaparinFemaleHeparin, Low-Molecular-WeightHumansInpatientsLength of StayAnticoagulantsC-Reactive ProteinEnoxaparinHeparin, Low-Molecular-WeightCOVID-19C reactive proteinDeliriumLow molecular weight heparin

Identifiers

PMID33185785
PMCPMC7664586
OpenAlexW3099370730

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.