Evidence map›Paper›PMID 33369713›Full record

ArticleThe ultrasound journal2020

Venous Doppler ultrasound in critically Ill COVID-19 patients: game changer in anticoagulation therapy.

Marta Alfageme, Jorge González Plaza, Santiago Méndez, Juan A Gómez Patiño, María L Collado, José M Abadal, Rocío González Costero, Teresa Fontanilla, Agustín García Suárez

Open access · goldAbstract read
In one paragraph

Article in The ultrasound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Marta AlfagemeDepartment of Interventional Radiology, Hospital Universitario Puerta de Hierro, Majadahonda, España. marta.alfageme@gmail.com.ORCID http://orcid.org/0000-0001-5011-9235
Jorge González PlazaDepartment of Interventional Radiology, Hospital Universitario Puerta de Hierro, Majadahonda, España.
Santiago MéndezDepartment of Interventional Radiology, Hospital Universitario Puerta de Hierro, Majadahonda, España.
Juan A Gómez PatiñoDepartment of Interventional Radiology, Hospital Universitario Puerta de Hierro, Majadahonda, España.
María L ColladoDepartment of Interventional Radiology, Hospital Universitario Puerta de Hierro, Majadahonda, España.
José M AbadalDepartment of Interventional Radiology, Hospital Universitario Severo Ochoa, Leganés, España.
Rocío González CosteroDepartment of Interventional Radiology, Hospital Universitario Puerta de Hierro, Majadahonda, España.
Teresa FontanillaDepartment of Radiology, Hospital Universitario Puerta de Hierro, Majadahonda, España.
Agustín García SuárezDepartment of Interventional Radiology, Hospital Universitario Puerta de Hierro, Majadahonda, España.
Hospital Universitario Puerta de Hierro Majadahonda · ESHospital Universitario Severo Ochoa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 infection has been associated with a high rate of thrombotic events, such as deep vein thrombosis (DVT) and acute pulmonary embolism (APE).

methodsThe purpose of our retrospective study was to evaluate the prevalence of asymptomatic DVT in lower limbs in critically ill COVID-19 patients (n = 23) with severe respiratory failure and high levels of D-dimer by bedside Doppler ultrasound (DU).

resultsDVT was diagnosed in 14 cases (60.87%), 5 in proximal venous territory and 9 in infrapopliteal veins. Computed Tomography Pulmonary Angiography (CTPA) was performed in six patients and all of them showed acute pulmonary embolism (APE) at segmental or subsegmental branches of pulmonary arteries. These patients (APE or DVT confirmed) were treated with therapeutic doses of anticoagulant therapy.

conclusionIn critically COVID-19 ill ICU patients with severe respiratory failure and elevated D-dimer, the incidence of asymptomatic DVT is high. We propose that DU allows detection of DVT in asymptomatic patients, adding a factor that may balance the decision to fully anticoagulate these patients.

Identifiers

PMID33369713
PMCPMC7768269
OpenAlexW3106845590

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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.