Evidence map›Paper›PMID 33421462›Full record

ReviewFood and chemical toxicology : an international journal published for the British Industrial Biological Research Association2021

Thrombosis and Haemostasis challenges in COVID-19 - Therapeutic perspectives of heparin and tissue-type plasminogen activator and potential toxicological reactions-a mini review.

Laura Mazilu, Niki Katsiki, Taxiarchis Konstantinos Nikolouzakis, Minas I Aslanidis, George Lazopoulos, Dimitrios Kouretas, Aristidis Tsatsakis, Andra-Iulia Suceveanu, Anca-Pantea Stoian, Irinel-Raluca Parepa and 6 more

Open access · greenAbstract readReview
In one paragraph

Review in Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Blood Viscosity at the First Clinical Presentation in Fatal and Non-Fatal COVID-19: An Observation.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Observational
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

16 authors at 7 institutions in 3 countries.

Laura MaziluOncology Department, Clinical Emergency Hospital, Faculty of Medicine, "Ovidius" University, Constanța, Romania.
Niki KatsikiFirst Department of Internal Medicine, Diabetes Center, Division of Endocrinology and Metabolism, AHEPA University Hospital, Thessaloniki, Greece.
Taxiarchis Konstantinos NikolouzakisDepartment of Forensic Sciences and Toxicology, Faculty of Medicine, University of Crete, Greece.
Minas I AslanidisSchool of Medicine, European University, Cyprus.
George LazopoulosDepartment of Cardiothoracic Surgery, University General Hospital of Heraklion, Medical School, University of Crete, Greece.
Dimitrios KouretasDepartment of Forensic Sciences and Toxicology, Faculty of Medicine, University of Crete, Greece.
Aristidis TsatsakisDepartment of Biochemistry and Biotechnology, University of Thessaly, Larisa, 41500, Greece.
Andra-Iulia SuceveanuGastroenterology Department, Clinical Emergency Hospital, Faculty of Medicine, "Ovidius" University, Constanța, Romania.
Anca-Pantea StoianDepartment of Diabetes, Nutrition and Metabolic Diseases, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. Electronic address: ancastoian@yahoo.com.
Irinel-Raluca ParepaCardiology Department, Clinical Emergency Hospital, Faculty of Medicine, "Ovidius" University, Constanța, Romania.
Felix VoineaUrology Department, Clinical Emergency Hospital, Faculty of Medicine, "Ovidius" University, Constanța, Romania.
Adrian Paul SuceveanuInternal Medicine Department, Clinical Emergency Hospital, Faculty of Medicine, "Ovidius" University, Constanța, Romania.
Andreea Letiția ArseneFaculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Bruno Ștefan VelescuFaculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Cosmin VesaDepartment of Preclinical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
Cornelia NitipirOncology Department, Elias Emergency Hospital, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Ovidius University · ROCarol Davila University of Medicine and Pharmacy · ROUniversity of Crete · GRAHEPA University Hospital · GREuropean University Cyprus · CYUniversity of Oradea · ROUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The coronavirus disease (COVID)-19 pandemic is a major challenge for the health systems worldwide. Acute respiratory distress syndrome (ARDS), is one of the most common complications of the COVID-19 infection. The activation of the coagulation system plays an important role in the pathogenesis of ARDS. The development of lung coagulopathy involves thrombin generation and fibrinolysis inhibition. Unfractionated heparin and its recently introduced counterpart low molecular weight heparin (LMWH), are widely used anticoagulants with a variety of clinical indications allowing for limited and manageable physio-toxicologic side effects while the use of protamine sulfate, heparin's effective antidote, has made their use even safer. Tissue-type plasminogen activator (tPA) is approved as intravenous thrombolytic treatment. The present narrative review discusses the use of heparin and tPA in the treatment of COVID-19-induced ARDS and their related potential physio-toxicologic side effects. The article is a quick review of articles on anticoagulation in COVID infection and the potential toxicologic reactions associated with these drugs.

Indexed as

COVID-19HemostasisHeparinHumansThrombosisTissue Plasminogen ActivatorHeparinTissue Plasminogen ActivatorAcute respiratory distress syndromeAnticoagulantCOVID-19HeparinTissue-type plasminogen activatorToxicological side effects

Identifiers

PMID33421462
PMCPMC7837001
OpenAlexW3119449234

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.