Evidence map›Paper›PMID 33440114›Full record

ReviewKorean journal of anesthesiology2021

The role of rotational thromboelastometry during the COVID-19 pandemic: a narrative review.

Klaus Görlinger, Hawra Almutawah, Fatimah Almutawaa, Maryam Alwabari, Zahra Alsultan, Jumanah Almajed, Mahmoud Alwabari, Maryam Alsultan, Duri Shahwar, Khaled Ahmed Yassen

Open access · goldAbstract readReview
In one paragraph

Review in Korean journal of anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Observational
  8. Review
  9. Article
  10. Review
  11. Review
  12. Fibrinolysis and D-dimer in COVID-19: A Twisted Plot!Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  13. Article
  14. Review
  15. Observational
  16. Observational
  17. Review
  18. Clot Stiffness Measured By Seer Sonorheometry As a Marker Of Poor Prognosis In Hospitalized COVID-19 Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  19. Article
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

10 authors at 2 institutions in 2 countries.

Klaus GörlingerDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Hawra AlmutawahCollege of Medicine, King Faisal University, Al-Ahsa, Hofuf, Saudi Arabia.
Fatimah AlmutawaaCollege of Medicine, King Faisal University, Al-Ahsa, Hofuf, Saudi Arabia.
Maryam AlwabariCollege of Medicine, King Faisal University, Al-Ahsa, Hofuf, Saudi Arabia.
Zahra AlsultanCollege of Medicine, King Faisal University, Al-Ahsa, Hofuf, Saudi Arabia.
Jumanah AlmajedCollege of Medicine, King Faisal University, Al-Ahsa, Hofuf, Saudi Arabia.
Mahmoud AlwabariCollege of Medicine, King Faisal University, Al-Ahsa, Hofuf, Saudi Arabia.
Maryam AlsultanCollege of Medicine, King Faisal University, Al-Ahsa, Hofuf, Saudi Arabia.
Duri ShahwarDivision of Anesthesia, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Hofuf, Saudi Arabia.
Khaled Ahmed YassenDivision of Anesthesia, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Hofuf, Saudi Arabia.
King Faisal University · SAUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) pandemic is currently recognized as a global health crisis. This viral infection is frequently associated with hypercoagulability, with a high incidence of thromboembolic complications that can be fatal. In many situations, the standard coagulation tests (SCT) fail to detect this state of hypercoagulability in patients with COVID-19 since clotting times are either not or only mildly affected. The role of viscoelastic tests such as rotational thromboelastometry (ROTEM®) during this pandemic is explored in this review. COVID-19-associated coagulopathy, as measured using the rotational thromboelastometry parameters, can vary from hypercoagulability due to increased fibrin polymerization and decreased fibrinolysis to bleeding from hypocoagulability. The use of a multimodal diagnostic and monitoring approach, including both rotational thromboelastometry and SCT, such as plasma fibrinogen and D-dimer concentrations, is recommended. Rotational thromboelastometry provides comprehensive information about the full coagulation status of each patient and detects individual variations. Since COVID-19-associated coagulopathy is a very dynamic process, the phenotype can change during the course of infection and in response to anticoagulation therapy. Data from published literature provide evidence that the combination of rotational thromboelastometry and SCT analysis is helpful in detecting hemostasis issues, guiding anticoagulant therapy, and improving outcomes in COVID-19 patients. However, more research is needed to develop evidence-based guidelines and protocols.

Indexed as

PandemicsCOVID-19HumansSARS-CoV-2ThrombelastographyThromboembolismAnticoagulantsBlood coagulation disordersCOVID-19FibrinolysisSARSCoV-2ThrombelastographyThrombophilia

Identifiers

PMID33440114
PMCPMC8024216
OpenAlexW3118568072

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.