Evidence map›Paper›PMID 33486940›Full record

Observational studyTurkish journal of haematology : official journal of Turkish Society of Haematology2021

Prognostic Value of Antithrombin Levels in COVID-19 Patients and Impact of Fresh Frozen Plasma Treatment: A Retrospective Study

İlkay Anaklı, Perihan Ergin Özcan, Özlem Polat, Günseli Orhun, Gülçin Hilal Alay, Verda Tuna, Emre Çeliksoy, Mehmet Kılıç, Mutlu Mercan, Achmet Ali and 2 more

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Turkish journal of haematology : official journal of Turkish Society of Haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  12. Observational
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  15. Antithrombin, COVID-19, and Fresh Frozen Plasma TreatmentTurkish journal of haematology : official journal of Turkish Society of Haematology · 2021
    Article
  16. Antithrombin Therapy: Current State and Future Outlook.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  17. Prognostic Value of Antithrombin Activity Levels in the Early Phase of Intensive Care: A 2-Center Retrospective Cohort Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

İlkay Anaklıİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyORCID 0000-0002-0403-4860
Perihan Ergin Özcanİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyORCID 0000-0001-7986-4984
Özlem Polatİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyORCID 0000-0003-0173-3604
Günseli Orhunİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyORCID 0000-0001-9259-9249
Gülçin Hilal Alayİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, Turkey
Verda Tunaİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyORCID 0000-0002-0890-0324
Emre Çeliksoyİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyORCID 0000-0003-0692-2957
Mehmet Kılıçİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, Turkey
Mutlu Mercanİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyORCID 0000-0002-3396-9286
Achmet Aliİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyORCID 0000-0002-7224-6654
Sevgi Beşışıkİstanbul University, İstanbul Faculty of Medicine, Department of Internal Medicine, Division of Hematology, İstanbul, Turkey
Figen Esenİstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyORCID 0000-0003-4419-4903
Istanbul University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The defective interplay between coagulation and inflammation may be the leading cause of intravascular coagulation and organ dysfunction in coronavirus disease-19 (COVID-19) patients. Abnormal coagulation profiles were reported to be associated with poor outcomes. In this study, we assessed the prognostic values of antithrombin (AT) activity levels and the impact of fresh frozen plasma (FFP) treatment on outcome. Materials and Methods: Conventional coagulation parameters as well as AT activity levels and outcomes of 104 consecutive critically ill acute respiratory distress syndrome (ARDS) patients with laboratory-confirmed COVID-19 disease were retrospectively analyzed. Patients with AT activity below 75% were treated with FFP. Maximum AT activity levels achieved in those patients were recorded. Results: AT activity levels at admission were significantly lower in nonsurvivors than survivors (73% vs. 81%). The cutoff level for admission AT activity was 79% and 58% was the lowest AT for survival. The outcome in those patients who had AT activity levels above 75% after FFP treatment was better than that of the nonresponding group. As well as AT, admission values of D-dimer, C-reactive protein, and procalcitonin were coagulation and inflammatory parameters among the mortality risk factors. Conclusion: AT activity could be used as a prognostic marker for survival and organ failure in COVID-19-associated ARDS patients. AT supplementation therapy with FFP in patients with COVID-19-induced hypercoagulopathy may improve thrombosis prophylaxis and thus have an impact on survival.

Indexed as

AgedAged, 80 and overAntithrombinsBlood Coagulation TestsCase-Control StudiesCOVID-19C-Reactive ProteinCritical IllnessDisseminated Intravascular CoagulationFemaleFibrin Fibrinogen Degradation ProductsHumansMaleMiddle AgedMultiple Organ FailurePlasmaAntithrombinsC-Reactive ProteinFibrin Fibrinogen Degradation Productsfibrin fragment DProcalcitoninAntithrombinCOVID-19Fresh frozen plasmaHypercoagulopathyMortality

Identifiers

PMID33486940
PMCPMC7927448
OpenAlexW3123225191

What OpenQuestion holds

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LicenceCC BY
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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.