Evidence map›Paper›PMID 33529719›Full record

SynthesisJournal of vascular surgery. Venous and lymphatic disorders2021

A systematic review and meta-analysis of incidence, prognosis, and laboratory indicators of venous thromboembolism in hospitalized patients with coronavirus disease 2019.

Yandong Liu, Jiawei Cai, Chao Wang, Jie Jin, Lefeng Qu

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of vascular surgery. Venous and lymphatic disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04998799 (Current Practices on Antithrombotic Therapy in Hospitalised and Discharged Patients With COVID-19), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.6field-weighted citation impact, top 6% 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.

NCT04998799 completednot on this map

Current Practices on Antithrombotic Therapy in Hospitalised and Discharged Patients With COVID-19

TypeobservationalSponsorNMC Specialty HospitalRan2021 to 2021Enrolled435ConditionsCOVID-19 Pneumonia, Thrombosis, COVID-19 Acute Respiratory Distress Syndrome, Severe Acute Respiratory Syndrome (SARS) PneumoniaArmsCurrent clinical practices of participating physicians
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
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  15. Observational
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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

5 authors at 1 institution in 1 country.

Yandong LiuDepartment of Vascular and Endovascular Surgery, Changzheng Hospital, Naval Medical University, Shanghai, China.
Jiawei CaiDepartment of Vascular and Endovascular Surgery, Changzheng Hospital, Naval Medical University, Shanghai, China.
Chao WangDepartment of Vascular and Endovascular Surgery, Changzheng Hospital, Naval Medical University, Shanghai, China.
Jie JinDepartment of Vascular and Endovascular Surgery, Changzheng Hospital, Naval Medical University, Shanghai, China.
Lefeng QuDepartment of Vascular and Endovascular Surgery, Changzheng Hospital, Naval Medical University, Shanghai, China. Electronic address: qulefeng@smmu.edu.cn.
Shanghai Changzheng Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe have summarized the incidence, anticoagulation panels, laboratory characteristics, and mortality of venous thromboembolism (VTE) in hospitalized patients with coronavirus disease 2019 (COVID-19).

methodsAfter systematically searching PubMed, Embase, the Cochrane Library, MedRxiv, and BioRxiv, a systematic review and meta-analysis of 18 retrospective, 6 prospective observational, and 2 cross-sectional studies was performed according to the guidelines of the PRISMA (preferred reporting items for systematic reviews and meta-analyses) statement.

resultsOverall, 4382 hospitalized patients with COVID-19 were included. Men accounted for significantly more patients than did women (odds ratio [OR], 1.59; 95% confidence interval [CI], 1.25-2.02; P < .001). The total incidence of VTE among the patients with COVID-19 was 28.3% (95% CI, 21.6%-35.4%), with an incidence of 38.0% (95% CI, 29.1%-47.4%) and 17.2% (95% CI, 11.4%-23.8%) among those with severe and general COVID-19, respectively. The total incidence of deep vein thrombosis (DVT) of the lower extremities was 18.3% (95% CI, 10.8%-27.2%). The incidence of DVT was 22.1% (95% CI, 11.0%-35.5%) and 12.8% (95% CI, 5.0%-23.3%) in those with severe and general COVID-19, respectively. The total incidence of pulmonary embolism was 17.6% (95% CI, 12.3%-23.5%), with a rate of 21.7% (95% CI, 14.8%-29.3%) in severe cases and 12.5% (95% CI, 6.1%-23.5%) in general cases. When COVID-19 severity was unclassified, the mortality for the patients with VTE was not significantly greater (25.2%; 95% CI, 12.2%-40.5%) than that for those without VTE (10.2%; 95% CI, 3.4%-19.5%; OR, 1.88; 95% CI, 0.46-7.64; P = .377). However, among the patients with severe COVID-19, those who had developed VTE had significantly greater mortality compared with those without VTE (OR, 2.02; 95% CI, 1.15-3.53; P = .014). The patients with COVID-19 and VTE had significantly higher D-dimer levels than did similar patients without VTE in multiple studies.

conclusionsThe occurrence of VTE, DVT, and pulmonary embolism has been substantial among hospitalized patients with COVID-19, especially among those with severe COVID-19. Patients with severe COVID-19 and VTE had significantly greater mortality compared with similar patients without VTE. An increased D-dimer level might be an indicator of the occurrence of VTE in patients with COVID-19.

Indexed as

Blood CoagulationBlood Coagulation TestsHospitalizationAdultAgedAged, 80 and overBiomarkersCOVID-19FemaleFibrin Fibrinogen Degradation ProductsHumansIncidenceMaleMiddle AgedPredictive Value of TestsPrognosisBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DCOVID-19D-dimerDeep vein thrombosisPulmonary embolismVenous thromboembolism

Identifiers

PMID33529719
PMCPMC7847192
OpenAlexW3127437805

What OpenQuestion holds

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Registered trials

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.