Evidence map›Paper›PMID 33534149›Full record

ArticleJournal of thrombosis and haemostasis : JTH2021

Clinical characteristics and risk factors for symptomatic venous thromboembolism in hospitalized COVID-19 patients: A multicenter retrospective study.

Jun-Ying Li, Hong-Fei Wang, Ping Yin, Di Li, Di-Le Wang, Peng Peng, Wei-Hua Wang, Lan Wang, Xiao-Wei Yuan, Jin-Yuan Xie and 14 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
12.0field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 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

24 authors at 13 institutions in 4 countries.

Jun-Ying LiInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hong-Fei WangDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Ping YinDepartment of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Di LiDepartment of Medical Records Management and Statistics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Di-Le WangDepartment of Vascular Surgery, Central Hospital of Wuhan City, Wuhan, China.
Peng PengWuhan Pulmonary Hospital, Wuhan, China.
Wei-Hua WangWuhan Pulmonary Hospital, Wuhan, China.
Lan WangWuhan HuoShenShan Hospital, Wuhan, China.
Xiao-Wei YuanDepartment of Otorhinolaryngology, People's Hospital of Dongxihu District, Wuhan, China.
Jin-Yuan XieDepartment of Orthopedics Surgery, The First People's Hospital of Jingmen, Jingmen, China.
Fan ZhouDepartment of Medicine, Huang Gang Central Hospital, Huanggang, China.
Nian XiongDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Feng ShaoDepartment of Intensive Care Unit, Jingzhou Central Hospital, The Second Clinical Medical College, Yangtze University, Jingzhou, China.
Chun-Xiu WangThe First People's Hospital of Tianmen City, Tianmen, China.
Xiang TongDepartment of Neurosurgery, The People's Hospital of Honghu, Honghu, China.
Hao YeDepartment of Infectious Diseases, The People's Hospital of Jingshan, Jingshan, China.
Wen-Jun WanDepartment of Hepatobiliary Surgery, Xishui County People's Hospital, Huanggang, China.
Ben-De LiuDepartment of Emergency Medicine, First People's Hospital of Jiangxia District, Wuhan, China.
Wen-Zhu LiDepartment of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Qian LiMOE Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Liang V TangInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0000-0002-3253-0220
Yu HuInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Gregory Y H LipLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK.
Thrombo-COVID-19 Collaborative
Union Hospital · CNHuazhong University of Science and Technology · CNWuhan Pulmonary Hospital · CNCentral Hospital of Wuhan · CNFirst People’s Hospital of Jingmen · CNHonghu People’s Hospital · CNHuanggang Central Hospital · CNThe First People's Hospital of Jiangxia District · CNThe First People's Hospital of Tianmen · CNUniversity of Liverpool · GBWuhan Blood Center · CNWuhan Dongxihu District People Hospital · CNYangtze University · CN

Funding

National Natural Science Foundation of China 31620103909National Natural Science Foundation of China 81973995Program for HUST Academic Frontier Youth Team 2018QYTD14
6 · The paper itself

Abstract

backgroundHigh incidence of asymptomatic venous thromboembolism (VTE) has been observed in severe COVID-19 patients, but the characteristics of symptomatic VTE in general COVID-19 patients have not been described.

objectivesTo comprehensively explore the prevalence and reliable risk prediction for VTE in COVID-19 patients. METHODS/

resultsThis retrospective study enrolled all COVID-19 patients with a subsequent VTE in 16 centers in China from January 1 to March 31, 2020. A total of 2779 patients were confirmed with COVID-19. In comparison to 23,434 non-COVID-19 medical inpatients, the odds ratios (ORs) for developing symptomatic VTE in severe and non-severe hospitalized COVID-19 patients were 5.94 (95% confidence interval [CI] 3.91-10.09) and 2.79 (95% CI 1.43-5.60), respectively. When 104 VTE cases and 208 non-VTE cases were compared, pulmonary embolism cases had a higher rate for in-hospital death (OR 6.74, 95% CI 2.18-20.81). VTE developed at a median of 21 days (interquartile range 13.25-31) since onset. Independent factors for VTE were advancing age, cancer, longer interval from symptom onset to admission, lower fibrinogen and higher D-dimer on admission, and D-dimer increment (DI) ≥1.5-fold; of these, DI ≥1.5-fold had the most significant association (OR 14.18, 95% CI 6.25-32.18, p = 2.23 × 10

conclusionsThere is an excess risk of VTE in hospitalized COVID-19 patients. This novel model can aid early identification of patients who are at high risk for VTE.

Indexed as

AgedBiomarkersChinaCOVID-19COVID-19 SerotherapyFemaleFibrin Fibrinogen Degradation ProductsHospital MortalityHumansImmunization, PassiveMaleMiddle AgedRetrospective StudiesRisk FactorsSARS-CoV-2Venous ThromboembolismBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DCOVID-19D-dimer incrementSARS-CoV-2thrombosisvenous thromboembolism

Identifiers

PMID33534149
PMCPMC8014692
OpenAlexW3126525609

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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.