Evidence map›Paper›PMID 33535120›Full record

ArticleThrombosis research2021

Incidence of thrombotic complications and overall survival in hospitalized patients with COVID-19 in the second and first wave.

Dutch COVID & Thrombosis Coalition, F H J Kaptein, M A M Stals, M Grootenboers, S J E Braken, J L I Burggraaf, B C T van Bussel, S C Cannegieter, H Ten Cate, H Endeman and 16 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Thrombosis research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05240742 (Persistent Complaints After COVID-19), which is not on this map. Cited by 79 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 7 pooled it
2.5field-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.

NCT05240742 completednot on this map

Persistent Complaints After COVID-19: Epidemiology, Pathophysiology, Prediction, and Communication, the CORona Follow Up (CORFU) Study

TypeobservationalSponsorMaastricht University Medical CenterRan2021 to 2024Enrolled4,291ConditionsCOVID-19, Long COVID, Post COVID-19 ConditionArmsno intervention, the CORFU study conducts analyses based on data which has been prospectively collected (and aggregated when possible) in 7 existing cohorts
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 7 syntheses or guidelines pooled it, 127 citations in OpenAlex.

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19 more citing papers are in PubMed but not listed here.

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

26 authors at 8 institutions in 1 country.

Dutch COVID & Thrombosis Coalition
F H J KapteinDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
M A M StalsDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
M GrootenboersDepartment of Pulmonology, Amphia Hospital Breda, the Netherlands.
S J E BrakenDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
J L I BurggraafDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
B C T van BusselDepartment of Intensive Care Medicine, Maastricht, UMC+, Maastricht, the Netherlands; Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands.
S C CannegieterDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands; Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
H Ten CateDepartment of Internal Medicine, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands.
H EndemanDepartment of Adult Intensive Care, Erasmus MC, Erasmus University Medical Center, Rotterdam, the Netherlands.
D A M P J GommersDepartment of Adult Intensive Care, Erasmus MC, Erasmus University Medical Center, Rotterdam, the Netherlands.
C van GuldenerDepartment of Internal Medicine, Amphia Hospital Breda, the Netherlands.
E de JongeDepartment of Intensive Care Medicine, Leiden University Medical Center, Leiden, the Netherlands.
N P JuffermansDepartment of Intensive Care Medicine, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.
K M KantDepartment of Intensive Care Medicine, Amphia Hospital Breda, the Netherlands.
M E KevenaarDepartment of Internal Medicine, Franciscus Gasthuis& Vlietland, Rotterdam, the Netherlands.
S KosterDepartment of Intensive Care Medicine, Zaans Medical Center, Zaandam, the Netherlands.
L J M KroftDepartment of Radiology, Leiden University Medical Center, Leiden, the Netherlands.
M J H A KruipDepartment of Hematology, Erasmus MC, Erasmus University Medical Center, Rotterdam, the Netherlands.
J LeentjensDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
C MarechalDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
Y L SoeiDepartment of Internal Medicine, Franciscus Gasthuis& Vlietland, Rotterdam, the Netherlands.
L TjepkemaDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
C VisserDepartment of Hematology, Erasmus MC, Erasmus University Medical Center, Rotterdam, the Netherlands.
F A KlokDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
M V HuismanDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
Leiden University Medical Center · NLErasmus MC · NLAmphia Ziekenhuis · NLMaastricht University · NLSint Franciscus Gasthuis · NLOLVG · NLRadboud University Medical Center · NLZaans Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn the first wave, thrombotic complications were common in COVID-19 patients. It is unknown whether state-of-the-art treatment has resulted in less thrombotic complications in the second wave.

methodsWe assessed the incidence of thrombotic complications and overall mortality in COVID-19 patients admitted to eight Dutch hospitals between September 1st and November 30th 2020. Follow-up ended at discharge, transfer to another hospital, when they died, or on November 30th 2020, whichever came first. Cumulative incidences were estimated, adjusted for competing risk of death. These were compared to those observed in 579 patients admitted in the first wave, between February 24th and April 26th 2020, by means of Cox regression techniques adjusted for age, sex and weight.

resultsIn total 947 patients with COVID-19 were included in this analysis, of whom 358 patients were admitted to the ICU; 144 patients died (15%). The adjusted cumulative incidence of all thrombotic complications after 10, 20 and 30 days was 12% (95% confidence interval (CI) 9.8-15%), 16% (13-19%) and 21% (17-25%), respectively. Patient characteristics between the first and second wave were comparable. The adjusted hazard ratio (HR) for overall mortality in the second wave versus the first wave was 0.53 (95%CI 0.41-0.70). The adjusted HR for any thrombotic complication in the second versus the first wave was 0.89 (95%CI 0.65-1.2).

conclusionsMortality was reduced by 47% in the second wave, but the thrombotic complication rate remained high, and comparable to the first wave. Careful attention to provision of adequate thromboprophylaxis is invariably warranted.

Indexed as

AgedAged, 80 and overCohort StudiesCOVID-19Critical IllnessFemaleHospitalizationHumansIncidenceMaleMiddle AgedNetherlandsProportional Hazards ModelsPulmonary EmbolismSARS-CoV-2ThrombosisAnticoagulantsBlood coagulation disordersCOVID-19Critical illnessDiagnostic imagingIncidenceVenous thromboembolism

Identifiers

PMID33535120
PMCPMC7832218
OpenAlexW3114417951

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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.