Evidence map›Paper›PMID 33657964›Full record

ReviewPostgraduate medicine2021

Prophylaxis and treatment of COVID-19 related venous thromboembolism.

F H J Kaptein, M A M Stals, M V Huisman, F A Klok

Open access · hybridAbstract readReview
In one paragraph

Review in Postgraduate medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Thromboprophylaxis in Pregnant Women with COVID-19: An Unsolved Issue.International journal of environmental research and public health · 2023
    Review
  6. Article
  7. Article
  8. Observational
  9. Observational
  10. Article
  11. COVID-19 Advanced Care.Journal of personalized medicine · 2021
    Review
  12. Review
  13. Review
  14. Article
  15. Review
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

4 authors at 1 institution in 1 country.

F H J KapteinDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0003-2274-4820
M A M StalsDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0003-2328-7705
M V HuismanDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0003-1423-5348
F A KlokDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0001-9961-0754
Leiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 pneumonia has been associated with high rates of thrombo-embolic complications, mostly venous thromboembolism (VTE), which is thought to be a combination of conventional VTE and in situ immunothrombosis in the pulmonary vascular tree. The incidence of thrombotic complications is dependent on setting (intensive care unit (ICU) versus general ward) and the threshold for performing diagnostic tests (screening versus diagnostic algorithms triggered by symptoms). Since these thrombotic complications are associated with in-hospital mortality, all current guidelines and consensus papers propose pharmacological thromboprophylaxis in all hospitalized patients with COVID-19. Several trials are ongoing to study the optimal intensity of anticoagulation for this purpose. As for the management of thrombotic complications, treatment regimens from non-COVID-19 guidelines can be adapted, with choice of anticoagulant drug class dependent on the situation. Parenteral anticoagulation is preferred for patients on ICUs or with impending clinical deterioration, while oral treatment can be started in stable patients. This review describes current knowledge on incidence and pathophysiology of COVID-19 associated VTE and provides an overview of guideline recommendations on thromboprophylaxis and treatment of established VTE in COVID-19 patients.

Indexed as

Disease ManagementVenous ThromboembolismChemopreventionCOVID-19HumansIncidencePractice Guidelines as TopicSARS-CoV-2anticoagulantsblood coagulation disordersCOVID-19incidencephysiopathologyprophylaxistreatmentvenous thromboembolism

Identifiers

PMID33657964
PMCPMC7938649
OpenAlexW3135063760

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.