Evidence map›Paper›PMID 33894421›Full record

ReviewThrombosis research2021

COVID-19 and thrombotic microangiopathies.

Nishant R Tiwari, Sanat Phatak, Vivek R Sharma, Sanjay K Agarwal

Open access · bronzeAbstract readReview
In one paragraph

Review in Thrombosis research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
6.8field-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

53 citing papers in PubMed, 93 citations in OpenAlex.

  1. Article
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  13. COVID-19 and Antipsychotic Therapy: Unraveling the Thrombosis Risk.International journal of molecular sciences · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. eGFRBMC nephrology · 2023
    Article
  18. Article
  19. Review
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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

4 authors at 4 institutions in 2 countries.

Nishant R TiwariDepartment of Internal Medicine, Byramjee Jeejeebhoy Government Medical College, Pune, India. Electronic address: dr.nishant.tiwari.1996@gmail.com.
Sanat PhatakDepartment of Medicine and Diabetes Unit, King Edward Memorial Hospital and Research Center, Pune, India.
Vivek R SharmaDivision of Hematology and Oncology, University of Louisville, Louisville, KY, United States.
Sanjay K AgarwalDepartment of Nephrology, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · INGovernment Medical College · INKing Edward Memorial Hospital Research Centre · INUniversity of Louisville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe COVID-19 can manifest as multiorgan dysfunction with pulmonary involvement being the most common and prominent. As more reports emerge in the literature, it appears that an exaggerated immune response in the form of unfettered complement activation and a cytokine storm may be a key driver of the widespread organ injury seen in this disease. In addition, these patients are also known to be hypercoagulable with a high rate of thrombosis and a higher-than-expected failure rate of anticoagulation. While macrovascular thrombosis is common in these individuals, the frequent finding of extensive microvascular thromboses in several series and case reports, raises the possibility of thrombotic microangiopathy (TMA) as being a contributing factor in the thrombotic and multi-organ complications of the disease. If this is correct, rapidly identifying a TMA and treating the underlying pathophysiology may allow for better outcomes in these critically ill patients. To further explore this, we reviewed the published literature on COVID-19, looking for reports describing TMA-like presentations. We summarize our findings here along with a discussion about presentation, pathophysiology, and a suggested treatment algorithm.

Indexed as

COVID-19ThrombosisThrombotic MicroangiopathiesComplement ActivationHumansSARS-CoV-2C5 inhibitionCOVID-19SARS-CoV-2ThrombosisThrombotic microangiopathyVascular injury

Identifiers

PMID33894421
PMCPMC8055926
OpenAlexW3153080283

What OpenQuestion holds

Textmetadata
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.