Evidence map›Paper›PMID 33899226›Full record

ArticleBritish journal of clinical pharmacology2021

Prior use of therapeutic anticoagulation does not protect against COVID-19 related clinical outcomes in hospitalized patients: A propensity score-matched cohort study.

Janneke P Spiegelenberg, Marleen M H J van Gelder, Martje L Maas, Marcel M C Hovens, Anne Esselink, Anton S M Dofferhoff, Rob Janssen, Josephine van de Maat, Nico Janssen, Marc Blaauw and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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  13. Association between oral anticoagulants and COVID-19-related outcomes: a population-based cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
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  14. 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

17 authors at 6 institutions in 1 country.

Janneke P SpiegelenbergDepartment of Internal Medicine, Radboud university medical center, Nijmegen, the Netherlands.
Marleen M H J van GelderDepartment for Health Evidence, Radboud Institute for Health Sciences, Radboud university medical center, Nijmegen, the Netherlands.ORCID 0000-0003-4853-4434
Martje L MaasDepartment of Internal Medicine, Bernhoven, Uden, the Netherlands.
Marcel M C HovensDepartment of Internal Medicine, Rijnstate Hospital, Arnhem, the Netherlands.
Anne EsselinkDepartment of Internal Medicine, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands.
Anton S M DofferhoffDepartment of Internal Medicine, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands.
Rob JanssenDepartment of Pulmonary Medicine, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands.
Josephine van de MaatDepartment of Internal Medicine, Radboud university medical center, Nijmegen, the Netherlands.
Nico JanssenDepartment of Internal Medicine, Radboud university medical center, Nijmegen, the Netherlands.
Marc BlaauwDepartment of Internal Medicine, Radboud university medical center, Nijmegen, the Netherlands.
Robert-Jan HassingDepartment of Internal Medicine, Rijnstate Hospital, Arnhem, the Netherlands.
Marjan van ApeldoornDepartment of Internal Medicin and Geriatricts, Jeroen Bosch Hospital, GZ,'s-Hertogenbosch, the Netherlands.
Angèle KerckhoffsDepartment of Internal Medicin and Geriatricts, Jeroen Bosch Hospital, GZ,'s-Hertogenbosch, the Netherlands.ORCID 0000-0002-4309-230X
Karin VeermanDepartment of Internal Medicine, St. Maartenskliniek, Ubbergen, The Netherlands.
Jacobien HoogerwerfDepartment of Internal Medicine, Radboud university medical center, Nijmegen, the Netherlands.
Cornelis KramersDepartment of Pharmacology-Toxicology, Radboud university medical center, Nijmegen, the Netherlands.
Jenneke LeentjensDepartment of Internal Medicine, Radboud university medical center, Nijmegen, the Netherlands.ORCID 0000-0003-3356-3910
Radboud University Nijmegen · NLCanisius-Wilhelmina Ziekenhuis · NLJeroen Bosch Ziekenhuis · NLRijnstate Hospital · NLSint Maartenskliniek · NLZiekenhuis Bernhoven · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The hypercoagulable state observed in COVID-19 could be responsible for morbidity and mortality. In this retrospective study we investigated whether therapeutic anticoagulation prior to infection has a beneficial effect in hospitalized COVID-19 patients. This study included 1154 COVID-19 patients admitted to 6 hospitals in the Netherlands between March and May 2020. We applied 1:3 propensity score matching to evaluate the association between prior therapeutic anticoagulation use and clinical outcome, with in hospital mortality as primary endpoint. In total, 190 (16%) patients used therapeutic anticoagulation prior to admission. In the propensity score matched analyses, we observed no associations between prior use of therapeutic anticoagulation and overall mortality (risk ratio 1.02 [95% confidence interval; 0.80-1.30]) or length of hospital stay (7.0 [4-12] vs. 7.0 [4-12] days, P = .69), although we observed a lower risk of pulmonary embolism (0.19 [0.05-0.80]). This study shows that prior use of therapeutic anticoagulation is not associated with improved clinical outcome in hospitalized COVID-19 patients.

Indexed as

COVID-19AnticoagulantsCohort StudiesHumansPropensity ScoreRetrospective StudiesSARS-CoV-2Anticoagulantsanticoagulationcorona virus disease 2019direct oral anticoagulantspulmonary embolismthromboprophylaxisthrombosisvitamin K antagonist

Identifiers

PMID33899226
PMCPMC8250934
OpenAlexW3157186137

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.