Evidence map›Paper›PMID 33954813›Full record

Observational studyRheumatology international2021

Prevalence and clinical significance of antiphospholipid antibodies in patients with coronavirus disease 2019 admitted to intensive care units: a prospective observational study.

Mostafa Najim, Alaa Rahhal, Fadi Khir, Amer Hussien Aljundi, Safae Abu Yousef, Feryal Ibrahim, Aliaa Amer, Ahmed S Mohamed, Samira Saleh, Dekra Alfaridi and 5 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
1.1field-weighted citation impact, top 19% 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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Article
  7. Article
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  9. Review
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  12. COVID-19 and antiphospholipid antibodies.Best practice & research. Clinical haematology · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Prevalence and Impact of Lupus Anticoagulant in Patients Receiving Extracorporeal Membrane Oxygenation.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
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

15 authors at 1 institution in 1 country.

Mostafa Najim *Internal Medicine Department, Hamad Medical Corporation, Doha, Qatar. MNajim@hamad.qa.ORCID http://orcid.org/0000-0003-1848-2346
Alaa Rahhal *Pharmacy Department, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-2631-0184
Fadi KhirInternal Medicine Department, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-4700-9884
Amer Hussien AljundiPharmacy Department, Hamad Medical Corporation, Doha, Qatar.
Safae Abu YousefPharmacy Department, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-7721-8118
Feryal IbrahimLaboratory Department, Hamad Medical Corporation, Doha, Qatar.
Aliaa AmerLaboratory Department, Hamad Medical Corporation, Doha, Qatar.
Ahmed S MohamedNursing Department, Hamad Medical Corporation, Doha, Qatar.
Samira SalehLaboratory Department, Hamad Medical Corporation, Doha, Qatar.
Dekra AlfaridiLaboratory Department, Hamad Medical Corporation, Doha, Qatar.
Ahmed MahfouzPharmacy Department, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-6253-1670
Sumaya AlyafeiPharmacy Department, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-7394-7567
Faraj HowadyInfectious Diseases Department, Hamad Medical Corporation, Doha, Qatar.
Mohamad KhatibMedical Intensive Care Department, Hamad Medical Corporation, Doha, Qatar.
Samar A AlemadiRheumatology Department, Hamad Medical Corporation, Doha, Qatar.
Hamad Medical Corporation · QA

Funding

Hamad Medical Corporation MRC-05-038
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) increases the risk of coagulopathy. Although the presence of antiphospholipid antibodies (aPLs) has been proposed as a possible mechanism of COVID-19-induced coagulopathy, its clinical significance remains uncertain. Therefore, this study aimed to evaluate the prevalence and clinical significance of aPLs among critically ill patients with COVID-19. This prospective observational study included 60 patients with COVID-19 admitted to intensive care units (ICU). The study outcomes included prevalence of aPLs, and a primary composite outcome of all-cause mortality and arterial or venous thrombosis between antiphospholipid-positive and antiphospholipid-negative patients during their ICU stay. Multiple logistic regression was used to assess the influence of aPLs on the primary composite outcome of mortality and thrombosis. A total of 60 critically ill patients were enrolled. Among them, 57 (95%) were men, with a mean age of 52.8 ± 12.2 years, and the majority were from Asia (68%). Twenty-two patients (37%) were found be antiphospholipid-positive; 21 of them were positive for lupus anticoagulant, whereas one patient was positive for anti-β2-glycoprotein IgG/IgM. The composite outcome of mortality and thrombosis during their ICU stay did not differ between antiphospholipid-positive and antiphospholipid-negative patients (4 [18%] vs. 6 [16%], adjusted odds ratio 0.98, 95% confidence interval 0.1-6.7; p value = 0.986). The presence of aPLs does not seem to affect the outcomes of critically ill patients with COVID-19 in terms of all-cause mortality and thrombosis. Therefore, clinicians may not screen critically ill patients with COVID-19 for aPLs unless deemed clinically appropriate.

Indexed as

SARS-CoV-2AdultAgedAntibodies, AntiphospholipidCOVID-19C-Reactive ProteinCritical IllnessFemaleHumansIntensive Care UnitsLogistic ModelsMaleMiddle AgedPrevalenceProspective StudiesThrombosisAntibodies, AntiphospholipidC-Reactive ProteinAntiphospholipid antibodiesArterial thrombosisCoagulopathyCOVID-19Critically ill patientsVenous thrombosis

Identifiers

PMID33954813
PMCPMC8098785
OpenAlexW3159422458

What OpenQuestion holds

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LicenceCC BY
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.