Evidence map›Paper›PMID 34086266›Full record

ArticleAdvances in therapy2021

Platelet Reactivity and Coagulation Markers in Patients with COVID-19.

Adriadne J Bertolin, Talia F Dalçóquio, Rocío Salsoso, Remo H de M Furtado, Roberto Kalil-Filho, Ludhmila A Hajjar, Rinaldo F Siciliano, Esper G Kallás, Luciano M Baracioli, Felipe G Lima and 8 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Advances in therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04447131 (Effect of SARS-CoV-2 Infection on Platelet Aggregation and Other Coagulation Parameters), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% 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.

NCT04447131 completednot on this map

Effect of SARS-CoV-2 Infection on Platelet Aggregation and Other Coagulation Parameters

TypeobservationalSponsorUniversity of Sao PauloRan2020 to 2023Enrolled120ConditionsCOVID-19, SARS-CoV-2Armsvenipuncture in peripheral vein
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. The Role of P-Selectin in COVID-19 Coagulopathy: An Updated Review.International journal of molecular sciences · 2021
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. The Role of the Kinin System and the Effect of Des-ArginineInternational journal of molecular sciences · 2024
    Observational
  7. Article
  8. Article
  9. Galectin-3 as a Marker for Increased Thrombogenicity in COVID-19.International journal of molecular sciences · 2023
    Article
  10. Article
  11. Early SARS-CoV-2 infection: Platelet-neutrophil complexes and platelet function.Research and practice in thrombosis and haemostasis · 2023
    Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. A Novel Predictive Model in Recognizing Severe COVID-19 and Multiorgan Injuries: Platelet-to-CRP Ratio.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2022
    Article
  20. 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

18 authors at 5 institutions in 2 countries.

Adriadne J BertolinFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Talia F DalçóquioFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Rocío SalsosoFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Remo H de M FurtadoFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Roberto Kalil-FilhoFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Ludhmila A HajjarFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Rinaldo F SicilianoFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Esper G KallásDepartment of Infectious and Parasitic Diseases, University of São Paulo, Sao Paulo, Sao Paulo, Brazil.
Luciano M BaracioliFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Felipe G LimaFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Roberto R GiraldezFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Cyrillo Cavalheiro-FilhoFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Alexandra VieiraFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Célia M C StrunzFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil.
Robert P GiuglianoTIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Udaya S TantryTIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Paul A GurbelSinai Center for Thrombosis Research and Drug Development, Sinai Hospital of Baltimore, Baltimore, MD, USA.
José C NicolauFaculdade de Medicina, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil. jose.nicolau@incor.usp.br.ORCID http://orcid.org/0000-0002-9680-3689
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRBrigham and Women's Hospital · USUniversidade de São Paulo · BRHospital Israelita Albert Einstein · BRSinai Hospital · US

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2020/04705-2
6 · The paper itself

Abstract

introdutionCOVID-19 is associated with an increased risk of thrombotic events. However, the contribution of platelet reactivity (PR) to the aetiology of the increased thrombotic risk associated with COVID-19 remains unclear. Our aim was to evaluate PR in stable patients diagnosed with COVID-19 and hospitalized with respiratory symptoms (mainly dyspnoea and dry cough), in comparison with a control group comprised of non-hospitalized healthy controls.

methodsObservational, case control study that included patients with confirmed COVID-19 (COVID-19 group, n = 60) and healthy individuals matched by age and sex (control group, n = 60). Multiplate electrode aggregometry (MEA) tests were used to assess PR with adenosine diphosphate (MEA-ADP, low PR defined as < 53 AUC), arachidonic acid (MEA-ASPI, low PR < 86 AUC) and thrombin receptor-activating peptide 6 (MEA-TRAP, low PR < 97 AUC) in both groups.

resultsThe rates of low PR with MEA-ADP were 27.5% in the COVID-19 group and 21.7% in the control group (OR = 1.60, p = 0.20); with MEA-ASPI, the rates were, respectively, 37.5% and 22.5% (OR = 3.67, p < 0.001); and with MEA-TRAP, the incidences were 48.5% and 18.8%, respectively (OR = 9.58, p < 0.001). Levels of D-dimer, fibrinogen, and plasminogen activator inhibitor 1 (PAI-1) were higher in the COVID-19 group in comparison with the control group (all p < 0.05). Thromboelastometry was utilized in a subgroup of patients and showed a hypercoagulable state in the COVID-19 group.

conclusionPatients hospitalized with non-severe COVID-19 had lower PR compared to healthy controls, despite having higher levels of D-dimer, fibrinogen, and PAI-1, and hypercoagulability by thromboelastometry.

trial registrationClinicalTrials.gov identifier, NCT04447131.

Indexed as

COVID-19Blood PlateletsCase-Control StudiesHumansPlatelet AggregationPlatelet Aggregation InhibitorsSARS-CoV-2Platelet Aggregation InhibitorsCOVID-19Multiplate electrode aggregometryPlatelet reactivityThromboelastometry

Identifiers

PMID34086266
PMCPMC8176448
OpenAlexW3164295339

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.