Evidence map›Paper›PMID 34099529›Full record

ReviewOpen heart2021

Role of combining anticoagulant and antiplatelet agents in COVID-19 treatment: a rapid review.

Kamal Matli, Raymond Farah, Mario Maalouf, Nibal Chamoun, Christy Costanian, Georges Ghanem

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Open heart, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Anticoagulants for people hospitalised with COVID-19: a rapid reviewThe Cochrane database of systematic reviews · 2022
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
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  9. Review
  10. Observational
  11. Significance of MPV, RDW and PDW with the Severity and Mortality of COVID-19 and Effects of Acetylsalicylic Acid Use.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Kamal MatliLebanese American University Medical Center, Rizk Hospital, Beirut, Lebanon.
Raymond FarahDepartment of Sciences, Lebanese University, Beirut, Lebanon.
Mario MaaloufSchool of Medicine, Lebanese American University, Byblos, Lebanon.
Nibal ChamounSchool of Medicine, Lebanese American University, Byblos, Lebanon.
Christy CostanianSchool of Medicine, Lebanese American University, Byblos, Lebanon christycostanian@gmail.com georges.ghanem@laumcrh.com.ORCID 0000-0003-4395-7278
Georges GhanemLebanese American University Medical Center, Rizk Hospital, Beirut, Lebanon christycostanian@gmail.com georges.ghanem@laumcrh.com.
Lebanese American University · LBUniversity Medical Center Rizk Hospital · LBLebanese University · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although primarily affecting the respiratory system, COVID-19 causes multiple organ damage. One of its grave consequences is a prothrombotic state that manifests as thrombotic, microthrombotic and thromboembolic events. Therefore, understanding the effect of antiplatelet and anticoagulation therapy in the context of COVID-19 treatment is important. The aim of this rapid review was to highlight the role of thrombosis in COVID-19 and to provide new insights on the use of antithrombotic therapy in its management. A rapid systematic review was performed using preferred reporting items for systematic reviews. Papers published in English on antithrombotic agent use and COVID-19 complications were eligible. Results showed that the use of anticoagulants increased survival and reduced thromboembolic events in patients. However, despite the use of anticoagulants, patients still suffered thrombotic events likely due to heparin resistance. Data on antiplatelet use in combination with anticoagulants in the setting of COVID-19 are quite scarce. Current side effects of anticoagulation therapy emphasise the need to update treatment guidelines. In this rapid review, we address a possible modulatory role of antiplatelet and anticoagulant combination against COVID-19 pathogenesis. This combination may be an effective form of adjuvant therapy against COVID-19 infection. However, further studies are needed to elucidate potential risks and benefits associated with this combination.

Indexed as

COVID-19COVID-19 Drug TreatmentThromboembolismAnticoagulantsDrug Therapy, CombinationHumansPlatelet Aggregation InhibitorsSARS-CoV-2Treatment OutcomeAnticoagulantsPlatelet Aggregation InhibitorsCOVID-19epidemiologypharmacology

Identifiers

PMID34099529
PMCPMC8186323
OpenAlexW3166368247

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.