Evidence map›Paper›PMID 34116998›Full record

ArticleBMJ case reports2021

Anticoagulation in the obese patient with COVID-19-associated venous thromboembolism.

John Peter McCormick, John Connaughton, Niamh McDonnell

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

3 authors at 1 institution in 1 country.

John Peter McCormickInternal Medicine, Midland Regional Hospital Portlaoise, Portlaoise, Ireland john.mc-cormick@ucdconnect.ie.ORCID http://orcid.org/0000-0003-3154-3609
John ConnaughtonInternal Medicine, Midland Regional Hospital Portlaoise, Portlaoise, Ireland.
Niamh McDonnellInternal Medicine, Midland Regional Hospital Portlaoise, Portlaoise, Ireland.
Midland Regional Hospital Portlaoise · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 61-year-old obese man who had recently tested positive for COVID-19 presented to the emergency department following an unwitnessed collapse, with a brief period of unresponsiveness. CT pulmonary angiography confirmed the presence of extensive bilateral pulmonary embolism despite the patient reporting full compliance with long-term dabigatran. The patient was initially anticoagulated with low-molecular-weight heparin and was treated with non-invasive ventilation and dexamethasone for COVID-19 pneumonia. He made a full recovery and was discharged on oral rivaroxaban. His case highlighted some of the common problems encountered when selecting an anticoagulation strategy for obese patients, as well as the lack of definitive evidence to guide treatment decisions. These challenges were further complicated by our incomplete understanding of the underlying mechanisms of COVID-19 coagulopathy, with limited data available regarding the optimal management of thromboembolic complications.

Indexed as

COVID-19Pulmonary EmbolismVenous ThromboembolismAnticoagulantsHumansMaleMiddle AgedObesitySARS-CoV-2AnticoagulantsCOVID-19haematology (incl blood transfusion)obesity (nutrition)pulmonary embolism

Identifiers

PMID34116998
PMCPMC8201973
OpenAlexW3168220523

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.