Evidence map›Paper›PMID 34172793›Full record

ArticleScientific reports2021

Viscoelastic testing reveals normalization of the coagulation profile 12 weeks after severe COVID-19.

Abakar Magomedov, Daniel Zickler, Stoyan Karaivanov, Annika Kurreck, Frédéric H Münch, Julian Kamhieh-Milz, Caroline Ferse, Andreas Kahl, Sophie K Piper, Kai-Uwe Eckardt and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Rotational Thromboelastometry (ROTEMJournal of clinical medicine · 2023
    Article
  2. Review
  3. Article
  4. 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

12 authors.

Abakar Magomedov *Department of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Daniel Zickler *Department of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Stoyan KaraivanovDepartment of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Annika KurreckDepartment of Hematology and Oncology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Frédéric H MünchDepartment of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Julian Kamhieh-MilzDepartment of Transfusion Medince, Universitätsmedizin Berlin, Berlin, Germany.
Caroline FerseDepartment of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Andreas KahlDepartment of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Sophie K PiperInstitute of Biometry and Clinical Epidemiology, Charité-Universitätmedizin Berlin, Berlin, Germany.
Kai-Uwe EckardtDepartment of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Thomas DörnerDepartment of Rheumatology und Clinical Immunology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Jan Matthias KruseDepartment of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. jan-matthias.kruse@charite.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID 19 is associated with a hypercoagulable state and frequent thromboembolic complications. For how long this acquired abnormality lasts potentially requiring preventive measures, such as anticoagulation remains to be delineated. We used viscoelastic rotational thrombelastometry (ROTEM) in a single center cohort of 13 critical ill patients and performed follow up examinations three months after discharge from ICU. We found clear signs of a hypercoagulable state due to severe hypofibrinolysis and a high rate of thromboembolic complications during the phase of acute illness. Three month follow up revealed normalization of the initial coagulation abnormality and no evidence of venous thrombosis in all thirteen patients. In our cohort the coagulation profile was completely normalized three months after COVID-19. Based on these findings, discontinuation of anticoagulation can be discussed in patients with complete venous reperfusion.

Indexed as

Blood Coagulation DisordersCOVID-19COVID-19 Drug TreatmentThrombelastographyThromboembolismVenous ThrombosisAgedAnticoagulantsBlood CoagulationCohort StudiesFemaleHumansMaleMiddle AgedSeverity of Illness IndexAnticoagulants

Identifiers

PMID34172793
PMCPMC8233385

What OpenQuestion holds

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Registered trials

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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.