Evidence map›Paper›PMID 34292865›Full record

ArticleJMIR formative research2021

Online Search Trends Influencing Anticoagulation in Patients With COVID-19: Observational Study.

Amy P Worrall, Claire Kelly, Aine O'Neill, Murray O'Doherty, Eoin Kelleher, Anne Marie Cushen, Cora McNally, Samuel McConkey, Siobhan Glavey, Michelle Lavin and 1 more

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 52% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 2 institutions in 1 country.

Amy P Worrall *Department of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0002-7417-1844
Claire Kelly *Department of Haematology, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0002-5172-0046
Aine O'NeillDepartment of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0001-9190-6008
Murray O'DohertyDepartment of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0002-8326-4356
Eoin KelleherDepartment of Anaesthesiology, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0003-2025-5556
Anne Marie CushenDepartment of Pharmacy, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0002-0223-1991
Cora McNallyDepartment of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0003-4188-7317
Samuel McConkeyDepartment of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0001-9085-7793
Siobhan GlaveyDepartment of Haematology, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0002-8601-2090
Michelle LavinDepartment of Haematology, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0003-2999-4216
Eoghan de BarraDepartment of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0001-7679-5565
Beaumont Hospital · IERoyal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly evidence of COVID-19-associated coagulopathy disseminated rapidly online during the first months of 2020, followed by clinical debate about how best to manage thrombotic risks in these patients. The rapid online spread of case reports was followed by online interim guidelines, discussions, and worldwide online searches for further information. The impact of global online search trends and online discussion on local approaches to coagulopathy in patients with COVID-19 has not been studied.

objectiveThe goal of this study was to investigate the relationship between online search trends using Google Trends and the rate of appropriate venous thromboembolism (VTE) prophylaxis and anticoagulation therapy in a cohort of patients with COVID-19 admitted to a tertiary hospital in Ireland.

methodsA retrospective audit of anticoagulation therapy and VTE prophylaxis among patients with COVID-19 who were admitted to a tertiary hospital was conducted between February 29 and May 31, 2020. Worldwide Google search trends of the term "COVID-19" and anticoagulation synonyms during this time period were determined and correlated against one another using a Spearman correlation. A P value of <.05 was considered significant, and analysis was completed using Prism, version 8 (GraphPad).

resultsA statistically significant Spearman correlation (P<.001, r=0.71) was found between the two data sets, showing an increase in VTE prophylaxis in patients with COVID-19 with increasing online searches worldwide. This represents a proxy for online searches and discussion, dissemination of information, and Google search trends relating to COVID-19 and clotting risk, in particular, which correlated with an increasing trend of providing thromboprophylaxis and anticoagulation therapy to patients with COVID-19 in our tertiary center.

conclusionsWe described a correlation of local change in clinical practice with worldwide online dialogue and digital search trends that influenced individual clinicians, prior to the publication of formal guidelines or a local quality-improvement intervention.

Indexed as

anticoagulationcoronavirusCOVID-19health information disseminationonline influenceonline search enginesthrombosis

Identifiers

PMID34292865
PMCPMC8409499
OpenAlexW3153239179

What OpenQuestion holds

Textmetadata
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.