Evidence map›Paper›PMID 34345092›Full record

ArticleMedicina intensiva2023

Anticoagulation strategies and risk of bleeding events in critically ill COVID-19 patients.

C Gabara, B Solarat, P Castro, S Fernández, J R Badia, D Toapanta, S Schulman, J C Reverter, A Soriano, J Moisés and 1 more

Open access · greenAbstract read
In one paragraph

Article in Medicina intensiva, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 30% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Thromboembolic Events in the Era of COVID-19: A Detailed Narrative Review.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. 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 3 institutions in 3 countries.

C GabaraInternal Medicine Department, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
B SolaratPneumology Department, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
P CastroInternal Medicine Department, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
S FernándezInternal Medicine Department, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
J R BadiaPneumology Department, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
D ToapantaLiver ICU, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
S SchulmanDepartment of Medicine, Thrombosis and Atherosclerosis Research Institute, McMaster University, Hamilton, Ontario, Canada.
J C ReverterHematology Department, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
A SorianoInfectious Disease Department, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
J MoisésPneumology Department, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
J AibarInternal Medicine Department, Hospital Clínic, IDIBAPS - University of Barcelona, Spain.
Universitat de Barcelona · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESSechenov University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the rate of thrombosis, bleeding and mortality comparing anticoagulant doses in critically ill COVID-19 patients. Design: Retrospective observational and analytical cohort study. Setting: COVID-19 patients admitted to the intensive care unit of a tertiary hospital between March and April 2020. Patients: 201 critically ill COVID-19 patients were included. Patients were categorized into three groups according to the highest anticoagulant dose received during hospitalization: prophylactic, intermediate and therapeutic. Interventions: The incidence of venous thromboembolism (VTE), bleeding and mortality was compared between groups. We performed two logistic multivariable regressions to test the association between VTE and bleeding and the anticoagulant regimen. Main variables of interest: VTE, bleeding and mortality. Results: 78 patients received prophylactic, 94 intermediate and 29 therapeutic doses. No differences in VTE and mortality were found, while bleeding events were more frequent in the therapeutic (31%) and intermediate (15%) dose group than in the prophylactic group (5%) ( Conclusions: Intermediate and therapeutic doses appear to have a higher risk of bleeding without a decrease of VTE events and mortality in critically ill COVID-19 patients.

Indexed as

AnticoagulationBleedingCOVID-19Critical careThrombosis

Identifiers

PMID34345092
PMCPMC8321771
OpenAlexW3189008560

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.