Evidence map›Paper›PMID 34466769›Full record

ArticleResearch and practice in thrombosis and haemostasis2021

Vaccine-induced immune thrombotic thrombocytopenia following AstraZeneca (ChAdOx1 nCOV19) vaccine-A case report.

Bader Al Rawahi, Hashem BaTaher, Zoheb Jaffer, Aya Al-Balushi, Asma Al-Mazrouqi, Noof Al-Balushi

Open access · goldAbstract readCase Reports
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Thrombosis with Thrombocytopenia Syndrome After Administration of AZD1222 or Ad26.COV2.S Vaccine for COVID-19: A Systematic Review.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Longitudinal Aspects of VITT.Seminars in hematology · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. COVID-19 infection: from stress-related cortisol levels to adrenal glands infarction.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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

6 authors at 2 institutions in 1 country.

Bader Al RawahiThrombosis and Hemostasis Unit Department of Hematology Sultan Qaboos University Hospital Muscat Muscat Sultanate of Oman.ORCID https://orcid.org/0000-0001-5821-1087
Hashem BaTaherInfectious Disease Unit Department of Medicine Sultan Qaboos University Hospital Muscat Muscat Sultanate of Oman.
Zoheb JafferInternal Medicine Program Oman Medical Specialty Board Muscat Sultanate of Oman.
Aya Al-BalushiInternal Medicine Program Oman Medical Specialty Board Muscat Sultanate of Oman.
Asma Al-MazrouqiInternal Medicine Program Oman Medical Specialty Board Muscat Sultanate of Oman.
Noof Al-BalushiGeneral Foundation Program Oman Medical Specialty Board Muscat Sultanate of Oman.
Oman Medical College · OMSultan Qaboos University Hospital · OM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vaccination with ChAdOx1 nCov-19 can result in vaccine-induced immune thrombotic thrombocytopenia (VITT). This phenomenon mimics heparin-induced thrombocytopenia (HIT), yet it does not require heparin as a trigger. HIT screen/ELISA along with optical density and functional assay are useful in diagnosis. A 64-year-old man presented to the emergency department with intermittent fever and persistent, dull, nonspecific abdominal pain 7 days after the first dose of ChAdOx1 nCov-19 vaccine. Laboratory results showed significantly reduced platelet count, acute kidney injury, and low basal cortisol. He underwent investigations including computed tomography angiography, which revealed multiple sites of arterial and venous thrombosis. We present the first reported case of VITT at our institution and in Oman. This case highlights the potentially life-threatening complication associated with ChAdOx1 nCov-19 vaccine, clinical presentation, diagnostic approach, and treatment.

Indexed as

COVID‐19heparinthrombocytopeniavaccinevenous thromboembolism

Identifiers

PMID34466769
PMCPMC8385181
OpenAlexW3195264781

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.