Evidence map›Paper›PMID 34693641›Full record

ArticleJournal of thrombosis and haemostasis : JTH2022

Vaccine-induced immune thrombotic thrombocytopenia (VITT): Update on diagnosis and management considering different resources.

Andreas Greinacher, Florian Langer, Mike Makris, Menaka Pai, Sue Pavord, Huyen Tran, Theodore E Warkentin

Abstract readLetter
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing 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

81 citing papers in PubMed.

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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Andreas GreinacherInstitut für Immunologie und Transfusionsmedizin, Abteilung Transfusionsmedizin, Universitätsmedizin Greifswald, Germany.ORCID 0000-0001-8343-7336
Florian LangerZentrum für Onkologie, II. Medizinische Klinik und Poliklinik, Universitätsklinikum Eppendorf, Hamburg, Germany.
Mike MakrisDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, UK.
Menaka PaiDepartments of Pathology and Molecular Medicine, and Medicine, McMaster University, Hamilton, Ontario, Canada.
Sue PavordDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Huyen TranAustralian Centre for Blood Diseases, Clinical Haematology Department, Monash University, Melbourne, Victoria, Australia.
Theodore E WarkentinDepartments of Pathology and Molecular Medicine, and Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-8046-7588

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare but severe immunological reaction to the non-replicable adenoviral vector-based COVID-19 vaccines. Extreme activation of platelets and the coagulation system leads to a high risk of death from venous or arterial thrombosis or secondary hemorrhage. Public and clinician awareness has reduced mortality of VITT by nearly 90%. The World Health Organization provided a guideline in July 2021 on diagnosis and management of VITT (also called thrombosis with thrombocytopenia syndrome, or TTS). Since July 2021, new, clinically relevant information has become available. This update has been summarized by the authors in an informal process with recommendations for low resource environments. We provide new available evidence on VITT to empower clinicians to recognize VITT early, then effectively diagnose and treat the disorder to reduce morbidity and mortality. We strongly encourage production of clear management pathways for primary care settings and hospital settings.

Indexed as

COVID-19ThrombocytopeniaThrombosisVaccinesCOVID-19 VaccinesHumansSARS-CoV-2COVID-19 VaccinesVaccinesadenoviral vector-based vaccineAstraZenecacerebral vein sinus thrombosisplateletsSARS-CoV-2 vaccinevaccine-induced immune thrombotic thrombocytopenia

Identifiers

PMID34693641
PMCPMC8646430

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.