Evidence map›Paper›PMID 34694650›Full record

ArticleBritish journal of clinical pharmacology2022

A case series of vaccine-induced thrombotic thrombocytopenia in a London teaching hospital.

Isabella Watts, David Smith, Sarah Mounter, Emma H Baker, Andrew W Hitchings, Dipender Gill

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. 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

6 authors at 2 institutions in 1 country.

Isabella WattsClinical Pharmacology and Therapeutics Section, St George's University of London, London, UK.ORCID 0000-0003-1974-2365
David SmithInstitute of Infection and Immunity, St George's University of London, London, UK.
Sarah MounterClinical Pharmacology Group, Pharmacy and Medicines Directorate, St George's University Hospitals NHS Foundation Trust, London, UK.
Emma H BakerClinical Pharmacology and Therapeutics Section, St George's University of London, London, UK.ORCID 0000-0002-0871-3721
Andrew W HitchingsClinical Pharmacology and Therapeutics Section, St George's University of London, London, UK.
Dipender GillClinical Pharmacology and Therapeutics Section, St George's University of London, London, UK.
St George's, University of London · GBSt George’s University Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ChAdOx1 nCoV-19 vaccine has been associated with increased risk of thrombosis. Understanding of the management of these rare events is evolving, and currently recommended treatments include human normal immunoglobulin and nonheparin anticoagulation such as direct oral anticoagulants. Our report describes three consecutive patients presenting to a London teaching hospital with vaccine-induced thrombotic thrombocytopenia (VITT), also referred to as vaccine-induced prothrombotic immune thrombocytopenia. The patients ranged in age from 40 to 54 years and two had no known previous medical comorbidities. Two patients had cerebral venous sinus thrombosis and one had a deep vein thrombosis. Two were treated with anticoagulation, one with oral rivaroxaban and the other with an intravenous argotraban infusion that was later converted to oral apixaban. One patient received three doses of human normal immunoglobulin and 5 days of therapeutic plasma exchange. This case series may be used to improve understanding of the clinical course and management of VITT.

Indexed as

COVID-19ThrombocytopeniaThrombosisVaccinesAdultChAdOx1 nCoV-19COVID-19 VaccinesHospitals, TeachingHumansLondonMiddle AgedChAdOx1 nCoV-19COVID-19 VaccinesVaccinesanticoagulantsdrug utilisationevidence-based medicinevaccinesvirology

Identifiers

PMID34694650
PMCPMC8652623
OpenAlexW3209371944

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.