Evidence map›Paper›PMID 34708314›Full record

ArticleJournal of thrombosis and thrombolysis2022

Pulmonary embolism in patients with COVID-19 pneumonia on adequate oral anticoagulation.

Giuseppe Di Tano, Meghi Dede, Irene Pellicelli, Enrico Martinelli, Luigi Moschini, Elva Calvaruso, Gian Battista Danzi

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Observational
  4. 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

7 authors at 2 institutions in 1 country.

Giuseppe Di TanoCardiology Unit, Cremona Hospital, Cremona, Italy.
Meghi DedeMaxillo-Facial Surgery Unit, Head and Neck Department, Santi Paolo e Carlo University Hospital, Università degli Studi di Milano, Milan, Italy.
Irene PellicelliPneumology Unit, Cremona Hospital, Cremona, Italy.
Enrico MartinelliPneumology Unit, Cremona Hospital, Cremona, Italy.
Luigi MoschiniCardiology Unit, Cremona Hospital, Cremona, Italy.
Elva CalvarusoCardiology Unit, Cremona Hospital, Cremona, Italy.
Gian Battista DanziCardiology Unit, Cremona Hospital, Cremona, Italy. gbdanzi@gmail.com.ORCID http://orcid.org/0000-0003-0897-8006
Istituti Ospitalieri di Cremona · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombotic complications are common in patients with severe COVID-19 pneumonia with important consequences on the diagnostic and therapeutic management. We report a consecutive series of five patients on long-term oral anticoagulation therapy who presented to our hospital for severe COVID-19 pneumonia associated with segmental acute pulmonary embolism despite adherence to therapy and with an adequate anticoagulant range at the time of the event. Four patients were receiving a direct oral anticoagulant (two with edoxaban, one with rivaroxaban and one with apixaban) and one patient a vitamin K antagonist. No significant thrombotic risk factors, active cancer, or detectable venous thromboembolism were present. In all cases, elevated d-dimer and fibrinogen levels with a parallel rise in markers of inflammation were documented. The combination of these findings seems to support the hypothesis that considers the local vascular damage determined by severe viral infection as the main trigger of thrombi detected in the lungs, rather than emboli from peripheral veins.

Indexed as

COVID-19COVID-19 Drug TreatmentPulmonary EmbolismVenous ThromboembolismAnticoagulantsHumansRivaroxabanAnticoagulantsRivaroxabanAnticoagulantInfectious diseasesPulmonary embolism

Identifiers

PMID34708314
PMCPMC8549588
OpenAlexW3209508645

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.