Evidence map›Paper›PMID 34804704›Full record

ArticleCureus2021

Thromboembolic Risk in COVID-19 Patients: Is There a Hidden Link?

José Cidade, Hélder Pinheiro, André Dias, Marta Santos, Bruna Nascimento, Carlos Figueiredo, Raquel Pinto, Luís Pereira, Carlos Rodrigues, Fernando Maltez

Abstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

José CidadeInternal Medicine, Centro Hospitalar Lisboa Ocidental - Hospital Egas Moniz, Lisboa, PRT.
Hélder PinheiroInfecciology Department, Hospital Curry Cabral, Lisboa, PRT.
André DiasInfecciology Department, Hospital Curry Cabral, Lisboa, PRT.
Marta SantosInfecciology Department, Hospital Curry Cabral, Lisboa, PRT.
Bruna NascimentoInternal Medicine, Hospital Distrital Santarém, Santarém, PRT.
Carlos FigueiredoPulmonology Department, Hospital Curry Cabral, Lisboa, PRT.
Raquel PintoInfecciology Department, Hospital Curry Cabral, Lisboa, PRT.
Luís PereiraInternal Medicine, Hospital de Cascais, Lisboa, PRT.
Carlos RodriguesInternal Medicine, Centro Hospitalar Baixo Vouga, Aveiro, PRT.
Fernando MaltezInfecciology Department, Hospital Curry Cabral, Lisboa, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Although evidence has emerged indicating that patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia present a high risk of venous thromboembolism (VTE), its real incidence and best diagnosis course remain unclear. In this study, we aimed to determine the incidence of pulmonary embolism in these patients and the role of D-dimer serum level as a predictive factor of a new VTE event. Methodology This was a single-center retrospective observational cohort study conducted in a tertiary hospital. All patients admitted to the infectious diseases ward with SARS-CoV-2 pneumonia with clinical or laboratory criteria for suspected VTE events were eligible for inclusion in the study. The t-test or Mann-Whitney U test was used to analyze the differences between the with-VTE group and the without-VTE group. Results Overall, VTE incidence was registered to be 30%. Chest computed tomography angiography data revealed thrombus mainly in segmental (five patients, 71%) and subsegmental pulmonary artery branches (four patients, 57%). No thrombus on major branches was documented. D-dimer serum levels (collected at hospital admission, 48 hours before the suspected VTE event date and at suspected VTE event date) were analyzed, and, despite a consistent tendency of higher values in the with-VTE group, no statistical difference was observed. Moreover, no statistical difference was observed between the two groups in mortality rates. Conclusions A clear higher risk of VTE events in SARS-CoV-2 pneumonia patients was not documented, and a link between the impact of VTE occurrence and a worse prognosis was not demonstrated. Therefore, we suggest that the use of D-dimer serum level should not be used as a predictor of VTE in SARS-CoV-2 pneumonia patients.

Indexed as

covid-19d-dimerpulmonary embolismsars-cov-2venous thromboembolic disease

Identifiers

PMID34804704
PMCPMC8596081

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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.