Evidence map›Paper›PMID 35060325›Full record

ArticleThe clinical respiratory journal2022

Risk assessment of venous thromboembolism and bleeding in COVID-19 patients.

Lan Wang, Lan Zhao, Feng Li, Ji Liu, Li Zhang, Qiuhong Li, Jin Gu, Shuo Liang, Qinhua Zhao, Jinmin Liu and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in The clinical respiratory journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04505774 (A Multicenter, Adaptive, Randomized Controlled Platform Trial of the Safety and Efficacy of Antithrombotic and Additional Strategies in Hospitalized Adults With COVID-19), which is not on this map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 7% 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.

NCT04505774 phase4completednot on this map

A Multicenter, Adaptive, Randomized Controlled Platform Trial of the Safety and Efficacy of Antithrombotic and Additional Strategies in Hospitalized Adults With COVID-19

TypeinterventionalSponsorMatthew Neal MDRan2020 to 2024Enrolled3,591ConditionsCovid19Armstheraputic heparin, prophylactic heparin, P2Y12, Crizanlizumab Injection, SGLT2 inhibitor
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

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  9. Prediction of bleeding in patients being considered for venous thromboembolism prophylaxis.Journal of vascular surgery. Venous and lymphatic disorders · 2023
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4 more citing papers are in PubMed but not listed here.

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

11 authors at 2 institutions in 1 country.

Lan WangDepartment of Respirology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-7270-1397
Lan ZhaoDepartment of Respirology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Feng LiDepartment of Respirology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Ji LiuDepartment of Respirology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Li ZhangDepartment of Respirology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Qiuhong LiDepartment of Respirology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Jin GuDepartment of Respirology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Shuo LiangDepartment of Respirology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Qinhua ZhaoDepartment of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.ORCID https://orcid.org/0000-0003-4309-8880
Jinmin LiuDepartment of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.ORCID https://orcid.org/0000-0001-6835-9982
Jin-Fu XuDepartment of Respirology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-8039-8973
Tongji University · CNShanghai Public Health Clinical Center · CN

Funding

Program of National Natural Science Foundation of Shanghai 18ZR1431500
6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) is a newly recognized illness that has spread rapidly all over the world. More and more reports highlight the risk of venous thromboembolism (VTE) in COVID-19. Our study aims to identify in-hospital VTE risk and bleeding risk in COVID-19 patients.

methodsWe retrospectively studied 138 consecutively enrolled patients with COVID-19 and identified in-hospital VTE and bleeding risk by Padua Prediction Score and Improve bleed risk assessment model. The clinical data and features were analyzed in VTE patients.

resultsOur findings identified that 23 (16.7%) patients with COVID-19 were at high risk for VTE according to Padua prediction score and 9 (6.5%) patients were at high risk of bleeding for VTE prophylaxis according to Improve prediction score. Fifteen critically ill patients faced double high risk from thrombosis (Padua score more than 4 points in all 15 [100%] patients) and hemorrhage (Improve score more than 7 points in 9 [60.0%] patients). Thrombotic events were identified in four patients (2.9%) of all COVID-19 patients. All of them were diagnosed with deep vein thrombosis by ultrasound 3 to 18 days after admission. Three (75.0%) were critically ill patients, which means that the incidence of VTE among critically ill patients was 20%. One major hemorrhage happened in critically ill patients during VTE treatment.

conclusionCritically ill patients with COVID-19 suffered both a high risk of thrombosis and bleeding risks. More effective VTE prevention strategies based on an individual assessment of bleeding risks were necessary for critically ill patients with COVID-19.

Indexed as

COVID-19Venous ThromboembolismAnticoagulantsHemorrhageHumansRetrospective StudiesRisk AssessmentRisk FactorsSARS-CoV-2Anticoagulantscoronavirus disease 2019deep vein thrombosisimprove bleed risk assessment modelPadua prediction scorevenous thromboembolism

Identifiers

PMID35060325
PMCPMC9060011
OpenAlexW4207040851

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.