Evidence map›Paper›PMID 35157188›Full record

SynthesisJournal of thrombosis and thrombolysis2022

A systematic review of vaccine-induced thrombotic thrombocytopenia in individuals who received COVID-19 adenoviral-vector-based vaccines.

Mostafa H Elberry, Hussien Ahmed H Abdelgawad, Aboalmagd Hamdallah, Walid Shaban Abdella, Ahmed Sayed Ahmed, Hazem S Ghaith, Ahmed Negida

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 30 citations in OpenAlex.

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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 5 institutions in 3 countries.

Mostafa H ElberryVirology and Immunology Unit, Cancer Biology Department, National Cancer Institute, Cairo University, Cairo, Egypt.
Hussien Ahmed H AbdelgawadClinical Research Management Program, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, USA. huabd1@morgan.edu.
Aboalmagd HamdallahFaculty of Medicine Al-Azhar University, Damietta, Egypt.
Walid Shaban AbdellaFaculty of Medicine Al-Azhar University, Damietta, Egypt.
Ahmed Sayed AhmedFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Hazem S GhaithFaculty of Medicine Al-Azhar University, Cairo, Egypt.
Ahmed NegidaDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA. ahmed.said.negida@gmail.com.ORCID http://orcid.org/0000-0001-5363-6369
Al-Azhar University · EGAin Shams University · EGCairo University · EGClinical Research Management · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reports of thrombotic response after receiving COVID-19 Adenoviral-Vector Based Vaccines raise concerns about vaccine-induced thrombotic thrombocytopenia (VITT); therefore, we conduct this systematic review to report susceptible demographics outcomes, commonalities, and prognosis of reporting cases. We identified published articles by searching PubMed, SCOPUS, and Web of Science from December 2020 till May 2021, with an updated search in September 2021. All case reports and case series reporting thrombotic response after receiving COVID-19 Adenoviral-Vector Based Vaccines were eligible for including. In addition, two authors independently extracted data and assessed the quality of the included studies. A total of 157 patients with thrombotic events after the ChAdOx1 nCoV-19 vaccine and 16 patients with thrombotic events after Ad26.COV2. S vaccine was included in our study. 72% of the ChAdOx1 nCoV-19 cases were females, while in Ad26.COV2.S subgroup, all reported patients were females. The commonest presentations were deep vein thrombosis 20 (12.7%) and cerebral venous sinus thrombosis 18 (11.5%) in the ChAdOx1 nCoV-19 subgroup while cerebral venous sinus thrombosis 14 (87.5%) and pulmonary embolism 2 (12.5%) in the Ad26.COV2. S subgroup. In this study, we described the certain demographics associated with VITT and the clinical presentations of those cases in the ChAdOx1 nCoV-19 and Ad26.COV2. S vaccines. Young individuals, particularly females, may be more susceptible to VITT, and future studies should seek to confirm this association. In addition, the clinical presentation of VITT commonly includes cerebral thrombi, pulmonary embolism, and deep venous thrombosis, but other presentations are also possible, highlighting the importance of clinical vigilance in recent vaccine recipients.

Indexed as

COVID-19Pulmonary EmbolismSinus Thrombosis, IntracranialThrombocytopeniaThrombosisVaccinesAd26COVS1ChAdOx1 nCoV-19COVID-19 VaccinesFemaleHumansMaleSARS-CoV-2Ad26COVS1ChAdOx1 nCoV-19COVID-19 VaccinesVaccinesAstraZenecaChAdOx1 nCoV-19COVID-19Johnson and JohnsonSARS-CoV-2Vaccine

Identifiers

PMID35157188
PMCPMC8853120
OpenAlexW4213179732

What OpenQuestion holds

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Registered trials

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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.