Evidence map›Paper›PMID 35477923›Full record

ArticleAmerican journal of hematology2022

Hypercoagulability, endotheliopathy, and inflammation approximating 1 year after recovery: Assessing the long-term outcomes in COVID-19 patients.

Bingwen Eugene Fan, Shiun Woei Wong, Christina Lai Lin Sum, Gek Hsiang Lim, Bernard PuiLam Leung, Chuen Wen Tan, Kollengode Ramanathan, Rinkoo Dalan, Christine Cheung, Xin Rong Lim and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of hematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 5 pooled it
10.8field-weighted citation impact, top 1% 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

63 citing papers in PubMed, 5 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Psychosocial Aspects of the Lived Experience of Long COVID: A Systematic Review and Thematic Synthesis of Qualitative Studies.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  2. Endotheliopathy in Acute COVID-19 and Long COVID.International journal of molecular sciences · 2023
    Pooled it
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  19. Persistent hypercoagulability and acute limb ischemia post COVID-19.Journal of vascular surgery cases and innovative techniques · 2025
    Article
  20. Review

3 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

16 authors at 4 institutions in 1 country.

Bingwen Eugene FanDepartment of Haematology, Tan Tock Seng Hospital, Singapore.ORCID 0000-0003-4367-5182
Shiun Woei WongLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Christina Lai Lin SumDepartment of Laboratory Medicine, Tan Tock Seng Hospital, Singapore.
Gek Hsiang LimClinical Research and Innovation Office, Tan Tock Seng Hospital, Singapore.
Bernard PuiLam LeungYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Chuen Wen TanDepartment of Haematology, Singapore General Hospital, Singapore.ORCID 0000-0003-0643-8460
Kollengode RamanathanYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Rinkoo DalanLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.ORCID 0000-0001-9769-2696
Christine CheungLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Xin Rong LimLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Mucheli Shravan SadasivLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
David Chien LyeLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Barnaby Edward YoungLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Eng Soo YapYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Yew Woon ChiaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
COVID-19 Clotting and Bleeding Investigators
National University of Singapore · SGTan Tock Seng Hospital · SGAgency for Science, Technology and Research · SGSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sustained hypercoagulability and endotheliopathy are present in convalescent COVID-19 patients for up to 4 months from recovery. The hemostatic, endothelial, and inflammatory profiles of 39 recovered COVID-19 patients were evaluated up to 16 months after recovery from COVID-19. These values were compared with a control group of healthy volunteers (n = 124). 39 patients (71.8% males, median age 43 years) were reviewed at a mean of 12.7 ± 3.6 months following recovery. One patient without cardiovascular risk factors had post COVID-19 acute ischaemic limb. Elevated D-dimer and Factor VIII levels above normal ranges were noted in 17.9% (7/39) and 48.7% (19/39) of patients respectively, with a higher median D-dimer 0.34 FEU μg/mL (IQR 0.28, 0.46) (p < .001) and Factor VIII 150% (IQR 171, 203) (p = .004), versus controls. Thrombin generation (Thromboscreen) showed a higher median endogenous thrombin potential (ETP) of 1352 nM*min (IQR 1152, 1490) (p = .002) and a higher median peak height of 221.4 nM (IQR 170.2, 280.4) (p = 0.01) and delayed lag time 2.4 min (1.42-2.97) (p = 0.0002) versus controls. Raised vWF:Ag and ICAM-1 levels were observed in 17.9% (7/39) and 7.7% (3/39) of patients respectively, with a higher median VWF:Ag 117% (IQR 86, 154) (p = 0.02) and ICAM-1 54.1 ng/mL (IQR 43.8, 64.1) (p = .004) than controls. IL-6 was noted to be raised in 35.9% (14/39) of patients, with a higher median IL-6 of 1.5 pg/mL (IQR 0.6, 3.0) (p = 0.004) versus controls. Subgroup analysis stratifying patients by COVID-19 severity and COVID-19 vaccination preceding SARS-CoV-2 infection did not show statistically significant differences. Hypercoagulability, endothelial dysfunction, and inflammation are still detectable in some patients approximately 1 year after recovery from COVID-19.

Indexed as

COVID-19ThrombophiliaAdultCOVID-19 VaccinesFactor VIIIFemaleHumansInflammationIntercellular Adhesion Molecule-1MaleSARS-CoV-2Thrombinvon Willebrand FactorCOVID-19 VaccinesFactor VIIIIntercellular Adhesion Molecule-1Thrombinvon Willebrand Factor

Identifiers

PMID35477923
PMCPMC9073976
OpenAlexW4225094341

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.