Evidence map›Paper›PMID 35685504›Full record

ArticleInternational journal of clinical practice2022

Chronic Oral Anticoagulation Therapy and Prognosis of Patients Admitted to Hospital for COVID-19: Insights from the HOPE COVID-19 Registry.

José Miguel Rivera-Caravaca, Iván J Núñez-Gil, Gregory Y H Lip, Aitor Uribarri, María C Viana-Llamas, Adelina Gonzalez, Alex F Castro-Mejía, Berta Alonso González, Emilio Alfonso, Juan Fortunato García Prieto and 21 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04334291 (International COVID19 Clinical Evaluation Registry), which is not on this map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 37% 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.

NCT04334291 completednot on this map

International COVID19 Clinical Evaluation Registry: HOPECOVID19. (Health Outcome Predictive Evaluation for COVID19)

Typeobservational_patient_registrySponsorIVAN J NUÑEZ GILRan2020 to 2020Enrolled8,168ConditionsCOVID 19ArmsObservational (registry)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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

31 authors at 20 institutions in 9 countries.

José Miguel Rivera-CaravacaDepartment of Cardiology, Hospital Clínico UniversitarioVirgen de la Arrixaca, University of Murcia, Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), CIBERCV, Murcia, Spain.ORCID https://orcid.org/0000-0003-0492-6241
Iván J Núñez-GilHospital Clínico San Carlos Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Gregory Y H LipLiverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool Heart & Chest Hospital, Liverpool, UK.ORCID https://orcid.org/0000-0002-7566-1626
Aitor UribarriHospital Clínico Universitario de Valladolid, Valladolid, Spain.
María C Viana-LlamasHospital Universitario Guadalajara, Guadalajara, Spain.
Adelina GonzalezHospital Universitario Infanta Sofía, San Sebastian de los Reyes, Madrid, Spain.
Alex F Castro-MejíaHospital General del Norte de Guayaquil IESS Los Ceibos, Guayaquil, Ecuador.
Berta Alonso GonzálezHospital Universitario la Paz, Madrid, Spain.
Emilio AlfonsoInstituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba.
Juan Fortunato García PrietoHospital de Manises, Valencia, Spain.
Chiara CavallinoSant' Andrea Hospital, Vercelli, Italy.
Bernardo CorteseSan Carlo Clinic, Milano, Italy.
Gisela FeltesHospital Nuestra Señora de América, Madrid, Spain.
Inmaculada Fernández-RozasHospital Severo Ochoa, Leganés, Spain.
Jaime Signes-CostaHospital Clínico Universitario, INCLIVA, Universidad de Valencia, Valencia, Spain.
Jia HuangThe Second People's Hospital of Shenzhen, Shenzhen, China.
Marcos García AguadoHospital Universitario Puerta de Hierro, Majadahonda, Spain.
Martino PepeAzienda Ospedaliero Universitaria Consorziale Policlinico di Bari, Bari, Italy.
Rodolfo RomeroHospital Universitario de Getafe, Madrid, Spain.
Enrico CerratoSan Luigi Gonzaga University Hospital, Rivoli, Turin, Italy.
Víctor Manuel Becerra-MuñozUnidad de Gestión Clínica Área del Corazón, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Universitario Virgen de la Victoria, Universidad de Málaga (UMA), Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares (CIBERCV), Málaga, Spain.
Sergio Raposeiras RoubinUniversity Hospital Álvaro Cunqueiro, Vigo, Spain.
Francesco SantoroAzienda Sanitaria Locale della Provincia di Barletta-Andria-Trani, Andria, Italy.
Rodrigo BagurLondon Health Sciences Centre, London, Ontario, Canada.
Luciano SposatoLondon Health Sciences Centre, London, Ontario, Canada.
Ibrahim El-BattrawyUniversity of Mannheim, Mannheim, Germany.
Alvaro López MasjuanHospital Universitario Juan Ramón Jiménez, Huelva, Spain.
Antonio Fernandez-OrtizHospital Clínico San Carlos Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Vicente EstradaHospital Clínico San Carlos Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Carlos MacayaHospital Clínico San Carlos Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Francisco MarínDepartment of Cardiology, Hospital Clínico UniversitarioVirgen de la Arrixaca, University of Murcia, Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), CIBERCV, Murcia, Spain.ORCID https://orcid.org/0000-0001-7246-7708
Universidad Complutense de Madrid · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ESUniversity of Liverpool · GBAzienda Universitaria Ospedaliera Consorziale - Policlinico Bari · ITCTO Andrea Alesini · ITHospital Clínico Universitario de Valladolid · ESHospital de Manises · ESHospital Juan Ramón Jiménez · ESHospital Nuestra Señora de Alarcos · ESHospital Universitario de Getafe · ESHospital Universitario de Guadalajara · ESHospital Universitario Infanta Sofía · ESHospital Universitario La Paz · ESHospital Universitario Puerta de Hierro Majadahonda · ESHospital Universitario Severo Ochoa · ESInstituto de Cardiología y Cirugía Cardiovascular · CULondon Health Sciences Centre · CAOspedale San Carlo · ITOspedale San Luigi Gonzaga · ITShenzhen Second People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Most evidence regarding anticoagulation and COVID-19 refers to the hospitalization setting, but the role of oral anticoagulation (OAC) before hospital admission has not been well explored. We compared clinical outcomes and short-term prognosis between patients with and without prior OAC therapy who were hospitalized for COVID-19. Methods: Analysis of the whole cohort of the HOPE COVID-19 Registry which included patients discharged (deceased or alive) after hospital admission for COVID-19 in 9 countries. All-cause mortality was the primary endpoint. Study outcomes were compared after adjusting variables using propensity score matching (PSM) analyses. Results: 7698 patients were suitable for the present analysis (675 (8.8%) on OAC at admission: 427 (5.6%) on VKAs and 248 (3.2%) on DOACs). After PSM, 1276 patients were analyzed (638 with OAC; 638 without OAC), without significant differences regarding the risk of thromboembolic events (OR 1.11, 95% CI 0.59-2.08). The risk of clinically relevant bleeding (OR 3.04, 95% CI 1.92-4.83), as well as the risk of mortality (HR 1.22, 95% CI 1.01-1.47; log-rank Conclusion: Hospitalized COVID-19 patients on prior OAC therapy had a higher risk of mortality and worse clinical outcomes compared to patients without prior OAC therapy, even after adjusting for comorbidities using a PSM. There were no differences in clinical outcomes in patients previously taking VKAs or DOACs. This trial is registered with NCT04334291/EUPAS34399.

Indexed as

Atrial FibrillationCOVID-19 Drug TreatmentThromboembolismAdministration, OralAnticoagulantsHemorrhageHospitalizationHospitalsHumansPrognosisRegistriesAnticoagulants

Identifiers

PMID35685504
PMCPMC9158796
OpenAlexW4281781727

What OpenQuestion holds

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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.