Evidence map›Paper›PMID 36054979›Full record

ArticleThrombosis research2022

Thrombosis risk assessment in patients with congenital thrombophilia during COVID - 19 infection.

Mirjana Kovac, Gorana Mitic, Marija Milenkovic, Dusica Basaric, Branko Tomic, Olivera Markovic, Marija Zdravkovic, Vera Ignjatovic

Open access · greenAbstract read
In one paragraph

Article in Thrombosis research, 2022. 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
0.3field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

8 authors at 4 institutions in 2 countries.

Mirjana KovacFaculty of Medicine, University of Belgrade, Serbia; Blood Transfusion Institute of Serbia, Hemostasis Department, Belgrade, Serbia. Electronic address: mkovac008@gmail.com.
Gorana MiticFaculty of Medicine Novi Sad, University of Novi Sad, Serbia.
Marija MilenkovicFaculty of Medicine, University of Belgrade, Serbia; University Clinical Centre of Serbia, Belgrade, Serbia.
Dusica BasaricBlood Transfusion Institute of Serbia, Hemostasis Department, Belgrade, Serbia.
Branko TomicInstitute of Molecular Genetics and Genetic Engineering, University of Belgrade, Belgrade, Serbia.
Olivera MarkovicFaculty of Medicine, University of Belgrade, Serbia; University Clinical Hospital Center Bezanijska Kosa, Belgrade, Serbia.
Marija ZdravkovicFaculty of Medicine, University of Belgrade, Serbia; University Clinical Hospital Center Bezanijska Kosa, Belgrade, Serbia.
Vera IgnjatovicMurdoch Children's Research Institute, Parkville, Australia; Department of Paediatrics, The University of Melbourne, Australia.
University of Belgrade · RSMurdoch Children's Research Institute · AUUniversity Hospital Medical Center Bezanijska kosa · RSUniversity of Novi Sad · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoagulation dysfunction represents a serious complication in patients during the COVID-19 infection, while fulminant thrombotic complications emerge as critical issues in individuals with severe COVID-19. In addition to a severe clinical presentation, comorbidities and age significantly contribute to the development of thrombotic complications in this disease. However, there is very little data on association of congenital thrombophilia and thrombotic events in the setting of COVID-19. Our study aimed to evaluate the risk of COVID-19 associated thrombosis in patients with congenital thrombophilia.

methodsThis prospective, case-control study included patients with confirmed COVID-19 infection, followed 6 months post-confirmation. The final outcome was a symptomatic thrombotic event. In total, 90 COVID-19 patients, 30 with known congenital thrombophilia and 60 patients without thrombophilia within the period July 2020-November 2021, were included in the study. Evaluation of hemostatic parameters including FVIII activity and D-dimer was performed for all patients at 1 month, 3 months and 6 months post-COVID-19 diagnosis.

resultsSymptomatic thrombotic events were observed in 7 out of 30 (23 %) COVID-19 patients with thrombophilia, and 12 out of 60 (20 %) without thrombophilia, P = 0.715. In addition, the two patient groups had comparable localization of thrombotic events, time to thrombotic event, effect of antithrombotic treatment and changes in FVIII activity, while D-dimer level were significantly increased in patients without thrombophilia.

conclusionOur findings suggest that patients with congenital thrombophilia, irrespective of their age, a mild clinical picture and absence of comorbidities, should receive anticoagulant prophylaxis, adjusted based on the specific genetic defect.

Indexed as

COVID-19HemostaticsThrombophiliaThrombosisAnticoagulantsCase-Control StudiesCOVID-19 TestingFibrinolytic AgentsHumansProspective StudiesRisk AssessmentAnticoagulantsFibrinolytic AgentsHemostaticsCongenital thrombophiliaCOVID-19 infectionVenous thromboembolism risk

Identifiers

PMID36054979
PMCPMC9392558
OpenAlexW4292541261

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.