Evidence map›Paper›PMID 36140295›Full record

ReviewBiomedicines2022

Higher Dose Anticoagulation Cannot Prevent Disease Progression in COVID-19 Patients: A Systematic Review and Meta-Analysis.

Emőke Henrietta Kovács, Krisztián Tánczos, László Szabó, Caner Turan, Fanni Dembrovszky, Klementina Ocskay, Bo-Young Lee, Péter Hegyi, Zsolt Molnár

Open access · goldAbstract readReview
In one paragraph

Review in Biomedicines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 49% 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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. 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

9 authors at 1 institution in 2 countries.

Emőke Henrietta KovácsCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0002-6417-2296
Krisztián TánczosDepartment of Anesthesiology and Intensive Therapy, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0002-6863-075X
László SzabóCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Caner TuranCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0002-8200-7569
Fanni DembrovszkyCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0001-6953-3591
Klementina OcskayCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0001-5848-2506
Bo-Young LeeCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Zsolt MolnárCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0002-1468-4058
Semmelweis University · HU

Funding

Hungarian National Research, Development and Innovation Office K 138816
6 · The paper itself

Abstract

Implementation of higher dose (HD) thromboprophylaxis has been considered in patients infected with coronavirus disease 2019 (COVID-19). Our aim was to compare HD to standard dose (SD) thromboprophylaxis in COVID-19 patients. The protocol is registered on PROSPERO (CRD42021284808). We searched for randomised controlled studies (CENTRAL, Embase, Medline and medRxviv) that compared HD to SD anticoagulation in COVID-19 and analysed outcomes such as mortality, thrombotic events, bleedings, and disease progression. The statistical analyses were made using the random effects model. Fourteen articles were included (6253 patients). HD compared with SD showed no difference in mortality (OR 0.83 [95% CI 0.54−1.28]). The use of HD was associated with a decreased risk of thrombosis (OR 0.58 [95% CI 0.44−0.76]), although with an increased risk of major bleeding (OR 1.64 [95% CI 1.25−2.16]). The cohort with D-dimer < 1 mg/mL showed no effect (OR 1.19 [95% CI 0.67−2.11]), but in the case of D-dimer > 1 mg/mL, a tendency of lower risk in the HD group was observed (OR 0.56 [95% CI 0.31−1.00]). The need for intubation in moderately ill patients showed a nonsignificant lower likelihood in the HD group (OR 0.82 [95% CI 0.63−1.08]). We cannot advocate for HD in all COVID-19 patients, although it shows some nonsignificant benefits on disease progression in those with elevated D-dimer who do not need ICU admission.

Indexed as

anticoagulationCOVID-19disease progressionthromboinflamation

Identifiers

PMID36140295
PMCPMC9496532
OpenAlexW4294846957

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.