Evidence map›Paper›PMID 38263377›Full record

Observational studyScientific reports2024

Biomarkers of coagulation, endothelial, platelet function, and fibrinolysis in patients with COVID-19: a prospective study.

Manoj Job S B, Binila Chacko, Sushil Selvarajan, John Victor Peter, Tulasi Geevar, Rutvi Gautam Dave, Josh Thomas Georgy, Anand Zachariah, Tina George, Sowmya Sathyendra and 7 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Observational
  2. Observational
  3. COVID-19 Infection, Drugs, and Liver Injury.Journal of clinical medicine · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Coagulation Markers and Myocardial Blush Grade in STEMI: Identifying Potential Predictors of Microvascular Reperfusion.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

17 authors at 1 institution in 1 country.

Manoj Job S BDepartment of Critical Care, Christian Medical College, Vellore, 632004, India. drmanojjob@gmail.com.
Binila ChackoDepartment of Critical Care, Christian Medical College, Vellore, 632004, India.
Sushil SelvarajanDepartment of Clinical Hematology, Christian Medical College, Vellore, India.
John Victor PeterDepartment of Critical Care, Christian Medical College, Vellore, 632004, India.
Tulasi GeevarDepartment of Transfusion Medicine, Christian Medical College, Vellore, India.
Rutvi Gautam DaveDepartment of Transfusion Medicine, Christian Medical College, Vellore, India.
Josh Thomas GeorgyDepartment of General Medicine, Christian Medical College, Vellore, India.
Anand ZachariahDepartment of General Medicine, Christian Medical College, Vellore, India.
Tina GeorgeDepartment of General Medicine, Christian Medical College, Vellore, India.
Sowmya SathyendraDepartment of General Medicine, Christian Medical College, Vellore, India.
Samuel George HansdakDepartment of General Medicine, Christian Medical College, Vellore, India.
Rajiv Karthik KrishnaswamiDepartment of Infectious Diseases, Christian Medical College, Vellore, India.
Balamugesh ThangakunamDepartment of Pulmonary Medicine, Christian Medical College, Vellore, India.
Richa GuptaDepartment of Respiratory Medicine, Christian Medical College, Vellore, India.
Reka KaruppusamiDepartment of Biostatistics, Christian Medical College, Vellore, India.
Sukesh Chandran NairDepartment of Transfusion Medicine, Christian Medical College, Vellore, India.
Alok SrivastavaDepartment of Clinical Hematology, Christian Medical College, Vellore, India.
Christian Medical College, Vellore · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prospective and sequential evaluation of homeostatic changes leading to thrombosis across COVID 19 disease severity spectrum are limited. In this prospective observational study, haemostasis was evaluated in patients with mild, moderate-severe, and critical COVID-19 infection. Markers of endothelial activation [Soluble thrombomodulin (sTM), von Willebrand Factor (VWF)], platelet activation [Soluble P-selectin, beta-thromboglobulin (BTG)] and global haemostasis [Rotational thromboelastometry (ROTEM)] were evaluated on days 1 and 5 after admission. The study cohort comprised of 100 adult patients (mild = 20, moderate-severe = 22, critical = 58). Sixty-five patients received anticoagulation for 10 (7-14) days. Thrombotic events were seen in 9 patients. In-hospital mortality was 21%. Endothelial activation markers were elevated at baseline in all subgroups, with levels in moderate-severe (sTM = 4.92 ng/ml, VWF = 295 U/dl) [reference-ranges: sTM = 2.26-4.55 ng/ml; Soluble P-selectin = 13.5-31.5 ng/ml; BTG = 0.034-1.99 ng/ml] and critical patients (sTM = 6.07 ng/ml, VWF = 294 U/dl) being significantly higher than in the mild group (sTM = 4.18 ng/ml, VWF = 206 U/dl). In contrast, platelet activation markers were elevated only in critically ill patients at baseline (Soluble P-selectin = 37.3 ng/ml, BTG = 2.51 ng/ml). The critical group had significantly lower fibrinolysis on days 1 and 5 when compared with the moderate-severe arm. COVID-19 infection was associated with graded endothelial activation and lower fibrinolysis that correlated with illness severity.

Indexed as

COVID-19FibrinolysisAdultBiomarkersHumansProspective StudiesP-Selectinvon Willebrand FactorBiomarkersP-Selectinvon Willebrand Factor

Identifiers

PMID38263377
PMCPMC10805716
OpenAlexW4391133680

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.