作者
Hanny Al-Samkari, Rebecca S Karp Leaf, Walter H Dzik, Jonathan CT Carlson, Annemarie E Fogerty, Anem Waheed, Katayoon Goodarzi, Pavan K Bendapudi, Larissa Bornikova, Shruti Gupta, David E Leaf, David J Kuter, Rachel P Rosovsky
发表日期
2020/7/23
期刊
Blood, The Journal of the American Society of Hematology
卷号
136
期号
4
页码范围
489-500
出版商
American Society of Hematology
简介
Patients with coronavirus disease 2019 (COVID-19) have elevated D-dimer levels. Early reports describe high venous thromboembolism (VTE) and disseminated intravascular coagulation (DIC) rates, but data are limited. This multicenter retrospective study describes the rate and severity of hemostatic and thrombotic complications of 400 hospital-admitted COVID-19 patients (144 critically ill) primarily receiving standard-dose prophylactic anticoagulation. Coagulation and inflammatory parameters were compared between patients with and without coagulation-associated complications. Multivariable logistic models examined the utility of these markers in predicting coagulation-associated complications, critical illness, and death. The radiographically confirmed VTE rate was 4.8% (95% confidence interval [CI], 2.9-7.3), and the overall thrombotic complication rate was 9.5% (95% CI, 6.8-12.8). The overall and …
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H Al-Samkari, RS Karp Leaf, WH Dzik, JCT Carlson… - Blood, The Journal of the American Society of …, 2020