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10.1111/jth.14817

http://scihub22266oqcxt.onion/10.1111/jth.14817
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32220112!9906401!32220112
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suck abstract from ncbi


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pmid32220112      J+Thromb+Haemost 2020 ; 18 (5): 1094-1099
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  • Anticoagulant treatment is associated with decreased mortality in severe coronavirus disease 2019 patients with coagulopathy #MMPMID32220112
  • Tang N; Bai H; Chen X; Gong J; Li D; Sun Z
  • J Thromb Haemost 2020[May]; 18 (5): 1094-1099 PMID32220112show ga
  • BACKGROUND: A relatively high mortality of severe coronavirus disease 2019 (COVID-19) is worrying, and the application of heparin in COVID-19 has been recommended by some expert consensus because of the risk of disseminated intravascular coagulation and venous thromboembolism. However, its efficacy remains to be validated. METHODS: Coagulation results, medications, and outcomes of consecutive patients being classified as having severe COVID-19 in Tongji hospital were retrospectively analyzed. The 28-day mortality between heparin users and nonusers were compared, as was a different risk of coagulopathy, which was stratified by the sepsis-induced coagulopathy (SIC) score or D-dimer result. RESULTS: There were 449 patients with severe COVID-19 enrolled into the study, 99 of them received heparin (mainly with low molecular weight heparin) for 7 days or longer. D-dimer, prothrombin time, and age were positively, and platelet count was negatively, correlated with 28-day mortality in multivariate analysis. No difference in 28-day mortality was found between heparin users and nonusers (30.3% vs 29.7%, P = .910). But the 28-day mortality of heparin users was lower than nonusers in patients with SIC score >/=4 (40.0% vs 64.2%, P = .029), or D-dimer >6-fold of upper limit of normal (32.8% vs 52.4%, P = .017). CONCLUSIONS: Anticoagulant therapy mainly with low molecular weight heparin appears to be associated with better prognosis in severe COVID-19 patients meeting SIC criteria or with markedly elevated D-dimer.
  • |*Betacoronavirus[MESH]
  • |*Coronavirus Infections/complications/drug therapy/mortality[MESH]
  • |*Disseminated Intravascular Coagulation/drug therapy/etiology[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/complications/drug therapy/mortality[MESH]
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |Anticoagulants/administration & dosage/*therapeutic use[MESH]
  • |Biomarkers/*blood[MESH]
  • |Blood Coagulation Tests[MESH]
  • |COVID-19[MESH]
  • |Female[MESH]
  • |Fibrin Fibrinogen Degradation Products[MESH]
  • |Heparin, Low-Molecular-Weight/administration & dosage/*therapeutic use[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Platelet Count[MESH]
  • |Prognosis[MESH]
  • |Prothrombin Time[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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