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Deprecated: Implicit conversion from float 276.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Med+Intensiva+(Engl+Ed) 2021 ; 45 (1): 42-55 Nephropedia Template TP
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Revision sistematica sobre la utilidad pronostica del dimero-D, coagulacion intravascular diseminada y tratamiento anticoagulante en pacientes graves con COVID-19 #MMPMID32646669
Moreno G; Carbonell R; Bodi M; Rodriguez A
Med Intensiva (Engl Ed) 2021[Jan]; 45 (1): 42-55 PMID32646669show ga
During the new pandemic caused by SARS-CoV-2, there is short knowledge regarding the management of different disease areas, such as coagulopathy and interpretation of D-dimer levels, its association with disseminated intravascular coagulation (DIC) and controversy about the benefit of anticoagulation. Thus, a systematic review has been performed to define the role of D-dimer in the disease, the prevalence of DIC and the usefulness of anticoagulant treatment in these patients. A literature search was performed to analyze the studies of COVID-19 patients. Four recommendations were drawn based on expert opinion and scientific knowledge, according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. The present review suggests the presence of higher levels of D-dimer in those with worse prognosis, there may be an overdiagnosis of DIC in the course of the disease and there is no evidence on the benefit of starting anticoagulant treatment based only on isolated laboratory data.