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10.1016/j.medin.2020.06.006

http://scihub22266oqcxt.onion/10.1016/j.medin.2020.06.006
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32646669!7298463!32646669
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suck abstract from ncbi


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pmid32646669      Med+Intensiva+(Engl+Ed) 2021 ; 45 (1): 42-55
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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.
  • |*SARS-CoV-2[MESH]
  • |Anticoagulants/*therapeutic use[MESH]
  • |Blood Coagulation Disorders/*blood/drug therapy/mortality[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/*blood/epidemiology/mortality[MESH]
  • |Critical Illness[MESH]
  • |Disseminated Intravascular Coagulation/*blood/diagnosis/drug therapy/epidemiology[MESH]
  • |Fibrin Fibrinogen Degradation Products/*analysis[MESH]
  • |Humans[MESH]
  • |Medical Overuse[MESH]
  • |Observational Studies as Topic[MESH]
  • |Pandemics[MESH]
  • |Prevalence[MESH]


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