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10.1182/blood.2020010218

http://scihub22266oqcxt.onion/10.1182/blood.2020010218
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33895804!8079262!33895804
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suck abstract from ncbi


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pmid33895804      Blood 2021 ; 138 (2): 190-198
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  • Rate of thrombosis in children and adolescents hospitalized with COVID-19 or MIS-C #MMPMID33895804
  • Whitworth H; Sartain SE; Kumar R; Armstrong K; Ballester L; Betensky M; Cohen CT; Diaz R; Diorio C; Goldenberg NA; Jaffray J; Keegan J; Malone K; Randolph AG; Rifkin-Zenenberg S; Leung WS; Sochet A; Srivaths L; Zia A; Raffini L
  • Blood 2021[Jul]; 138 (2): 190-198 PMID33895804show ga
  • Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is associated with thrombotic complications in adults, but the incidence of COVID-19-related thrombosis in children and adolescents is unclear. Most children with acute COVID-19 have mild disease, but coagulopathy has been associated with multisystem inflammatory syndrome in children (MIS-C), a postinfectious complication. We conducted a multicenter retrospective cohort study to determine the incidence of thrombosis in children hospitalized with COVID-19 or MIS-C and evaluate associated risk factors. We classified patients into 1 of 3 groups for analysis: COVID-19, MIS-C, or asymptomatic SARS-CoV-2. Among a total of 853 admissions (COVID-19, n = 426; MIS-C, n = 138; and asymptomatic SARS-CoV-2, n = 289) in 814 patients, there were 20 patients with thrombotic events (TEs; including 1 stroke). Patients with MIS-C had the highest incidence (9 [6.5%] of 138) vs COVID-19 (9 [2.1%] of 426) or asymptomatic SARS-CoV-2 (2 [0.7%] of 289). In patients with COVID-19 or MIS-C, a majority of TEs (89%) occurred in patients age >/=12 years. Patients age >/=12 years with MIS-C had the highest rate of thrombosis at 19% (9 of 48). Notably, 71% of TEs that were not present on admission occurred despite thromboprophylaxis. Multivariable analysis identified the following as significantly associated with thrombosis: age >/=12 years, cancer, presence of a central venous catheter, and MIS-C. In patients with COVID-19 or MIS-C, hospital mortality was 2.3% (13 of 564), but it was 28% (5 of 18) in patients with TEs. Our findings may help inform pediatric thromboprophylaxis strategies.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |Anticoagulants/therapeutic use[MESH]
  • |COVID-19/*complications/diagnosis[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Male[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2/isolation & purification[MESH]
  • |Systemic Inflammatory Response Syndrome/*complications/diagnosis[MESH]
  • |Thrombosis/drug therapy/*etiology/prevention & control[MESH]


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