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10.1186/s12959-021-00333-3

http://scihub22266oqcxt.onion/10.1186/s12959-021-00333-3
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34736472!8567130!34736472
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suck abstract from ncbi


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pmid34736472      Thromb+J 2021 ; 19 (1): 79
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  • Low FXIII activity levels in intensive care unit hospitalized COVID-19 patients #MMPMID34736472
  • Lichter Y; Badelbayov T; Shalev I; Schvartz R; Szekely Y; Benisty D; Goldiner I; Kagarlyk M; Asraf K; Doolman R; Luttwak E; Kirgner I; Avivi I; Adi N; Katz BZ
  • Thromb J 2021[Nov]; 19 (1): 79 PMID34736472show ga
  • BACKGROUND: COVID-19 infection is associated with a hypercoagulable state. Severe COVID-19 patients present with high plasma fibrinogen levels, continuous deposition of fibrin and the presence of microthrombi in their lungs, accompanied by significant fibrinolysis, resulting in high D-dimer levels. Due to the role of FXIII in fibrin crosslinking and clot stabilization, we analyzed its activity levels and dynamics in COVID-19 patients hospitalized in the intensive care unit (ICU). METHODS: FXIII levels were measured in thirty four COVID-19 patients hospitalized in the ICU and in fourteen non-severe COVID-19 patients. FVIII levels were measured for comparison. Laboratory data and clinical variables were recorded. RESULTS: The average FXIII activity level in 34 ICU hospitalized COVID-19 patients was 69.9+/-33 %, significantly lower compared to an average of 120+/-20.9 % FXIII activity in 14 non-severe COVID-19 patients. FXIII activity levels were below the low normal value (< 79 % FXIII activity) in 74 % of the ICU hospitalized COVID-19 patients. In contrast, high FVIII activity was measured among all severe COVID-19 patients. Consecutive measurements, performed in fourteen ICU hospitalized COVID-19 patients, pointed to a significant decrease in FXIII activity from the average of 85.7+/-28.2 %, (which is in the normal range), to an average of 68.0+/-20.4 %, below the low normal range, within 6.4+/-3.4 days of ICU hospitalization. Liver functions did not differentiate between patients with low and normal FXIII activity. No inhibitor to FXIII activity was found in the plasma of severe COVID-19 patients. Levels of FXIII-A antigen correlated with FXIII activity, and were low in severe COVID-19 patients. CONCLUSIONS: Low FXIII activity levels were found in COVID-19 patients hospitalized in the ICU, with gradual decline during their hospitalization. A mechanism of consumption may account for the low FXIII activity in these patients.
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