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Thrombosis and thromboembolism related to COVID-19: A clarion call for obtaining solid estimates from large-scale
Stefano Barco1,2, Stavros V Konstantinides2,3,
1Clinic of Angiology University Hospital Zurich Zurich Switzerland.
Insights
COVID-19 patients face a high risk of thrombotic events, impacting morbidity and mortality. The CORE-THROMBOSIS registry will track these events and treatments in hospitalized patients.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Hematology
Background:
- Coronavirus disease 2019 (COVID-19) presents a broad clinical spectrum, with severe cases involving systemic inflammation, coagulation activation, and endothelial damage.
- These factors, combined with hypoxia and immobilization, increase the risk of life-threatening thrombotic events in COVID-19 patients.
- Initial studies indicate thrombotic events are a significant contributor to COVID-19 morbidity and mortality.
Purpose of the Study:
- To determine the incidence of acute thrombotic events in hospitalized COVID-19 patients.
- To investigate current thromboprophylaxis strategies and their trends.
- To describe the utilization of imaging for detecting cardiovascular events in COVID-19.
Main Methods:
- Establishment of the COvid REgistry on THROMBOSIS (CORE-THROMBOSIS), a large online registry.
- Inclusion of consecutive hospitalized patients diagnosed with COVID-19.
- Prospective data collection on thrombotic events, prophylaxis, and diagnostic imaging.
Main Results:
- Data collection is ongoing; specific results are pending.
- Analysis will focus on the rate of thrombotic events, prophylaxis use, and imaging trends.
Conclusions:
- The CORE-THROMBOSIS registry aims to provide critical insights into thrombosis in COVID-19.
- Findings will inform clinical practice regarding prevention and management of thrombotic complications.
- Understanding these events is crucial for improving outcomes in hospitalized COVID-19 patients.
Abstract:
The clinical spectrum of coronavirus disease 2019 (COVID-19) is wide, ranging from minor, nonspecific symptoms to severe pneumonia, acute respiratory distress syndrome, multiorgan involvement, and shock. In severe cases, the acute systemic inflammatory response, coagulation activation, and diffuse endothelial damage may, in combination with hypoxia, immobilization, and underlying risk factors, result in potentially life-threatening venous and arterial thrombotic events. The first data from single-center retrospective studies suggest that thrombotic events are a key aspect of COVID-19-associated morbidity and mortality. We have planned and will be launching the COvid REgistry on THROMBOSIS (CORE-THROMBOSIS), a large online registry of previously or currently hospitalized patients with COVID-19. The study aims to (i) determine the rate of acute thrombotic events in consecutive hospitalized patients with coronavirus (COVID-19); (ii) investigate the current use and trends in thromboprophylaxis regimens; and (iii) describe the use of imaging tests for the detection of cardiovascular events in patients with COVID-19.
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