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A toolkit for the collection of thrombosis-related data elements in COVID-19 clinical studies
Deborah M Siegal1,2, Geoffrey D Barnes3, Nicole J Langlois2
1Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Insights
Standardized data elements were developed to improve the study of thrombosis in coronavirus disease 2019 (COVID-19). This aims to enhance data collection and comparison for better understanding of COVID-19-related thrombotic events.
Area of Science:
- Hematology
- Infectious Diseases
- Cardiovascular Medicine
Background:
- Thrombosis is a significant complication of coronavirus disease 2019 (COVID-19), especially in severe cases.
- The exact incidence of thrombotic events in COVID-19 is unclear due to varied study methodologies and reporting.
- Standardization is needed for reliable data collection and analysis of COVID-19-related thrombosis.
Purpose of the Study:
- To develop standardized data elements for studying thrombosis in COVID-19.
- To facilitate consistent data collection across diverse clinical studies.
- To improve the comparability and pooling of research findings on COVID-19 and thrombosis.
Main Methods:
- Collaboration between the American Society of Hematology Research Collaborative and the International Society on Thrombosis and Haemostasis COVID-19 Task Force.
- Development of data elements across key domains: venous thromboembolism, myocardial infarction, stroke, peripheral arterial thrombosis, bleeding, laboratory tests, and antithrombotic therapy.
- Creation of three levels of detail for data elements to suit various study designs and interventions.
Main Results:
- Established comprehensive sets of standardized data elements for COVID-19 thrombosis research.
- Included previously published elements where applicable to ensure consistency.
- Designed elements with tiered detail for flexibility in research application.
Conclusions:
- Standardized variables enhance the quality and efficiency of data collection in clinical studies.
- Standardization enables better comparison of results across different research projects.
- Facilitates future data pooling for more robust analyses of COVID-19-associated thrombotic events.
Abstract:
Thrombosis has emerged as an important complication of coronavirus disease 2019 (COVID-19), particularly among individuals with severe illness. However, the precise incidence of thrombotic events remains uncertain due to differences in study design, patient populations, outcome ascertainment, event definitions, and reporting. In an effort to overcome some of these challenges and promote standardized data collection and reporting in clinical studies, the American Society of Hematology Research Collaborative COVID-19 Non-Malignant Hematology Task Force, in collaboration with the International Society on Thrombosis and Haemostasis COVID-19 Task Force, developed sets of data elements in the following domains: venous thromboembolism, myocardial infarction, stroke/transient ischemic attack, peripheral arterial thrombosis, bleeding, laboratory investigations, and antithrombotic therapy. Data elements in each of these domains were developed with 3 levels of detail to facilitate their incorporation into studies evaluating a range of interventions and outcomes. Previously published data elements were included where possible. The use of standardized variables in a range of clinical studies can enhance the quality of data collection, create efficiency, enhance comparison of results across studies, and facilitate future pooling of data sets.
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