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Updated: Sep 30, 2025

Rapid Point-of-Care Assay of Enoxaparin Anticoagulant Efficacy in Whole Blood
Published on: October 12, 2012
[Enoxaparin dose associated with decreased risk of death in COVID-19]
Baltazar Joanico-Morales1, Alma Delia Gaspar-Chamu1, María de Los Ángeles Salgado-Jiménez2
1Instituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada Estatal Guerrero, Hospital General Regional No. 1 "Vicente Guerrero", Coordinación Clínica de Educación e Investigación en Salud. Acapulco, Guerrero, México.
Insights
High mortality was observed in hospitalized COVID-19 patients. Enoxaparin 60 mg, unlike 40 mg, reduced death risk, while other drugs and older age increased it.
Area of Science:
- Infectious Diseases
- Pharmacology
- Critical Care Medicine
Background:
- The COVID-19 pandemic, originating in December 2019, has led to significant global mortality.
- Despite extensive research, effective pharmacological treatments for COVID-19 remain elusive.
Purpose of the Study:
- To analyze the clinical characteristics and pharmacological interventions in hospitalized COVID-19 patients.
- To investigate the relationship between specific treatments and patient outcomes, including mortality.
Main Methods:
- An observational study was conducted on 200 patients hospitalized with COVID-19 between March and July 2020.
- Data on patient demographics, comorbidities, pharmacological treatments, and clinical evolution were collected.
- Statistical analyses, including univariate, bivariate, and multivariate approaches, were employed.
Main Results:
- The study population comprised 60% males, with 83% having at least one comorbidity; overall mortality was 56%.
- Enoxaparin use, particularly a 60 mg dose, was associated with a reduced risk of death compared to a 40 mg dose.
- Hydroxychloroquine, methylprednisolone, moxifloxacin, and age over 60 were linked to an increased risk of mortality.
Conclusions:
- Hospitalized COVID-19 patients experienced high mortality rates.
- A 60 mg dose of enoxaparin demonstrated a potential survival benefit in this patient cohort.
Background:
In December 2019, an outbreak of COVID-19 was reported for the first time. This disease has caused millions of deaths worldwide. To date multiple drugs have been tried, without finding an effective treatment yet.
Objective:
To describe the evolution and the pharmacological treatment used in patients hospitalized due to COVID-19.
Material And Methods:
Observational study in 200 patients hospitalized due to COVID-19 in a regional hospital of Acapulco who were admitted between March and July 2020. The characteristics, pharmacological treatment and evolution of the patients were identified. Univariate, bivariate and multivariate analyses were performed.
Results:
60% of the patients were male, 83% had at least one comorbidity, 56% died. The most used drug was enoxaparin, of which receiving a 60 mg dose was associated with a lower risk of death, compared to receiving 40 mg. Having received hydroxychloroquine, methylprednisolone, moxifloxacin and being 60 years or older was associated with a higher risk of progressing to death.
Conclusions:
There was a high mortality. The most used drug was enoxaparin, of which using doses of 60 mg reduced the risk of death.
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