Risk Factors and Impact on Outcomes of Thrombosis in Patients with COVID-19 in Japan: From the CLOT-COVID Study

Sen Yachi1, Makoto Takeyama1, Yuji Nishimoto2

  • 1Japan Community Health care Organization Tokyo Shinjuku Medical Center, Tokyo, Japan.

Insights

Thrombosis in hospitalized COVID-19 patients in Japan significantly increased mortality and bleeding risk. Key risk factors included male sex, elevated D-dimer, and severe COVID-19 status.

Area of Science:

  • Medical research
  • Infectious diseases
  • Cardiology

Background:

  • The link between thrombotic events and prognosis in Japanese COVID-19 patients remains unclear.
  • Investigating clinical outcomes and thrombosis risk factors in hospitalized COVID-19 patients is crucial.

Purpose of the Study:

  • To examine the clinical outcomes and identify risk factors for thrombosis in hospitalized COVID-19 patients in Japan.

Main Methods:

  • A large-scale analysis of the CLOT-COVID study data was conducted.
  • Patient characteristics and outcomes were compared between those with thrombosis (N=55) and without (N=2839).
  • Thrombosis encompassed venous thromboembolism, ischemic stroke, myocardial infarction, and systemic arterial thromboembolism.

Main Results:

  • Patients with COVID-19 and thrombosis exhibited higher mortality (23.6% vs. 5.1%) and major bleeding rates (23.6% vs. 1.6%) compared to those without.
  • Independent risk factors for thrombosis included male sex, D-dimer levels >1.0 µg/mL on admission, and moderate to severe COVID-19 status.

Conclusions:

  • Thrombosis development in hospitalized COVID-19 patients is associated with increased mortality and major bleeding.
  • Identifying independent risk factors can aid in tailoring patient-specific treatments for COVID-19.

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