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Published on: December 19, 2020
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Clinical characteristics and outcomes of venous thromboembolism in patients hospitalized for COVID-19: Systematic
Joshua Henrina1, Iwan Cahyo Santosa Putra1, Irvan Cahyadi1
1Siloam Heart Institute, Jakarta, Indonesia.
Thrombosis Update
|April 15, 2024
Summary
Hospitalized COVID-19 patients with venous thromboembolism (VTE) showed no difference in mortality. However, VTE was linked to increased ICU admission, mechanical ventilation, and specific laboratory abnormalities, aiding risk stratification.
Area of Science:
- * Medical Research
- * Infectious Diseases
- * Cardiovascular Medicine
Background:
- * Venous thromboembolism (VTE) is a significant complication in hospitalized patients with COVID-19.
- * Understanding the clinical characteristics and outcomes associated with VTE in this population is crucial for patient management.
Purpose of the Study:
- * To systematically review and meta-analyze the differences in clinical characteristics and outcomes between hospitalized COVID-19 patients with and without VTE.
- * To identify factors associated with VTE in COVID-19 patients.
Main Methods:
- * Systematic review and meta-analysis of 45 studies for qualitative synthesis and 38 studies for quantitative analysis.
- * Inclusion of 8859 patients for qualitative synthesis and 7847 patients for quantitative analysis.
- * Comparison of clinical characteristics, laboratory values, and outcomes between VTE-positive and VTE-negative groups.
Main Results:
- * No significant difference in mortality between COVID-19 patients with and without VTE (RR 1.32).
- * VTE (+) patients had higher rates of intensive care unit admission (RR 1.77) and mechanical ventilation (RR 2.35).
- * Male gender, elevated white blood cell count, D-Dimer, ALT, LDH, CRP, and prolonged prothrombin time were associated with VTE; lower albumin and NLR were also observed.
Conclusions:
- * While VTE does not increase mortality in hospitalized COVID-19 patients, it is associated with more severe disease requiring intensive care.
- * Specific clinical and laboratory markers can help identify COVID-19 patients at higher risk for VTE.
- * Findings provide a framework for risk stratification of hospitalized COVID-19 patients for VTE.
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