Evidence map›Paper›PMID 34653718›Full record

ArticleThrombosis research2021

Risk of symptomatic venous thromboembolism in mild and moderate COVID-19: A comparison of two prospective European cohorts.

Delphine Douillet, Jérémie Riou, Andrea Penaloza, Thomas Moumneh, Caroline Soulie, Dominique Savary, Francois Morin, Rafaël Mahieu, Pierre-Marie Roy

Abstract read
In one paragraph

Article in Thrombosis research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Delphine DouilletEmergency Department, Angers University Hospital, Angers, France; UNIV Angers, UMR MitoVasc CNRS 6015 - INSERM 1083, Angers, France; FCRIN, INNOVTE, Saint Etienne, France. Electronic address: Delphine.Douillet@chu-angers.fr.
Jérémie RiouUNIV Angers, UMR MINT, INSERM 1066 - CNRS 6021, Angers, France; Methodology and Biostatistics Department, Delegation to Clinical Research and Innovation, Angers University Hospital, Angers, France.
Andrea PenalozaFCRIN, INNOVTE, Saint Etienne, France; Emergency Department, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Bruxelles, Belgium.
Thomas MoumnehEmergency Department, Angers University Hospital, Angers, France; UNIV Angers, UMR MitoVasc CNRS 6015 - INSERM 1083, Angers, France; FCRIN, INNOVTE, Saint Etienne, France.
Caroline SoulieEmergency Department, Cholet Hospital, Cholet, France.
Dominique SavaryEmergency Department, Angers University Hospital, Angers, France; EHESP, Irset, UMR INSERM S1085, CAPTV CDC, University of Rennes, Rennes, France.
Francois MorinEmergency Department, Angers University Hospital, Angers, France.
Rafaël MahieuDepartment of Infectious Diseases, Angers University Hospital, Angers, France; UNIV Angers, UMR CRCINA, INSERM 1232, SFR ICAT, Angers, France.
Pierre-Marie RoyEmergency Department, Angers University Hospital, Angers, France; UNIV Angers, UMR MitoVasc CNRS 6015 - INSERM 1083, Angers, France; FCRIN, INNOVTE, Saint Etienne, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeverely ill patients with SARS-CoV-2 have an increased risk of venous thromboembolism (VTE) i.e., deep vein thrombosis and pulmonary embolism. However, the VTE risk in patients with mild and moderate COVID-19, hospitalized or managed at home, remain uncertain. The aims of this study were to assess the rate and the risk factors symptomatic VTE, in patients with mild and moderate COVID-19 and to compare them to a cohort of similar patients without COVID-19.

methodsPatients presenting to the emergency department (ED) of participating centers for confirmed or probable mild or moderate COVID-19 and not having acute VTE were included. This COVID-19 cohort was retrospectively compared to a prospective cohort of similar ED patients using propensity score matching. The main outcome was the rate of symptomatic VTE within the 28 days after ED presentation.

resultsA total of 2292 patients were included in the COVID-19 cohort. The 28-day incidence of symptomatic VTE was 1.3% (n = 29/2292, 95%CI: 0.9 to 1.8), 2.3% (n = 20/866, 95%CI: 1.5 to 3.5) in moderate COVID-19 patients and 0.6% (n = 9/1426; 95%CI: 0.3 to 1.2) in mild COVID-19 patients managed as outpatients. An age over 65 years and hospitalization were independent risk factors of VTE. After adjustment, patients in the COVID-19 cohort had an absolute increase in over symptomatic VTE risk of +1.69% (95%CI, 0.88 to 2.51) versus patients in the comparison cohort (n = 1539).

conclusionsPatients with moderate COVID-19 presenting to the ED had a high risk of subsequent VTE.

trial registrationEthics committee of the CHU of Angers (N°2020/87).

Indexed as

COVID-19Venous ThromboembolismAgedHumansProspective StudiesRetrospective StudiesSARS-CoV-2COVID-19SARS-CoV-2 infectionVenous thromboembolismVTE risk

Identifiers

PMID34653718
PMCPMC8498792

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.