A Retrospective Analysis of Thromboembolic Phenomena in Mechanically Ventilated Patients with COVID-19.


Journal

Critical care research and practice
ISSN: 2090-1305
Titre abrégé: Crit Care Res Pract
Pays: Egypt
ID NLM: 101539357

Informations de publication

Date de publication:
2021
Historique:
received: 19 07 2020
revised: 27 11 2020
accepted: 30 12 2020
entrez: 1 2 2021
pubmed: 2 2 2021
medline: 2 2 2021
Statut: epublish

Résumé

Recent studies have shown an increased prevalence of thromboembolic disease in critically ill patients with the novel SARS-CoV-2 disease (COVID-19). However, the use of enhanced anticoagulation therapy in these patients remains controversial. To determine the incidence of thromboembolic phenomena (TEP) and hemorrhagic events (HEs) in intensive care unit (ICU) COVID-19 patients. One hundred and sixty ICU patients with COVID-19 were enrolled. Clinical examination results, laboratory data, and imaging studies (computed tomography/Doppler ultrasound scans) for these patients were retrospectively collected and analyzed. Outcome measures including days on mechanical ventilation, ICU length of stay, and day-28 mortality were recorded. Sixty patients (37.5%) developed TEP including thirty patients with deep vein thrombosis, 55 patients with pulmonary embolism, and 7 patients with arterial thromboembolism. Cardiac arrhythmias, lymphocytopenia, and increased D-dimers were more frequently observed in the TEP group compared to the non-TEP group of patients (all The rates of TEP and HEs in mechanically ventilated critically ill COVID-19 patients were 37. 5% and 8.1%. Twenty-eight-day mortality was higher in the TEP group (60%) compared to the non-TEP group (30%) of patients.

Sections du résumé

BACKGROUND BACKGROUND
Recent studies have shown an increased prevalence of thromboembolic disease in critically ill patients with the novel SARS-CoV-2 disease (COVID-19). However, the use of enhanced anticoagulation therapy in these patients remains controversial.
OBJECTIVES OBJECTIVE
To determine the incidence of thromboembolic phenomena (TEP) and hemorrhagic events (HEs) in intensive care unit (ICU) COVID-19 patients.
METHODS METHODS
One hundred and sixty ICU patients with COVID-19 were enrolled. Clinical examination results, laboratory data, and imaging studies (computed tomography/Doppler ultrasound scans) for these patients were retrospectively collected and analyzed. Outcome measures including days on mechanical ventilation, ICU length of stay, and day-28 mortality were recorded.
RESULTS RESULTS
Sixty patients (37.5%) developed TEP including thirty patients with deep vein thrombosis, 55 patients with pulmonary embolism, and 7 patients with arterial thromboembolism. Cardiac arrhythmias, lymphocytopenia, and increased D-dimers were more frequently observed in the TEP group compared to the non-TEP group of patients (all
CONCLUSIONS CONCLUSIONS
The rates of TEP and HEs in mechanically ventilated critically ill COVID-19 patients were 37. 5% and 8.1%. Twenty-eight-day mortality was higher in the TEP group (60%) compared to the non-TEP group (30%) of patients.

Identifiants

pubmed: 33520314
doi: 10.1155/2021/8737580
pmc: PMC7805521
doi:

Types de publication

Journal Article

Langues

eng

Pagination

8737580

Informations de copyright

Copyright © 2021 Fahad Faqihi et al.

Déclaration de conflit d'intérêts

FF, AA, AB, NN, KA, FA, ZAM, SAA, and DK declare that there are no conflicts of interest. MB consults for EthosMedical, 410Medical, EchoNous, and Sonosim; none of these companies were aware of the study or had influence on it.

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Auteurs

Fahad Faqihi (F)

Critical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.

Abdulrahman Alharthy (A)

Critical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.

Abdullah Balhamar (A)

Critical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.

Nasir Nasim (N)

Critical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.

Khaled Alanezi (K)

King Saud Medical City, Riyadh, Saudi Arabia.

Feisal Alaklobi (F)

King Saud Medical City, Riyadh, Saudi Arabia.

Ziad A Memish (ZA)

Research and Innovation Center, King Saud Medical City, Riyadh, Saudi Arabia.

Mike Blaivas (M)

Department of Internal Medicine, University of South Carolina, School of Medicine, Columbia, SC, USA.

Saleh A Alqahtani (SA)

Transplant Hepatology Division of Gastroenterology and Hepatology, Johns Hopkins University, School of Medicine, Baltimore, MD, USA.

Dimitrios Karakitsos (D)

Critical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
Department of Internal Medicine, University of South Carolina, School of Medicine, Columbia, SC, USA.

Classifications MeSH