Articles producció científica> Medicina i Cirurgia

Systematic review of the prognostic utility of D-dimer, disseminated intravascular coagulation, and anticoagulant therapy in COVID-19 critically ill patients

  • Identification data

    Identifier: imarina:9150988
    Authors:
    Moreno, G.Carbonell, R.Bodi, M.Rodriguez, A.
    Abstract:
    During the new pandemic caused by SARS-CoV-2, there is short knowledge regarding the management of different disease areas, such as coagulopathy and interpretation of D-dimer levels, its association with disseminated intravascular coagulation (DIC) and controversy about the benefit of anticoagulation. Thus, a systematic review has been performed to define the role of D-dimer in the disease, the prevalence of DIC and the usefulness of anticoagulant treatment in these patients. A literature search was performed to analyze the studies of COVID-19 patients. Four recommendations were drawn based on expert opinion and scientific knowledge, according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. The present review suggests the presence of higher levels of D-dimer in those with worse prognosis, there may be an overdiagnosis of DIC in the course of the disease and there is no evidence on the benefit of starting anticoagulant treatment based only on isolated laboratory data. (C) 2020 Elsevier Espana, S.L.U. y SEMICYUC. All rights reserved.
  • Others:

    Author, as appears in the article.: Moreno, G.; Carbonell, R.; Bodi, M.; Rodriguez, A.;
    Department: Medicina i Cirurgia
    URV's Author/s: Bodi Saera, Maria Amparo
    Keywords: Thrombosis Society Sepsis Management Disseminated intravascular coagulation D-dimer Covid-19 Anticoagulation
    Abstract: During the new pandemic caused by SARS-CoV-2, there is short knowledge regarding the management of different disease areas, such as coagulopathy and interpretation of D-dimer levels, its association with disseminated intravascular coagulation (DIC) and controversy about the benefit of anticoagulation. Thus, a systematic review has been performed to define the role of D-dimer in the disease, the prevalence of DIC and the usefulness of anticoagulant treatment in these patients. A literature search was performed to analyze the studies of COVID-19 patients. Four recommendations were drawn based on expert opinion and scientific knowledge, according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. The present review suggests the presence of higher levels of D-dimer in those with worse prognosis, there may be an overdiagnosis of DIC in the course of the disease and there is no evidence on the benefit of starting anticoagulant treatment based only on isolated laboratory data. (C) 2020 Elsevier Espana, S.L.U. y SEMICYUC. All rights reserved.
    Thematic Areas: Medicina iii Medicina ii Medicina i General medicine Educação física Critical care medicine Critical care and intensive care medicine
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: mariaamparo.bodi@urv.cat mariaamparo.bodi@urv.cat
    Author identifier: 0000-0001-7652-8379 0000-0001-7652-8379
    Record's date: 2024-07-27
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://www.sciencedirect.com/science/article/abs/pii/S021056912030187X?via%3Dihub#!
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Medicina Intensiva. 45 (1): 42-55
    APA: Moreno, G.; Carbonell, R.; Bodi, M.; Rodriguez, A.; (2021). Systematic review of the prognostic utility of D-dimer, disseminated intravascular coagulation, and anticoagulant therapy in COVID-19 critically ill patients. Medicina Intensiva, 45(1), 42-55. DOI: 10.1016/j.medin.2020.06.006
    Article's DOI: 10.1016/j.medin.2020.06.006
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Critical Care and Intensive Care Medicine,Critical Care Medicine
    Thrombosis
    Society
    Sepsis
    Management
    Disseminated intravascular coagulation
    D-dimer
    Covid-19
    Anticoagulation
    Medicina iii
    Medicina ii
    Medicina i
    General medicine
    Educação física
    Critical care medicine
    Critical care and intensive care medicine
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