Publication: Incidence of thromboembolism in patients with COVID-19: a systematic review and meta-analysis
Issued Date
2020-12-01
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ISSN
14779560
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2-s2.0-85096450517
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Mahidol University
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SCOPUS
Bibliographic Citation
Thrombosis Journal. Vol.18, No.1 (2020)
Suggested Citation
Kochawan Boonyawat, Pichika Chantrathammachart, Pawin Numthavej, Nithita Nanthatanti, Sithakom Phusanti, Angsana Phuphuakrat, Pimjai Niparuck, Pantep Angchaisuksiri Incidence of thromboembolism in patients with COVID-19: a systematic review and meta-analysis. Thrombosis Journal. Vol.18, No.1 (2020). doi:10.1186/s12959-020-00248-5 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/60528
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Title
Incidence of thromboembolism in patients with COVID-19: a systematic review and meta-analysis
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Abstract
© 2020, The Author(s). Background: Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, the incidence of thromboembolism has been increasingly reported. The aim of this systematic review was to explore the incidence of venous and arterial thromboembolism among COVID-19 patients requiring hospitalization. Methods: Medline, Embase, Scopus, and grey literature were searched until June 2020. Observational studies reported on the incidence of venous thromboembolism (VTE), including pulmonary embolism (PE) and deep vein thrombosis (DVT) or arterial thromboembolism (ATE) were included. The pool incidences and their 95% confidence intervals (CI) were calculated using the random-effects model. Results: A total of 36 studies were included. In the intensive care unit (ICU) setting, the pooled incidence of VTE was 28% (95% CI, 22–34%). Subgroups based on compression ultrasound (CUS) screening revealed a higher incidence of DVT in the CUS screening group than in the no CUS screening group (32% [95% CI, 18–45%] vs. 6% [95% CI, 4–9%]). The pooled incidence of ATE in ICU was 3% (95% CI, 2–5%). In the non-ICU setting, the pooled incidence of VTE was 10% (95% CI, 6–14%,). Conclusions: The incidence of VTE in COVID-19 patients was higher in the ICU setting than in the non-ICU setting, and also significantly higher in studies that incorporated the CUS screening protocol. The incidence of ATE in the ICU setting was low. VTE prophylactic measures should be given to all hospitalized patients diagnosed with COVID-19.