tetano
Editor, Senior Moderator
J Clin Med
. 2022 Jan 12;11(2):352.
doi: 10.3390/jcm11020352.
Anticoagulation Prior to COVID-19 Infection Has No Impact on 6 Months Mortality: A Propensity Score-Matched Cohort Study
Marcin Protasiewicz[SUP] 1 2 [/SUP], Konrad Reszka[SUP] 2 [/SUP], Wojciech Kosowski[SUP] 1 2 [/SUP], Barbara Adamik[SUP] 3 [/SUP], Wojciech Bombala[SUP] 4 [/SUP], Adrian Doroszko[SUP] 5 [/SUP], Damian Gajecki[SUP] 5 [/SUP], Jakub Gawryś[SUP] 5 [/SUP], Maciej Guziński[SUP] 6 [/SUP], Maria Jedrzejczyk[SUP] 7 [/SUP], Krzysztof Kaliszewski[SUP] 8 [/SUP], Katarzyna Kilis-Pstrusinska[SUP] 9 [/SUP], Bogusława Konopska[SUP] 10 [/SUP], Agnieszka Kopec[SUP] 11 [/SUP], Krzysztof Kujawa[SUP] 4 [/SUP], Anna Langner[SUP] 1 2 [/SUP], Anna Larysz[SUP] 2 12 [/SUP], Weronika Lis[SUP] 2 [/SUP], Lilla Pawlik-Sobecka[SUP] 13 [/SUP], Joanna Gorka-Dynysiewicz[SUP] 10 [/SUP], Marta Rosiek-Biegus[SUP] 11 [/SUP], Agnieszka Matera-Witkiewicz[SUP] 14 [/SUP], Tomasz Matys[SUP] 5 [/SUP], Michał Pomorski[SUP] 15 [/SUP], Mateusz Sokolski[SUP] 1 2 [/SUP], Janusz Sokołowski[SUP] 16 [/SUP], Anna Tomasiewicz-Zapolska[SUP] 2 [/SUP], Katarzyna Madziarska[SUP] 17 [/SUP], Ewa A Jankowska[SUP] 2 18 [/SUP]
Affiliations
Abstract
The coronavirus disease 2019 (COVID-19) shows high incidence of thromboembolic events in humans. In the present study, we aimed to evaluate if anticoagulation prior to COVID-19 infection may impact clinical profile, as well as mortality rate among patients hospitalized with COVID-19. The study was based on retrospective analysis of medical records of patients with laboratory confirmed SARS-CoV-2 infection. After propensity score matching (PSM), a group of 236 patients receiving any anticoagulant treatment prior to COVID-19 infection (AT group) was compared to 236 patients without previous anticoagulation (no AT group). In 180 days, the observation we noted comparable mortality rate in AT and no AT groups (38.5% vs. 41.1%, p = 0.51). Similarly, we did not observe any statistically significant differences in admission in the intensive care unit (14.1% vs. 9.6%, p = 0.20), intubation and mechanical ventilation (15.0% vs. 11.6%, p = 0.38), catecholamines usage (14.3% vs. 13.8%, p = 0.86), and bleeding rate (6.3% vs. 8.9%, p = 0.37) in both groups. Our results suggest that antithrombotic treatment prior to COVID-19 infection is unlikely to be protective for morbidity and mortality in patients hospitalized with COVID-19.
Keywords: 6 months outcome; COVID-19; SARS-CoV-2; anticoagulation; morbidity; mortality; thromboembolic complications.
. 2022 Jan 12;11(2):352.
doi: 10.3390/jcm11020352.
Anticoagulation Prior to COVID-19 Infection Has No Impact on 6 Months Mortality: A Propensity Score-Matched Cohort Study
Marcin Protasiewicz[SUP] 1 2 [/SUP], Konrad Reszka[SUP] 2 [/SUP], Wojciech Kosowski[SUP] 1 2 [/SUP], Barbara Adamik[SUP] 3 [/SUP], Wojciech Bombala[SUP] 4 [/SUP], Adrian Doroszko[SUP] 5 [/SUP], Damian Gajecki[SUP] 5 [/SUP], Jakub Gawryś[SUP] 5 [/SUP], Maciej Guziński[SUP] 6 [/SUP], Maria Jedrzejczyk[SUP] 7 [/SUP], Krzysztof Kaliszewski[SUP] 8 [/SUP], Katarzyna Kilis-Pstrusinska[SUP] 9 [/SUP], Bogusława Konopska[SUP] 10 [/SUP], Agnieszka Kopec[SUP] 11 [/SUP], Krzysztof Kujawa[SUP] 4 [/SUP], Anna Langner[SUP] 1 2 [/SUP], Anna Larysz[SUP] 2 12 [/SUP], Weronika Lis[SUP] 2 [/SUP], Lilla Pawlik-Sobecka[SUP] 13 [/SUP], Joanna Gorka-Dynysiewicz[SUP] 10 [/SUP], Marta Rosiek-Biegus[SUP] 11 [/SUP], Agnieszka Matera-Witkiewicz[SUP] 14 [/SUP], Tomasz Matys[SUP] 5 [/SUP], Michał Pomorski[SUP] 15 [/SUP], Mateusz Sokolski[SUP] 1 2 [/SUP], Janusz Sokołowski[SUP] 16 [/SUP], Anna Tomasiewicz-Zapolska[SUP] 2 [/SUP], Katarzyna Madziarska[SUP] 17 [/SUP], Ewa A Jankowska[SUP] 2 18 [/SUP]
Affiliations
- PMID: 35054046
- DOI: 10.3390/jcm11020352
Abstract
The coronavirus disease 2019 (COVID-19) shows high incidence of thromboembolic events in humans. In the present study, we aimed to evaluate if anticoagulation prior to COVID-19 infection may impact clinical profile, as well as mortality rate among patients hospitalized with COVID-19. The study was based on retrospective analysis of medical records of patients with laboratory confirmed SARS-CoV-2 infection. After propensity score matching (PSM), a group of 236 patients receiving any anticoagulant treatment prior to COVID-19 infection (AT group) was compared to 236 patients without previous anticoagulation (no AT group). In 180 days, the observation we noted comparable mortality rate in AT and no AT groups (38.5% vs. 41.1%, p = 0.51). Similarly, we did not observe any statistically significant differences in admission in the intensive care unit (14.1% vs. 9.6%, p = 0.20), intubation and mechanical ventilation (15.0% vs. 11.6%, p = 0.38), catecholamines usage (14.3% vs. 13.8%, p = 0.86), and bleeding rate (6.3% vs. 8.9%, p = 0.37) in both groups. Our results suggest that antithrombotic treatment prior to COVID-19 infection is unlikely to be protective for morbidity and mortality in patients hospitalized with COVID-19.
Keywords: 6 months outcome; COVID-19; SARS-CoV-2; anticoagulation; morbidity; mortality; thromboembolic complications.