Predictors of pulmonary embolism in hospitalized patients with COVID-19

Autor: Jeeyune Bahk, Abdul Rehman, Kam Sing Ho, Bharat Narasimhan, Hafiza Noor Ul Ain Baloch, Jiafang Zhang, Rowena Yip, Robert Lookstein, David J Steiger
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Thrombosis Journal, Vol 21, Iss 1, Pp 1-11 (2023)
Druh dokumentu: article
ISSN: 1477-9560
DOI: 10.1186/s12959-023-00518-y
Popis: Abstract Background High venous thromboembolism (VTE) rates have been described in critically ill patients with COVID-19. We hypothesized that specific clinical characteristics may help differentiate hypoxic COVID-19 patients with and without a diagnosed pulmonary embolism (PE). Methods We performed a retrospective observational case-control study of 158 consecutive patients hospitalized in one of four Mount Sinai Hospitals with COVID-19 between March 1 and May 8, 2020, who received a Chest CT Pulmonary Angiogram (CTA) to diagnose a PE. We analyzed demographic, clinical, laboratory, radiological, treatment characteristics, and outcomes in COVID-19 patients with and without PE. Results 92 patients were negative (CTA-), and 66 patients were positive for PE (CTA+). CTA + had a longer time from symptom onset to admission (7 days vs. 4 days, p = 0.05), higher admission biomarkers, notably D-dimer (6.87 vs. 1.59, p
Databáze: Directory of Open Access Journals
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