Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkers

<div><p>The coronavirus disease 2019 (COVID-19) pandemic affected millions of people worldwide resulting in a substantial number of hospitalizations. Venous thromboembolism including pulmonary embolism is a known complication of COVID-19 pneumonia although its incidence in such patients...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Muhammad Yousaf (754345) (author)
مؤلفون آخرون: Merlin Marry Thomas (17844200) (author), Salah Almughalles (17945636) (author), Mansoor Ali Hameed (17945639) (author), Ahmad Alharafsheh (17945642) (author), Irfan Varikkodan (17945645) (author), Ali Waseem (17945648) (author), Mona Babikir (17945651) (author), Dinesh Chengamaraju (14777146) (author), Mohamad Yahya Khatib (14152437) (author)
منشور في: 2023
الموضوعات:
الوسوم: إضافة وسم
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author Muhammad Yousaf (754345)
author2 Merlin Marry Thomas (17844200)
Salah Almughalles (17945636)
Mansoor Ali Hameed (17945639)
Ahmad Alharafsheh (17945642)
Irfan Varikkodan (17945645)
Ali Waseem (17945648)
Mona Babikir (17945651)
Dinesh Chengamaraju (14777146)
Mohamad Yahya Khatib (14152437)
author2_role author
author
author
author
author
author
author
author
author
author_facet Muhammad Yousaf (754345)
Merlin Marry Thomas (17844200)
Salah Almughalles (17945636)
Mansoor Ali Hameed (17945639)
Ahmad Alharafsheh (17945642)
Irfan Varikkodan (17945645)
Ali Waseem (17945648)
Mona Babikir (17945651)
Dinesh Chengamaraju (14777146)
Mohamad Yahya Khatib (14152437)
author_role author
dc.creator.none.fl_str_mv Muhammad Yousaf (754345)
Merlin Marry Thomas (17844200)
Salah Almughalles (17945636)
Mansoor Ali Hameed (17945639)
Ahmad Alharafsheh (17945642)
Irfan Varikkodan (17945645)
Ali Waseem (17945648)
Mona Babikir (17945651)
Dinesh Chengamaraju (14777146)
Mohamad Yahya Khatib (14152437)
dc.date.none.fl_str_mv 2023-02-17T03:00:00Z
dc.identifier.none.fl_str_mv 10.1097/md.0000000000032887
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Pulmonary_embolism_in_COVID-19_risk_factors_and_association_with_inflammatory_biomarkers/25202363
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
COVID-19
critical illness
CTPA
D-Dimer
pulmonary embolism
venous thromboembolism
dc.title.none.fl_str_mv Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkers
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <div><p>The coronavirus disease 2019 (COVID-19) pandemic affected millions of people worldwide resulting in a substantial number of hospitalizations. Venous thromboembolism including pulmonary embolism is a known complication of COVID-19 pneumonia although its incidence in such patients is unclear. In this multicenter retrospective cohort study, we looked at the incidence of pulmonary embolism in COVID-19 patients and its associations with various risk factors including demographics, comorbidities, inflammatory markers and coagulation profiles. We analyzed data from 193 patients of mixed ethnicity with a mean age of 51, mostly South Asians (62%) and Arabs (29%). Diabetes and hypertension were the most prevalent comorbidities accounting for 46% (N = 88) and 36% (N = 71) respectively. Critical COVID-19 illness was diagnosed in 67% of patients. The frequency of COVID-19 related pulmonary embolism was 21.8% (N = 42). We found no association of pulmonary embolism with demographic, comorbid or inflammatory variables. Only a raised D-Dimer was found to be associated with pulmonary embolism. Having a pulmonary embolism had no impact on the length of stay, critical illness, or mortality. Receiving steroids or being on standard thromboprophylaxis or weight/D-Dimer adjusted thromboprophylaxis also had no impact on the frequency of pulmonary embolism. Nine incidents of major bleeding were recorded independent of therapeutic anticoagulation. Patients admitted to the hospital for COVID-19 pneumonia had a relatively high incidence of pulmonary embolism. D-dimer was the only associated laboratory parameter associated with pulmonary embolism. However, further research is needed to evaluate its predictive and prognostic utility, particularly in an older population.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Medicine<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000032887" target="_blank">https://dx.doi.org/10.1097/md.0000000000032887</a></p>
eu_rights_str_mv openAccess
id Manara2_8e7e16f01993b1d9f49b1efdd8b6774f
identifier_str_mv 10.1097/md.0000000000032887
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/25202363
publishDate 2023
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spelling Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkersMuhammad Yousaf (754345)Merlin Marry Thomas (17844200)Salah Almughalles (17945636)Mansoor Ali Hameed (17945639)Ahmad Alharafsheh (17945642)Irfan Varikkodan (17945645)Ali Waseem (17945648)Mona Babikir (17945651)Dinesh Chengamaraju (14777146)Mohamad Yahya Khatib (14152437)Biomedical and clinical sciencesClinical sciencesCOVID-19critical illnessCTPAD-Dimerpulmonary embolismvenous thromboembolism<div><p>The coronavirus disease 2019 (COVID-19) pandemic affected millions of people worldwide resulting in a substantial number of hospitalizations. Venous thromboembolism including pulmonary embolism is a known complication of COVID-19 pneumonia although its incidence in such patients is unclear. In this multicenter retrospective cohort study, we looked at the incidence of pulmonary embolism in COVID-19 patients and its associations with various risk factors including demographics, comorbidities, inflammatory markers and coagulation profiles. We analyzed data from 193 patients of mixed ethnicity with a mean age of 51, mostly South Asians (62%) and Arabs (29%). Diabetes and hypertension were the most prevalent comorbidities accounting for 46% (N = 88) and 36% (N = 71) respectively. Critical COVID-19 illness was diagnosed in 67% of patients. The frequency of COVID-19 related pulmonary embolism was 21.8% (N = 42). We found no association of pulmonary embolism with demographic, comorbid or inflammatory variables. Only a raised D-Dimer was found to be associated with pulmonary embolism. Having a pulmonary embolism had no impact on the length of stay, critical illness, or mortality. Receiving steroids or being on standard thromboprophylaxis or weight/D-Dimer adjusted thromboprophylaxis also had no impact on the frequency of pulmonary embolism. Nine incidents of major bleeding were recorded independent of therapeutic anticoagulation. Patients admitted to the hospital for COVID-19 pneumonia had a relatively high incidence of pulmonary embolism. D-dimer was the only associated laboratory parameter associated with pulmonary embolism. However, further research is needed to evaluate its predictive and prognostic utility, particularly in an older population.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Medicine<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000032887" target="_blank">https://dx.doi.org/10.1097/md.0000000000032887</a></p>2023-02-17T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/md.0000000000032887https://figshare.com/articles/journal_contribution/Pulmonary_embolism_in_COVID-19_risk_factors_and_association_with_inflammatory_biomarkers/25202363CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/252023632023-02-17T03:00:00Z
spellingShingle Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkers
Muhammad Yousaf (754345)
Biomedical and clinical sciences
Clinical sciences
COVID-19
critical illness
CTPA
D-Dimer
pulmonary embolism
venous thromboembolism
status_str publishedVersion
title Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkers
title_full Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkers
title_fullStr Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkers
title_full_unstemmed Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkers
title_short Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkers
title_sort Pulmonary embolism in COVID-19, risk factors and association with inflammatory biomarkers
topic Biomedical and clinical sciences
Clinical sciences
COVID-19
critical illness
CTPA
D-Dimer
pulmonary embolism
venous thromboembolism