Risk assessment of venous thromboembolism and bleeding in COVID‐19 patients. (21st January 2022)

• Record Type: Journal Article
• Authors: Wang, Lan; Zhao, Lan; Li, Feng; Liu, Ji; Zhang, Li; Li, Qiuhong; Gu, Jin; Liang, Shuo; Zhao, Qinhua; Liu, Jinmin; Xu, Jin‐fu
• Is Part Of: Clinical respiratory journal. Volume 16:Number 3(2022)
• Page Start: 182
• Page End: 189
• Publication Date: 2022-01-21
• Subjects: coronavirus disease 2019 -- deep vein thrombosis -- improve bleed risk assessment model -- Padua prediction score -- venous thromboembolism; Respiratory organs -- Diseases -- Periodicals; Respiratory organs -- Periodicals; 616.24
• DOI: 10.1111/crj.13467
• Languages: English
• ISSNs: 1752-6981

Abstract

Abstract: Background: The coronavirus disease 2019 (COVID‐19) is a newly recognized illness that has spread rapidly all over the world. More and more reports highlight the risk of venous thromboembolism (VTE) in COVID‐19. Our study aims to identify in‐hospital VTE risk and bleeding risk in COVID‐19 patients. Methods: We retrospectively studied 138 consecutively enrolled patients with COVID‐19 and identified in‐hospital VTE and bleeding risk by Padua Prediction Score and Improve bleed risk assessment model. The clinical data and features were analyzed in VTE patients. Results: Our findings identified that 23 (16.7%) patients with COVID‐19 were at high risk for VTE according to Padua prediction score and 9 (6.5%) patients were at high risk of bleeding for VTE prophylaxis according to Improve prediction score. Fifteen critically ill patients faced double high risk from thrombosis (Padua score more than 4 points in all 15 [100%] patients) and hemorrhage (Improve score more than 7 points in 9 [60.0%] patients). Thrombotic events were identified in four patients (2.9%) of all COVID‐19 patients. All of them were diagnosed with deep vein thrombosis by ultrasound 3 to 18 days after admission. Three (75.0%) were critically ill patients, which means that the incidence of VTE among critically ill patients was 20%. One major hemorrhage happened in critically ill patients during VTE treatment. Conclusion: Critically ill patients with COVID‐19 suffered both a high risk of thrombosis and bleeding risks. More effective VTE prevention strategies based on an individual assessment of bleeding risks were necessary for critically ill patients with COVID‐19.