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The understanding of haemostasis and inflammation cross-talk has gained considerable knowledge during the past decade in the field of arterial and venous thrombosis. Complex and delicately balanced interaction between coagulation and inflammation involve all cellular and humoral components. Elements of the coagulation system such as activated thrombin, fibrinogen or factor Xa may increase inflammation by promoting the production of pro-inflammatory cytokines, chemokines, growth factors and adhesion molecules that lead to a procoagulant state amplifying the pathological process. Recent evidence supports inflammation as a common pathogenic contributor to both arterial and venous thrombosis, giving rise to the concept of inflammation-induced thrombosis.
Patients with infection of COVID-19 and severe pneumoniae seem to have higher risk of thromboembolism. Very few data are available regarding the biological disorders of coagulation in these patients. Th purpose of this project is to analyze hemostasis and coagulation of patients with infection of COVID-19 and severe pneumonia.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| venous ultrasound | Other | Venous ultrasound will be performed on patients once a week, every week from the day of admission in ICU until the day of patient discharge | ||
| blood sample | Other | blood sample for coagulation and hemostasis analysis will be withdrawn from artery catheter from the day of admission in ICU until the day of patient discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Variation of thrombin time (in secondes) in Covid-19 patients with pneumonia admitted in ICU. | The reference range for the thrombin time is usually less than 20 seconds (ie, 15-19 seconds) | up to 6 weeks |
| Variation of factor V concentration (U/dL) in Covid-19 patients with pneumonia admitted in ICU. | Variation of factor V concentration (U/dL) in Covid-19 patients with pneumonia admitted in ICU. | up to 6 weeks |
| Variation of factor II concentration (U/dL) in Covid-19 patients with pneumonia admitted in ICU. | Variation of factor II concentration (U/dL) in Covid-19 patients with pneumonia admitted in ICU. | up to 6 weeks |
| Variation of concentration of fibrin and fibrinogen degradation products (≥ 10 µgm/mL) in Covid-19 patients with pneumonia admitted in ICU. | Variation of concentration of fibrin and fibrinogen degradation products (≥ 10 µgm/mL) in Covid-19 patients with pneumonia admitted in ICU. | up to 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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every patient hospitalized in CHU Amiens medical ICU with pneumonia due to COVID-19 infection
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Amiens | Amiens | 80480 | France |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D011014 | Pneumonia |
| D013927 | Thrombosis |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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blood sample for coagulation and hemostasis analysis
| D018352 |
| Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |