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Coronavirus COVID-19 is an emerging virus also called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Eighty percent of patients are poor or asymptomatic. However, there are major respiratory complications for some patients, requiring intensive care hospitalization and possibly leading to death in 5% of cases. One of the hypotheses put forward is that much of the pathophysiology is due to endothelial dysfunction associated with disseminated intravascular coagulation.
The covid-19 pathology could induce coagulation impairment as observed during sepsis. An increase in D-dimer levels during covid-19 disease is itself associated with excess mortality. While D-dimers are highly sensitive, they are not specific for clotting activity. They may be increased in many other circumstances, particularly in inflammation.
On the other hand, the infection stimulates the release of extracellular vesicles. These vesicles, of multiple cellular origin, are an actor of vascular homeostasis, and participate in the state of hyperactivation of coagulation. They have a major role in the prothrombotic state and the development of coagulopathy associated with sepsis.
The aim of our monocentric prospective study would be to study early and more specific markers of hypercoagulability and markers of routine endothelial dysfunction, as soon as the patient is hospitalized, in order to predict the risk of hospitalization in intensive care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient with COVID-19 infection | Experimental | Patient with COVID-19 infection hospitalized in a COVID unit |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| blood sampling | Procedure | blood sampling in hospitalized patient for COVID-19 infection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical worsening (yes/no) of the patient during hospitalization | in the 15 days from admission | |
| D-DIMERS plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
| Fibrin monomers plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
| Antithrombin plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
| Prothrombin Fragment 1 plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
| Prothrombin Fragment 2 plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
| Thrombin generation test plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
| Microvesicles of platelet plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Paul BILLOIR, pharmacist | University Hospital, Rouen | Principal Investigator |
| Véronique LE CAM, MD | University Hospital, Rouen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rouen University Hospital | Rouen | France |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Feb 13, 2026 | |
| Reset | Mar 5, 2026 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Feb 13, 2026 | Mar 5, 2026 |
| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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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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| Cross-linked platelets plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
| Willebrand Factor plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
| Factor VIII plasma levels in blood | Biological analysis using initial blood sampling | 1 hour after admission |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |