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Severe COVID-19 patients at a high risk of venous thromboembolism. We studied patients in 2 intensive care units of university hospitals in Barcelona and Badalona, Spain. We performed a cut-off screening of deep venous thrombosis (DVT) with bilateral duplex ultrasound to 230 patients.
SARS-CoV-2 infection has been associated with coagulation disorders and increased risk of venous thromboembolism (VTE). The aim of the study is to determine the cumulative incidence of VTE in critically ill patients with COVID-19 and its impact on prognosis.
Methods Cohort study of critically ill patients due to COVID-19. A bilateral venous compression (CUS) ultrasound screening of the lower extremities was performed during a cut-off period in 2 intensive care units of university hospitals in Spain. Asymptomatic and symptomatic VTE were registered: pulmonary embolism (PE) (diagnosed by CT-angiography) and deep venous thrombosis (DVT). The characteristics of the patients, results of their blood tests and their evolution after 7 days of follow-up were recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Venous thromboembolism | Patients at risk of venous thromboembolism (deep venous thrombosis and/or pulmonary embolism) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Duplex ultrasound and Computed Tomography Angiography | Diagnostic Test | All venous thromboembolisms suspected will diagnosed with ultrasound and CT-angiography |
|
| Measure | Description | Time Frame |
|---|---|---|
| Venous thromboembolisms | Patients with symptomatic pulmonary embolism confirmed on the CT-angiography and those with a swollen limb and confirmed deep venous thrombosis on compression ultrasound were considered to have "symptomatic venous thromboembolisms". The remaining patients with positive limb ultrasound or CT-angiography were considered to have "asymptomatic venous thrombembolism" | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Deaths | Deaths from all causes during the follow-up | 7 days |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with severe COVID-19 pneumonia admitted to the intensive care unit.
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| Name | Affiliation | Role |
|---|---|---|
| Sergi Bellmunt, MD,PhD | Hospital Vall d'Hebron | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vall d´Hebron Research Institute VHIR | Barcelona | Catalonia | 08035 | Spain | ||
| Hospital Germans Trias i Pujol. Universitat Autònoma de Barcelona |
We have planned to write a paper
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|
| Badalona |
| 08916 |
| Spain |
| Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona | Barcelona | 08035 | Spain |
| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D016638 | Critical Illness |
| D054556 | Venous Thromboembolism |
| D020246 | Venous Thrombosis |
| D011655 | Pulmonary Embolism |
| D013927 | Thrombosis |
| D045169 | Severe Acute Respiratory Syndrome |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013923 | Thromboembolism |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D004617 | Embolism |
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| ID | Term |
|---|---|
| D018616 | Ultrasonography, Doppler, Duplex |
| D000072226 | Computed Tomography Angiography |
| ID | Term |
|---|---|
| D018608 | Ultrasonography, Doppler |
| D014463 | Ultrasonography |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D014057 | Tomography, X-Ray Computed |
| D007090 | Image Interpretation, Computer-Assisted |
| D064847 | Multimodal Imaging |
| D011856 | Radiographic Image Enhancement |
| D007089 | Image Enhancement |
| D010781 | Photography |
| D011859 | Radiography |
| D014056 | Tomography, X-Ray |
| D014054 | Tomography |
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