Ethnic differences in thromboprophylaxis for COVID-19 patients: should they be considered?

Thromboembolic events contribute to morbidity and mortality in coronavirus disease 2019 (COVID-19). As a result, thromboprophylaxis using low-molecular-weight heparin (LMWH) is universally recommended for hospitalized patients based on multiple guidelines. However, ethnic differences with respect to...

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Vydáno v:International journal of hematology Ročník 113; číslo 3; s. 330 - 336
Hlavní autoři: Iba, Toshiaki, Connors, Jean Marie, Spyropoulos, Alex C., Wada, Hideo, Levy, Jerrold H.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Singapore Springer Singapore 01.03.2021
Springer Nature B.V
Témata:
Anticoagulants
Anticoagulants - administration & dosage
Anticoagulants - adverse effects
Biological Variation, Population
Bleeding
Coronaviruses
COVID-19
COVID-19 - complications
COVID-19 - epidemiology
COVID-19 - virology
Cultural differences
Disease Management
Disease Susceptibility
Ethnicity
Hematology
Heparin
Humans
Medicine
Medicine & Public Health
Minority & ethnic groups
Morbidity
Mortality
Oncology
Post-Exposure Prophylaxis
Prognosis
Review
Review Article
SARS-CoV-2
Thromboembolism
Thromboembolism - diagnosis
Thromboembolism - epidemiology
Thromboembolism - etiology
Thromboembolism - prevention & control
Thrombosis
Venous Thromboembolism - etiology
Venous Thromboembolism - prevention & control
Viral diseases
COVID-19
Ethnic difference
Deep vein thrombus
Thromboprophylaxis
Thromboembolism
ISSN:0925-5710, 1865-3774, 1865-3774
On-line přístup:Získat plný text
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Abstract Thromboembolic events contribute to morbidity and mortality in coronavirus disease 2019 (COVID-19). As a result, thromboprophylaxis using low-molecular-weight heparin (LMWH) is universally recommended for hospitalized patients based on multiple guidelines. However, ethnic differences with respect to thrombogenicity have been reported and the incidence of thromboembolic events is considered to be lower in the Asian population. Despite the importance of thromboprophylaxis, bleeding is also a side effect that should be considered. We examine the data relating to potential ethnic differences in thrombosis and bleeding in COVID-19. Although sufficient data is not yet available, current evidence does not oppose routine anticoagulant use and thromboprophylaxis using a standard dose of LMWH for admitted patients regardless of ethnicity based on our review.
AbstractList Thromboembolic events contribute to morbidity and mortality in coronavirus disease 2019 (COVID-19). As a result, thromboprophylaxis using low-molecular-weight heparin (LMWH) is universally recommended for hospitalized patients based on multiple guidelines. However, ethnic differences with respect to thrombogenicity have been reported and the incidence of thromboembolic events is considered to be lower in the Asian population. Despite the importance of thromboprophylaxis, bleeding is also a side effect that should be considered. We examine the data relating to potential ethnic differences in thrombosis and bleeding in COVID-19. Although sufficient data is not yet available, current evidence does not oppose routine anticoagulant use and thromboprophylaxis using a standard dose of LMWH for admitted patients regardless of ethnicity based on our review.
Thromboembolic events contribute to morbidity and mortality in coronavirus disease 2019 (COVID-19). As a result, thromboprophylaxis using low-molecular-weight heparin (LMWH) is universally recommended for hospitalized patients based on multiple guidelines. However, ethnic differences with respect to thrombogenicity have been reported and the incidence of thromboembolic events is considered to be lower in the Asian population. Despite the importance of thromboprophylaxis, bleeding is also a side effect that should be considered. We examine the data relating to potential ethnic differences in thrombosis and bleeding in COVID-19. Although sufficient data is not yet available, current evidence does not oppose routine anticoagulant use and thromboprophylaxis using a standard dose of LMWH for admitted patients regardless of ethnicity based on our review.Thromboembolic events contribute to morbidity and mortality in coronavirus disease 2019 (COVID-19). As a result, thromboprophylaxis using low-molecular-weight heparin (LMWH) is universally recommended for hospitalized patients based on multiple guidelines. However, ethnic differences with respect to thrombogenicity have been reported and the incidence of thromboembolic events is considered to be lower in the Asian population. Despite the importance of thromboprophylaxis, bleeding is also a side effect that should be considered. We examine the data relating to potential ethnic differences in thrombosis and bleeding in COVID-19. Although sufficient data is not yet available, current evidence does not oppose routine anticoagulant use and thromboprophylaxis using a standard dose of LMWH for admitted patients regardless of ethnicity based on our review.
Author Spyropoulos, Alex C.
Iba, Toshiaki
Wada, Hideo
Levy, Jerrold H.
Connors, Jean Marie
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  orcidid: 0000-0002-0255-4088
  surname: Iba
  fullname: Iba, Toshiaki
  email: toshiiba@juntendo.ac.jp
  organization: Department of Emergency and Disaster Medicine, Juntendo University Graduate School of Medicine
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  givenname: Jean Marie
  surname: Connors
  fullname: Connors, Jean Marie
  organization: Harvard Medical School, Hematology Division Brigham and Women’s Hospital
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  givenname: Alex C.
  surname: Spyropoulos
  fullname: Spyropoulos, Alex C.
  organization: Department of Medicine, Anticoagulation and Clinical Thrombosis Services, The Institute for Health Innovations and Outcome Research, The Feinstein Institutes for Medical Research, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health at Lenox Hill Hospital
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  givenname: Jerrold H.
  surname: Levy
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  organization: Department of Anesthesiology, Critical Care, and Surgery, Duke University School of Medicine
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Issue 3
Keywords COVID-19
Ethnic difference
Deep vein thrombus
Thromboprophylaxis
Thromboembolism
Language English
License This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
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Snippet Thromboembolic events contribute to morbidity and mortality in coronavirus disease 2019 (COVID-19). As a result, thromboprophylaxis using low-molecular-weight...
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SubjectTerms Anticoagulants
Anticoagulants - administration & dosage
Anticoagulants - adverse effects
Biological Variation, Population
Bleeding
Coronaviruses
COVID-19
COVID-19 - complications
COVID-19 - epidemiology
COVID-19 - virology
Cultural differences
Disease Management
Disease Susceptibility
Ethnicity
Hematology
Heparin
Humans
Medicine
Medicine & Public Health
Minority & ethnic groups
Morbidity
Mortality
Oncology
Post-Exposure Prophylaxis
Prognosis
Review
Review Article
SARS-CoV-2
Thromboembolism
Thromboembolism - diagnosis
Thromboembolism - epidemiology
Thromboembolism - etiology
Thromboembolism - prevention & control
Thrombosis
Venous Thromboembolism - etiology
Venous Thromboembolism - prevention & control
Viral diseases
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Title Ethnic differences in thromboprophylaxis for COVID-19 patients: should they be considered?
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