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. 2023 Jun 30;16(9):1510–1525. doi: 10.1111/cts.13569

TABLE 2.

Characteristic of publications on the antithrombotic and anticoagulant regimens for patients with COVID‐19.

First author (year) Location Design Type of anticoagulation and comparison Results Outcomes
Bikdeli et al. (2022) 52 Iran Multicenter randomized trial, 562 patients Intermediate‐dose vs standard‐dose prophylactic anticoagulation No difference was observed in venous or arterial thrombosis, ECMO treatment, or mortality rate following a 90‐day follow‐up.
  • Venous or arterial thrombosis

  • Treatment with ECMO

  • Mortality

Lawler et al. (2021) 53 UK USA Canada Brazil Mexico Nepal Australia Netherlands Spain An international, adaptive, multiplatform, randomized, controlled trial, 2219 patients Therapeutic‐dose anticoagulation (heparin) vs usual‐care pharmacologic thromboprophylaxis The probability of survival until hospital discharge was increased by therapeutic‐dose heparin. It also reduced the use of ICU‐level organ support.
  • Organ support‐free days

  • Days free of cardiovascular or respiratory organ support

Goligher et al. (2021) 54 UK USA Canada Brazil Ireland Netherlands Australia Nepal Saudi Arabia Mexico An international, adaptive, multiplatform, randomized, controlled trial, 1098 patients Therapeutic‐dose anticoagulation vs usual‐care thromboprophylaxis No difference was observed in the probability of survival to hospital discharge or a greater number of days free of cardiovascular or respiratory organ support.
  • Organ support‐free days

  • Days free of cardiovascular or respiratory organ support

Perepu et al. (2021) 55 USA Multicenter, open‐label, randomized controlled trial, 176 patients Standard prophylactic dose vs intermediate dose enoxaparin No difference was observed in mortality (p = 0.28) and thromboembolism.
  • Mortality (within 30 days)

  • Venous or arterial thrombosis

Sadeghipour et al. (2021) 56 Iran Multicenter randomized trial, 562 patients Intermediate‐dose vs standard‐dose prophylactic anticoagulation No difference was observed in the risk of VTE (3.3% vs. 3.5%; p = 0.94) and mortality (within 30 days) (43.1% vs. 40.9%; p = 0.50).
  • Venous or arterial thrombosis

  • Treatment with ECMO

  • Mortality

Tang et al. (2020) 57 China Comparative, retrospective, 449 patients Systemic anticoagulation with low‐molecular‐weight heparin vs. no anticoagulation No difference was observed in mortality (30.3% vs. 29.7%; p = 0.91).
  • Mortality

Paranjpe et al. (2020) 58 USA Comparative, retrospective, 2772 patients Systemic anticoagulation vs. no anticoagulation No difference in mortality (22.5% vs. 22.8%) or bleeding (1.9% vs. 3%; p = 0.2). Patients on anticoagulation required more mechanical ventilation (29.8% vs. 8.1%; p < 0.001).
  • Mortality

  • Major bleeding

  • Mechanical ventilation requirement

Llitjos et al. (2020) 59 France Comparative, retrospective, 26 patients Thromboprophylaxis vs therapeutic anticoagulation Patients treated with thromboprophylaxis were at higher risk of VTE (100% vs 56%; p = 0.03).
  • VTE

Yin et al. (2020) 11 China Comparative, retrospective, 449 Systemic anticoagulation with low‐molecular‐weight heparin vs no anticoagulation No difference was observed in mortality (30.3% vs 29.7%; p = 0.91). In subgroup analysis of patients with D‐dimer >3.0 μg/mL, there was lower risk of mortality in the heparin group (32.8% vs. 52.4%; p = 0.02).
  • Mortality

Klok et al. (2020) 60 Netherland Single‐arm, retrospective, 184 patients Thromboprophylaxis Any thromboembolic event, PE
  • Any thromboembolic event occurred in 31% of patients.

  • PE occurred in 13.6% of patients

Lodigiani et al. (2020) Italy Single‐arm, retrospective, 61 patients Thromboprophylaxis Thromboembolic events occurred in 16.7% of patients, VTE in 8.3%, PE in 4.2%, DVT in 2.1%, and stroke in 6.3%
  • Any thromboembolic event,

  • VTE,

  • PE

  • DVT

  • Stroke

Note: To convert D‐dimer values to nmol/L, multiply by 5.476.

Abbreviations: COVID‐19, coronavirus disease 2019; DVT, deep venous thrombosis; ECMO, extracorporeal membrane oxygenation; ICU, intensive care unit; PE, pulmonary embolism; SI, conversion factors; VTE, venous thromboembolism.