TABLE 2.
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. |
|
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. |
|
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. |
|
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. |
|
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). |
|
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). |
|
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). |
|
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). |
|
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). |
|
Klok et al. (2020) 60 | Netherland | Single‐arm, retrospective, 184 patients | Thromboprophylaxis | Any thromboembolic event, PE |
|
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% |
|
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.