Table 2.
Major societal recommendations regarding using biomarkers to guide anticoagulation
| Biomarkers to guide anticoagulation | |
|---|---|
| CDC | Insufficient data to recommend for or against using hematologic and coagulation parameters to guide management decisions. |
| ISTH-IG | Not mentioned |
| ACF | Biomarker thresholds such as D-dimer for guiding anticoagulation management should not be done outside the setting of a clinical trial. |
| ASH | No particular change to regimen recommended for patients with lupus like inhibitors. TEG and ROTEM should not be used routinely to guide management. |
| ACCP | Not mentioned |
| SSC-ISTH | D-dimer levels should not be used solely to guide anticoagulation regimens. |
| ACC | Further investigation is required to determine the role of antiphospholipid antibodies in pathophysiology of COVID-19-associated thrombosis. D-dimer > 2 times the upper limit may suggest that patient is at high risk for VTE and consideration of extended prophylaxis (up to 45 days) in patients at low risk of bleeding. |
Abbreviations: COVID-19 coronavirus disease 2019, ROTEM rotational thromboelastometry, TEG thromboelastography, VTE venous thromboembolism