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. 2021 Dec 16;12:762782. doi: 10.3389/fimmu.2021.762782

Table 1.

Brief literature review of the clinical laboratory coagulation indexes previously reported in coronavirus disease 2019 (COVID-19) patients.

Test (unit) Target population or center/country Consistency (with our results) Included patients/main findings Reference
PT (s) Tianyou Hospital, Wuhan, China ✓ 
  • 115 patients were included.

  • The mean ± SD results for the PT test in critical and severe groups were 13.70 ± 3.38 and 12.14 ± 1.16 s, respectively.

(13)
Jinyintan Hospital and Wuhan Pulmonary Hospital, China ✓ 
  • 191 patients [survivors (n = 137), non-survivors (n = 54)] were studied.

  • PTSurvivors = 11.4 s, PTnon-Survivors = 12.1 s (p = 0·0004)

  • 7 (13%) of expired patients had PT ≥ 16, while only 4 (3%) of patients who survived had PT ≥ 16.

(14)
Chongqing, China ✓ 
  • 135 patients were recruited.

  • The mean PT values for the critical and severe groups were 11.3 and 10.8 s, respectively (p = 0.011)

(15)
aPTT (s) Tongji Hospital, Wuhan, China ✓ 
  • 147 patients were enrolled.

  • The mean aPTT results were 42.4 in expired patients(N = 35) and 40.6 in survivors (N = 112, p = 0.256)

(16)
Tianyou Hospital, Wuhan, China ✓ 
  • 115 patients were included.

  • Critical group had higher aPTT results when compared with the severe and mild groups (36.98 ± 8.60, 36.47 ± 9.29, and 34.9 ± 9.17 s, respectively).

(13)
Chongqing, China ✓ 
  • 135 patients were recruited.

  • The mean aPTT values for the critical and severe groups were 29.7 and 26.6 s, respectively (p = 0.011).

(15)
Fibrinogen Renmin Hospital of Wuhan University ✓ 
  • 94 patients were studied.

  • 502 ± 153 mg/ml in COVID-19 patients compared to 290 ± 53 mg/ml in the control group (p < 0.001)

(17)
Suzhou Hospital ✓ 
  • 75 patients were enrolled.

  • While the average fibrinogen levels in controls were 200–400 mg/ml, patients were reported to have significantly higher levels (430 ± 119 mg/ml, p < 0.05).

(18)
Fuyang Second People’s Hospital ✓ 
  • 43 patients were studied.

  • The average fibrinogen levels in the severe group was 384 ± 100 mg/ml and in the mild group was 311 ± 083 mg/ml (p = 0.14).

(15)
Anti-lupus coagulant (s) Hospitals in Liechtenstein and Switzerland N/A
  • 64 patients were studied.

  • Higher total IgA and IgA anti-phospholipid antibodies were found in severe patients (p < 0.001).

(19)
Lariboisière Hospital, Paris ✓ 
  • 74 consecutive mechanically ventilated patients were enrolled.

  • LAC was positive in 63 patients (85%).

  • 23 out of 28 patients with thrombotic complications were positive.

(20)
Tan Tock Seng Hospital, Singapore ✓ 
  • 12 ICU patients with severe COVID-19 pneumonia were included.

  • Lupus anticoagulants were present in 50% of patients.

(21)
Protein C (%) R Adams Cowley Shock Trauma Center, Maryland, USA
  • 10 critically ill patients were included, who were using mechanical lung ventilation.

  • The mean protein C activity was 104 ± 40 (normal = 83%–168%).

(22)
Tenon University Hospital, Paris, France
  • 430 patients were included.

  • Protein C activity was higher in conventional (mild) patients (97%, 79–113) than the worsening disease group (88%, 71–100).

(23)
Tan Tock Seng Hospital, Singapore
  • 12 ICU patients with severe COVID-19 pneumonia were included.

  • The average activity of protein C was 77.5%.

(21)
Protein S (%) Colentina University Hospital Bucharest, Romania ✓ 
  • 91 patients were enrolled, of whom 21 (23.3%) died.

  • 65% of the patients were reported to have decreased protein S activity.

  • Death cases had lower protein S activity (median = 42% vs. 58%, p < 0.001).

(24)
Tan Tock Seng Hospital, Singapore ✓ 
  • 12 ICU patients with severe COVID-19 pneumonia were included.

  • The average activity of protein S was 65.2%.

(21)
Gregorio Marañon Hospital, Madrid, Spain N/A
  • 206 patients were enrolled.

  • The average protein S activity in COVID-19 patients with thrombosis was 60.9 (46.3–69.4), while the mean activity in patients without thrombosis was 53.2 (42.1–66.9, p = 0.429).

(25)
ATIII (%) Milan, Italy ✓ 
  • 24 intubated patients were included.

  • The mean antithrombin activity was slightly decreased [74 U/dl, reference range mean = 102 (82–122)].

(26)
Tan Tock Seng Hospital, Singapore ✓ 
  • 12 ICU patients with severe COVID-19 pneumonia were included.

  • The average activity of ATIII was 84.4%.

(21)
R Adams Cowley Shock Trauma Center, Maryland, USA ✓ 
  • 10 critically ill patients were included, who were using mechanical lung ventilation.

  • The mean ATIII activity was 84 (normal = 75%–135%).

(22)
D-dimer (μg/ml) Tianyou Hospital of Wuhan, China N/A
  • Classified 115 patients into four groups according to the disease severity. 18 out of 22 deceased patients had increased levels of D-dimer in the first lab test (3.47 ± 7.41 mg/l in expired patients compared to 0.87 ± 1.73 mg/l in discharged patients).

  • The change in CT imaging was in correlation with the increase of the D-dimer levels.

(13)
Jin Yin-tan Hospital, Wuhan, China ✓ 
  • 41 patients were included (ICU patients: n = 13; no ICU care: n = 28).

  • D-dimer levels on admission were higher in ICU patients (2.4 mg/L) than those in non-ICU patients (0.5 mg/L).

(27)
Texas, USA N/A
  • 15,313 hospitalized patients >18 years old

  • 285 were reported to have acute ischemic stroke, who had higher D-dimer levels at admission (1.42 vs. 0.94 µg/ml FEU, p < 0.001).

  • Elevated D-dimer levels >5.15 µg/ml was shown to increase mortality nearly 3 times.

(28)
Tianyou, Puren, and China Resources & WISCO General Hospitals, Wuhan, China ✓ 
  • 1,114 patients with COVID-19 were included.

  • The value 2.025 mg/L was determined as the optimal probability cutoff to predict death.

  • The D-dimer levels of the expired patients were notably higher than those of surviving individuals.

  • D-dimer levels of COVID-19 patients with DIC were higher when compared to those without DIC.

(29)
FDP Tongji Hospital, Wuhan ✓ 
  • 147 patients were enrolled.

  • The mean FDP levels were 70.8 in expired patients (N = 35) and 4.8 g/L in survivors (N = 112, p < 0.001).

(16)
Renmin Hospital of Wuhan University ✓ 
  • 94 patients were studied.

  • 33.83 ± 82.28 mg/L in COVID-19 patients compared to 1.55 ± 1.09 mg/L in healthy controls (p < 0.001)

(17)
Tongji Hospital of Huazhong University, Wuhan ✓ 
  • 183 patients were included, among them 21 patients expired.

  • Significant increase in FDP levels between survivors and non-survivors [4.0 (4.0–4.3) vs. 7.6 μg/ml (4.0–23.4)]

(30)

PT, prothrombin time; aPTT, activated partial thromboplastin time; ATIII, antithrombin III; FDP, fibrin degradation product; LAC, lupus anticoagulant; N/A, not applicable; FEU, fibrinogen equivalent unit; DIC, disseminated intravascular coagulation.