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. 2022 Mar 4;2022(3):CD013739. doi: 10.1002/14651858.CD013739.pub2

NCT04623177.

Study name Thromboprophylaxis for patients in ICU With COVID‐19
Starting date 1 March 2020
Contact information Raquel Ferrandis, MD
Hospital Universitario La Fe, Valencia, Spain
phone and email not available
Methods Prospective cohort, non‐randomised, open‐label, 3 parallel and comparative arms
Participants 950 participants, ≥ 18 years, female and male
Inclusion criteria
  • Confirmed SARS‐CoV‐2 infection from a respiratory tract sample using a PCR assay

  • Admitted to ICU


Exclusion criteria
  • Non‐confirmed SARS‐CoV‐2 infection

  • No data at first day ICU admission

  • Patient with do‐not‐resuscitate orders

  • A patient who did not meet the outcomes of death or ICU discharge by the time of study completion date

Interventions Experimental: anticoagulant dose (≥ 150 IU/kg/24 h) of LMWH within the first 48 h after the ICU admission
Experimental: prophylactic dose (lower than 150 IU/kg/24 h) of LMWH within the first 48 h after the ICU admission
Comparator: no anticoagulant drug within the first 48 h after the ICU admission
Outcomes Primary
  • ICU mortality rate (time frame: from admission to ICU discharge, an average of 1 month)


Secondary
  • ICU incidence of thrombotic events (time frame: from admission to ICU discharge, an average of 1 month). A composite endpoint to evaluate efficacy made up of myocardial infarction, stroke, incidental PE, PE with worsening of hypoxaemia, PE with haemodynamic repercussion, other venous thromboses without PE

  • ICU incidence of bleeding events (time frame: from admission to ICU discharge, an average of 1 month). Composite endpoint to evaluate safety made up of bleeding needing a transfusion, bleeding with haemodynamic repercussion, another bleeding (minor bleeding)

  • Length of ICU stay (time frame: from admission to ICU discharge, an average of 1 month). Days admitted in ICU

  • Length of invasive mechanical ventilation (time frame: from admission to ICU discharge, an average of 1 month). Days treated with invasive mechanical ventilation (controlled or assisted)

  • Effect of LMWH in other parameters (time frame: from admission to ICU discharge, an average of 1 month). Description of the relationship if any between the use of LMWH and thrombotic or inflammatory parameters (D‐dimer levels, ferritin) or lung dead space

Notes NCT04623177 | No data provided