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
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
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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
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
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Notes |
NCT04623177 | No data provided |