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. 2022 Sep 22;12(10):889. doi: 10.3390/metabo12100889

Table 1.

Characteristics of the included studies. Abbreviations: DAD, diffuse alveolar damage; SOFA, Sequential Organ Failure Assessment; other abbreviations in other figures.

First Author/Year Ref Type of Study Number of Patients Mean
Age, years
Finding
Klok (2020)
Thromb. Res. [9]
Retrospective
Single Center
(Netherlands)
184 64 (12) Higher incidence (31%) of TED in ICU patients. VTE in 27% (95%CI 17–37%) and arterial thrombotic events in 3.7% (95%CI 0–8.2%).
Tang (2020)
J. Thromb. Haemost [11]
Prospective
Single Center
Wuan (China)
183 54.1 ± 16.2 Elevated D-dimer and FDP are common in deaths with NCP fibrin degradation product (FDP) novel coronavirus pneumonia (NCP).
Cui (2020)
J. Thromb Haemost [14]
Prospective
Single Center
Wuan (China)
81 59.9 (14.1) Higher incidence of VTE (25%) in severe NCP, with poor prognosis.
High-risk groups of VTE identified for increased D-dimer.
Klok (2020)
Thromb Res. [17]
Retrospective
Single Center
(Netherlands)
184 64 (12) Higher cumulative incidence of thrombotic complications in critically ill patients with NCP. Total 95% confidence interval [CI] 41–57%. Pulmonary embolism (PE) (65/75; 87%).
Lodigiani (2020)
Thromb Res. [15]
Prospective
Single Center
Milan (Italy)
388 61 (55–69) High rate of TED within 24 h of admission. High rate of positive VTE imaging suggested to improve specific thromboprophylaxis.
Middeldorp (2020)
J Thromb Haemost.
[20]
Prospective
Single Center
Amsterdam (Netherlands)
75 62 (10) Higher risk of VTE in ICU patients 42% (95% CI 30–54) at 21 days.
Tang (2020)
J. Thromb Haemost [29]
Prospective
Single Center
Wuan (China)
449 65.1 ± 12.0 Anticoagulant therapy, mainly using low molecular weight heparin, is associated with better prognosis. SIC criteria were relevant or D-dimer were markedly elevated.
Huang (2022)
Lancet Respir Med. [33]
Retrospective
Single Center
Wuan (China)
2469 57.0 (48.0–65.0) Within 2 years, COVID-19 survivors had longitudinal improvements in physical and mental health; however, this population had a remarkably lower health status.
Wu (2020)
JAMA [34]
Retrospective multicenter
(China)
72,314 30 to 79 years of age (87%) Draconian measures may be considered to limit the spread of infection.
Wu (2020)
JAMA Intern. Med.
[35]
Retrospective
Multicenter
(China)
201 51 (43–60) Older had greater risk of progression toward ARDS and death HR, 6.17; 95% CI, 3.26–11.67. Higher D-dimer HR, 1.02; 95% CI, 1.01–1.04.
Zhou (2020)
Lancet [36]
Retrospective
Multicenter
(China)
191 56 (46–67)
Non-survivor 69 (63–76)
Survivor 52 (45–58)
Older age is an increased risk factors (p < 0.0001), as well high SOFA score and d-dimer greater than 1 μg/mL These factors can identify poor prognosis at an early stage.
Lymperaki (2022)
Medicines [37]
Prospective
Single center
199
Non COVID (60)
COVID (139)
Non COVID
9–89
COVID
28–91
Biomarkers, such as vitamin B12 (p = 0.0029), ROS (p < 0.0001), and albumin (p = 0.046), are useful as possible prognosis tools for an early diagnosis.
Garma (2022)
Sci. Rep. [38]
Prospective
Single center
22 ACE-2 was not expressed by infected or control platelets.
Lippi (2020)
Clin. Chim. Acta. [39]
Retrospective
Multicenter
(Study level meta-analysis)
1779 38–67 Low platelet count is associated with increased risk of severe disease and mortality in patients with COVID-19.
Varikasuvu (2021)
Sci. Rep. [40]
Retrospective
Multicenter
(Study level meta-analysis)
Unadjusted 26,960
Adjusted 15,653
41–73 Higher D-dimer levels provide early assess COVID-19 patients at risk for disease progression and mortality outcomes.
Du (2021)
Int. J. Clin. Pract. [41]
Retrospective
Multicenter
(Study level meta-analysis)
1430
Non severe COVID (1025)
Severe COVID (378)
Non severe COVID
29–74
Severe COVID
41–83
Severe COVID-19 patients reveal a higher concentration of D-dimer, when compared with non-severe patients.
Han (2020)
Clin Chem Lab Med [42]
Prospective
Single Center
Wuan (China)
94 Patients with SARS-CoV-2 reveal significant changes in coagulation function, as compared with healthy people. Monitoring D-dimer and FDP values may be helpful to identify severe cases.
Yang (2020)
Lancet Respir Med. [43]
Retrospective Single Center
Wuan (China)
710
52 critically
59·7 (13·3) Older patients (>65 years) with comorbidities and ARDS are at increased risk of death.
Gao (2020)
J. Med. Virol. [44]
Retrospective Single Center
Wuan (China)
43 Severe COVID
45.20 ± 7.68
Mild COVID
42.96 ± 14.00
IL-6 and d-D tandem testing predict severity of COVID (sensitivity 93.3%, for IL-6 and 96.4%.d-D).
Wang (2020)
JAMA [45]
Retrospective Single Center
Wuan (China)
138 56 (42–68) A total of 41% of patients with COVID-19 have presumed hospital-related transmission. A total of 26% of patients received ICU care, and mortality was 4.3%.
Yang (2020)
J. Thromb Haemost [46]
Retrospective Single Center
Wuan (China)
1476 Survivors
56 (46–65)
Non survivors
67 (59–75)
Thrombocytopenia is marked in patients with COVID-19, and it is associated with increased risk of in-hospital mortality.
Nappi (2022)
J. Clin. Med. [47]
Retrospective
Multicenter
(Systematic review)
38,485 (29–86) NETs are implicated in the pathogenesis of the inflammatory response during COVID-19, and long-term effects requires ongoing monitoring and research.
Guo (2020)
JAMA cardiology
[48]
Retrospective Single Center
Wuan (China)
187 58.50 (14.66) Myocardial injury is significantly associated with fatal outcome of COVID-19 with increased cardiac dysfunction and arrhythmias.
Zhu (2021)
Immun. Inflamm. Dis.
[49]
Retrospective
Multicenter
(Study level meta-analysis)
15,354 40 (1–96) Hypertension, cardiovascular disease, acute cardiac injury, and related laboratory indicators are associated with the severity of COVID-19.
Lala (2020)
JACC [50]
Prospective single center 985 66.4 (18–100) Myocardial injury is prevalent among patients hospitalized with COVID-19. Low levels of troponin are revealed.
Zuo (2020)
Sci. Transl. Med. [51]
Prospective single center 172 61 ± 17
(25–95)
Patients hospitalized with COVID-19 reveal transient positivity for APL antibodies. APL autoantibodies are potentially pathogenic.
Zuo (2020)
JCI Insight [52]
Prospective single center 80 61 ± 15
(29–91)
Sera from patients with COVID-19 disclose NET release.
Bryce et al. (2021)
Mod. Pathol [53]
Retrospective
Single center
100 68
(29 to 94)
A total of 82 cases were DAD. Hemphagocytosis,
higher cytokines IL-6, IL-8, and TNFα.
Schaefer et al. (2020)
Mod. Pathol. [54]
Retrospective
Single center
7 66
(50 to 77)
A total of 5 cases diffused DAD. Two cases alveolar injuries. SARS-CoV-2 infection involving epithelial lung cell in acute phase.
No endothelial cell infection.
Delorey et al. (2021)
Nature [55]
Retrospective
Single center
32 30 to 89 Higher viral RNAs in phagocytic mononuclear and endothelial lung cells. Transcriptional alterations in multiple cell types in the heart tissue.
Lindner et al. (2020)
JAMA Cardiol. [56]
Prospective
Single center
39 68
(78–89)
SARS-CoV-2 directly infects the myocardium.
Absence of inflammatory cell infiltrates in patient with SARS-CoV-2 infection.
Higher cytokine response.
Varga et al. (2020)
Lancet [22]
Retrospective
Single center
3 63
(58–61)
Lymphocytic endotheliitis in lung, heart, kidney, and liver.
Apoptotic bodies in the heart;
mononuclear cells in lung.
Ackerman et al.
(2020)
N. Engl. J. Med. [24]
Retrospective
Single center
14
SARS-CoV-2 7
H1N1
7
68 ± 9.2 years (female)
80 ± 11.5 years (male)
Alveolar capillary microthrombi 9 times more in SARS-CoV-2. Higher CD3, CD4, and CD-8 positive T cells in SARS-CoV-2.
Lower neutrophils (CD15).
Blasco (2020)
JAMA Cardiology [57]
Prospective
Single center
55 COVID
62 (14)
Non COVID
58 (12)
In patients with COVID-19 and myocardial infarction, NETs seem to play a major role in the pathogenesis of STEMI.
Chen (2020)
Lancet [58]
Retrospective
Multicenter center
Wuan (China)
99 55.5 (13.1) The COVID-19 infection is more likely to affect older males with comorbidities, resulting in severe and even fatal acute respiratory distress syndrome.
Shi (2020)
JAMA Cardiol. [59]
Retrospective
Multicenter center
Wuan (China)
416 64 (21–95) Cardiac injury is a common evidence among hospitalized patients with COVID-19, and it is associated with higher risk of in-hospital mortality.
Szekely (2020)
Circulation [60]
Prospective
Single center
100 66.1 ± 17.2 Preservation of LV systolic function is in the majority of COVID-19 patients. Impairement of LV diastolic and RV functions. Elevated troponin and poorer clinical grade are associated with worse RV function.
Xie (2022)
Nat. Med. [61]
Retrospective
Multicenter center
153,760 61.42 (15.64) Risk and 1-year burden of cardiovascular disease in survivors of acute COVID-19 are substantial.
Guan (2020)
NEJM [61]
Retrospective
Multicenter center
Wuan (China)
1099 47 (35.0–58.0) COVID-19 spread rapidly throughout China and caused varying degrees of illness. Many patients without fever did not have abnormal radiologic findings.
COVIDSurg Collaborative (2022)
Anaesthesia [62]
Prospective
Multicenter
128,013 55.6 (18–49) High risk of thromboembolic complication in COVID-19 patients.
COVIDSurg Collaborative (2021)
Anaesthesia [63]
Prospective
Multicenter
96,454 Isolation before elective surgery might be associated with a small, but clinically important, increased risk of postoperative pulmonary complications.
COVIDSurg Collaborative (2021)
Br. J. Surg. [64]
Prospective
Multicenter
56,589 (18–69) As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population.
COVIDSurg Collaborative (2021)
Anaesthesia [65]
Prospective
Multicenter
140,231 (31.4–87.4) After a ≥7 week delay in undertaking surgery, following SARS-CoV-2 infection, patients with ongoing symptoms had a higher mortality than patients whose symptoms had resolved or who had been asymptomatic 6.0% (95% CI 3.2–8.7) vs. 2.4% (95% CI 1.4–3.4) vs. 1.3% (95% CI 0.6–2.0).