Journals / Turkish Journal of Medical Sciences / 2021 / Cilt: 51 - Sayı: 1

act of low molecular weight heparin administration on the clinical course of the COVID-19 disease

Pages
28–38
Publication Date
2022-11-06
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The LMWH treatment group demonstrated better laboratory findings, including recovery in the lymphocyte count, CRP, and D-dimer results.Key words: Coronavirus disease-19, heparin, antiinflammatory, lymphocyte

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Lymphopenia is the most important criterion of mortality and discharging feature for patients infected with coronavirus disease 2019 (COVID-19).
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Key Findings & Data:This study aimed to investigate the clinical impact of a low molecular weight heparin (LMWH) treatment on the clinical course of COVID-19.
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Conclusion & Impact:Conclusion: The LMWH treatment group demonstrated better laboratory findings, including recovery in the lymphocyte count, CRP, and D-dimer results.Key words: Coronavirus disease-19, heparin, antiinflammatory, lymphocyte
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Abstract

Background: Lymphopenia is the most important criterion of mortality and discharging feature for patients infected with coronavirus disease 2019 (COVID-19). This study aimed to investigate the clinical impact of a low molecular weight heparin (LMWH) treatment on the clinical course of COVID-19. Materials and methods: Patients’ clinical symptoms, radiologic outcomes, hematologic, biochemical, D-dimer, and C-reactive protein (CRP) results were obtained from their medical records. Participants were separated into 2 groups: one was treated with LMWH and the other was not. Improvement in the patients was compared before and after treatment. Results: Ninety-six patients who were diagnosed with COVID-19 between April and May 2020 were retrospectively analyzed. The multivariable analysis showed that the count of lymphocytes, D-dimer, and CRP levels were significantly improved in the LMWH group, as compared to the control group (OR, (95% CI) 0.628 (0.248–0.965), P < 0.001); OR, (95% CI) 0.356 (0.089–0.674), P < 0.001, respectively). The area under the receiver operating characteristic (ROC) curve analysis was AUC: 0.679 ± 0.055, 0.615 ± 0.058, and 0.633 ± 0.057, respectively; the β-value was found to be –1.032, –0.026, and –0.465, respectively. Conclusion: The LMWH treatment group demonstrated better laboratory findings, including recovery in the lymphocyte count, CRP, and D-dimer results.Key words: Coronavirus disease-19, heparin, antiinflammatory, lymphocyte

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Cite This Article

KANAT, F., TÜLEK, B., ERGÜN, R., YORMAZ, B., ERGÜN, D., ARSLAN, U. (2022). act of low molecular weight heparin administration on the clinical course of the COVID-19 disease. Turkish Journal of Medical Sciences, Cilt: 51 - Sayı: 1, 28–38. https://ajindex.com/articles/609389

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References (1)

  1. Perlman S. Another decade, another coronavirus. The New England Journal of Medicine 2020; 382: 760-762.doi: 10.1056/ NEJMe2001126 2. World Health Organization (WHO). Clinical Management of Severe Acute Respiratory Infection When Novel Coronavirus (2019-nCoV) Infection Is Suspected: Interim Guidance, WHO/2019-nCoV/clinical/2020.5; (2020). 3. Xu XW, Wu XX, Jiang XG, Xu KJ, Ying LJ et al. Clinical findings in a group of patients infected with the 2019 novel coronavirus (SARS-Cov-2) outside of Wuhan, China: retrospective case series. British Medical Journal Version 2. BMJ 2020; 368: 606- 613.doi: 10.1136/bmj.m606 4. Liu Y, Yang Y, Zhang C, Huang F, Wang F et al. Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury. Science China Life 2020; 63 (3): 364-374. doi: 10.1007/s11427-020-1643-8 5. Chan MH, Wong VW, Wong CK, Chan PKS, Chu CM et al. Serum LD1 isoenzyme and blood lymphocyte subsets as prognostic indicators for severe acute respiratory syndrome. Journal of Internal Medicine 2004; 255 (4): 512-518. doi: 10.1111/j.1365-2796.2004.01323.x 6. Hou H, Zhang B, Huang H, Luo Y, Wu S et al. Using IL-2R/ lymphocytes for predicting the clinical progression of patients with COVID-19. Clinical Experimental Immunology 2020; 201(1): 76-84. doi: 10.1111/cei.13450 7. Wang D, Hu B, Hu C, Zhu F, Li X et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus infected pneumonia in Wuhan, China. Journal of The American Medical Association 2020; 323 (11): 1061-1069. doi: 10.1001/ jama.2020.1585 8. Terpos E, Ntanasis-Stathopoulos I, ElalamyI, Kastritis E, Sergentanis TN et al. Hematological findings and complications of COVID-19. American Journal of Hematology. 2020; 95 (7): 834-847. doi: 10.1002/ajh.25829 9. Tang N, Bai H, Chen X, Gong J, Li D et al. Anticoagulant treatment is associated with decreased mortality in severe corona virus disease 2019 patients with coagulopathy. Journal of Thrombosis and Haemostasis 2020; 18 (5): 1094-1099. doi: 10.1111/jth.14817 10. Tang N, Li D, Wang X, Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. Journal of Thrombosis and Haemostasis 2020; 18 (4): 844-847. doi: 10.1111/jth.14768 11. Chang YC, Yu CJ, Chang SC, Galvin JR, Liu HM et al. Pulmonary sequelae in convalescent patients after severe acute respiratory syndrome: evaluation withthin-section CT. Radiology 2005; 236 (3): 1067-1075. doi