Hypercoagulopathy in Severe COVID-19: Implications for Acute Care: Implications for Acute Care

  • Alicia A.C. Waite
  • , Olly Hamilton
  • , Roberto Pizzi
  • , Walter Ageno
  • , Ingeborg D. Welters

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)

Abstract

COVID-19 was first described in late 2019 and has since developed into a pandemic affecting more than 21 million people worldwide. Of particular relevance for acute care is the occurrence of COVID-19-associated coagulopathy (CAC), which is characterised by hypercoagulability, immunothrombosis and venous thromboembolism, and contributes to hypoxia in a significant proportion of patients. This review describes diagnosis and treatment of CAC in the emergency department and in intensive care. We summarise the pathological mechanisms and common complications of CAC such as pulmonary thrombosis and venous thromboembolic events and discuss current strategies for thromboprophylaxis and therapeutic anti-coagulation in the acute care setting.
Original languageEnglish
Pages (from-to)1654-1667
Number of pages14
JournalThrombosis and Haemostasis
Volume120
Issue number12
DOIs
Publication statusPublished - 1 Dec 2020
Externally publishedYes

Keywords

  • anti-coagulation
  • coagulopathy
  • immunothrombosis
  • severe acute respiratory syndrome
  • venous thrombosis

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