PMID- 33550533 OWN - NLM STAT- MEDLINE DCOM- 20210303 LR - 20210303 IS - 1865-3774 (Electronic) IS - 0925-5710 (Print) IS - 0925-5710 (Linking) VI - 113 IP - 3 DP - 2021 Mar TI - Diagnosis and treatment of disseminated intravascular coagulation in COVID-19 patients: a scoping review. PG - 320-329 LID - 10.1007/s12185-021-03084-z [doi] AB - BACKGROUND: Disseminated intravascular coagulation (DIC) is noted in severe cases of coronavirus disease 2019 (COVID-19). Recently, a number of studies evaluating the diagnosis and treatment of DIC in COVID-19 patients have been reported. OBJECTIVE: The aim of this study is to identify existing gaps where further research is needed on the diagnosis and treatment of DIC complicated by COVID-19. METHODS: We used the PRISMA Extension for Scoping Reviews. MEDLINE, CENTRAL, WHO-ICTRP, ClinicalTrial.gov and PROSPERO were searched from their inception to 6 October 2020. RESULTS: Seven studies were selected; five were already published and two are ongoing. DIC was diagnosed using the International Society on Thrombosis and Hemostasis (ISTH) DIC score (n = 4) and the sepsis-induced coagulopathy (SIC) DIC score (n = 5). Seven studies examined the effectiveness of low molecular weight heparin (LMWH); of these, four studies used a prophylactic dose and five used a therapeutic dose of LMWH. A prophylactic dose of unfractionated heparin (UFH) was investigated in two studies. CONCLUSION: Studies on DIC diagnostic criteria and anticoagulants were limited to the ISTH or SIC scores and heparinoids, particularly LMWH. Further studies are needed to compare these with other available DIC scoring systems and anticoagulants. FAU - Mori, Hirotaka AU - Mori H AD - Department of Hematology, Fukushima Medical University, 1 Hikarigaoka, Fukushima, 960-1295, Japan. FAU - Ohkawara, Hiroshi AU - Ohkawara H AD - Department of Hematology, Fukushima Medical University, 1 Hikarigaoka, Fukushima, 960-1295, Japan. FAU - Togawa, Ryuichi AU - Togawa R AD - Department of Respiratory Medicine, Fukushima Medical University, Fukushima, 960-1295, Japan. FAU - Rikimaru, Mami AU - Rikimaru M AD - Department of Respiratory Medicine, Fukushima Medical University, Fukushima, 960-1295, Japan. FAU - Shibata, Yoko AU - Shibata Y AD - Department of Respiratory Medicine, Fukushima Medical University, Fukushima, 960-1295, Japan. FAU - Ikezoe, Takayuki AU - Ikezoe T AUID- ORCID: 0000-0002-7858-278X AD - Department of Hematology, Fukushima Medical University, 1 Hikarigaoka, Fukushima, 960-1295, Japan. ikezoet@fmu.ac.jp. LA - eng GR - KAKENHI (18H02844)/KAKENHI/ PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20210207 PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - 0 (Anticoagulants) SB - IM MH - Anticoagulants/administration & dosage/adverse effects/therapeutic use MH - Blood Coagulation MH - Blood Coagulation Tests MH - COVID-19/*complications/*virology MH - Disease Management MH - Disease Susceptibility MH - Disseminated Intravascular Coagulation/blood/*diagnosis/*etiology/*therapy MH - Humans MH - Prognosis MH - *SARS-CoV-2 MH - Treatment Outcome PMC - PMC7868079 OTO - NOTNLM OT - Anticoagulants OT - COVID-19 OT - Coagulopathy OT - Disseminated intravascular coagulation OT - Scoping review COIS- All of the authors declare that they have no conflicts of interests. EDAT- 2021/02/08 06:00 MHDA- 2021/03/04 06:00 PMCR- 2021/02/07 CRDT- 2021/02/07 20:53 PHST- 2020/09/04 00:00 [received] PHST- 2021/01/13 00:00 [accepted] PHST- 2021/01/12 00:00 [revised] PHST- 2021/02/08 06:00 [pubmed] PHST- 2021/03/04 06:00 [medline] PHST- 2021/02/07 20:53 [entrez] PHST- 2021/02/07 00:00 [pmc-release] AID - 10.1007/s12185-021-03084-z [pii] AID - 3084 [pii] AID - 10.1007/s12185-021-03084-z [doi] PST - ppublish SO - Int J Hematol. 2021 Mar;113(3):320-329. doi: 10.1007/s12185-021-03084-z. Epub 2021 Feb 7.