PMID- 35784948 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2049-0801 (Print) IS - 2049-0801 (Electronic) IS - 2049-0801 (Linking) VI - 79 DP - 2022 Jul TI - Heparin for patients with coronavirus disease 2019 and hypercoagulation complications: A cohort study. PG - 104042 LID - 10.1016/j.amsu.2022.104042 [doi] LID - 104042 AB - BACKGROUND: Thrombotic complications of coronavirus disease 2019 (COVID-19) are a worrisome aspect of the disease due to their high incidence in critically ill patients and their poor clinical outcomes. The aim of this study was to compare the effectiveness of unfractionated heparin (UFH) and low molecular weight heparin (LMWH) (fondaparinux) in hospitalized COVID-19 patients with hypercoagulable complications. MATERIAL AND METHODS: The study design used a retrospective cohort approach incorporating pre- and post-tests via secondary data extracted from the medical records of inpatients with confirmed COVID-19. RESULTS: Among the 98 individuals studied (52% women; 30.6% at >60 years of age), 35 patients received UFH, while the remaining 63 patients received LMWH (fondaparinux). The greatest decrease in the D-dimer value (0.01 +/- 0.5 g fibrinogen equivalent units/mL) was observed in 12 (34.3%) and 15 (23.8%) patients in the UFH and LMWH (fondaparinux) groups, respectively. Most inpatients with confirmed COVID-19 were aged 50-59 years and were women. CONCLUSION: There was a tendency toward increased D-dimer, normal prothrombin time, normal activated partial thromboplastin clotting time, and increased fibrinogen values in each COVID-19 patient. The results demonstrated a significant relationship between the D-dimer and prothrombin time parameter in confirmed COVID-19 inpatients. CI - (c) 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. FAU - Fachri, Muhammad AU - Fachri M AD - Department of Pulmonology and Respiratory Medicine, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Jakarta, Indonesia. FAU - Hatta, Mochammad AU - Hatta M AD - Molecular Biology and Immunology Laboratory, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. FAU - Tarigan, Sefia Nabila Nur Azmi AU - Tarigan SNNA AD - Department of Pulmonology and Respiratory Medicine, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Jakarta, Indonesia. FAU - Akaputra, Risky AU - Akaputra R AD - Department of Pulmonology and Respiratory Medicine, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Jakarta, Indonesia. FAU - Dwiyanti, Ressy AU - Dwiyanti R AD - Department of Forensic and Medicolegal, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. AD - Department of Medical Microbiology, Faculty of Medicine, Tadulako University, Palu, Indonesia. FAU - Syukri, Ahmad AU - Syukri A AD - Molecular Biology and Immunology Laboratory, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. AD - Postgraduate School, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. FAU - Junita, Ade Rifka AU - Junita AR AD - Molecular Biology and Immunology Laboratory, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. AD - Postgraduate School, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. FAU - Primaguna, Muhammad Reza AU - Primaguna MR AD - Department of Internal Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. FAU - Febrianty, Andini AU - Febrianty A AD - Department of Forensic and Medicolegal, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. LA - eng PT - Journal Article DEP - 20220628 PL - England TA - Ann Med Surg (Lond) JT - Annals of medicine and surgery (2012) JID - 101616869 PMC - PMC9238275 OTO - NOTNLM OT - COVID-19 OT - D-dimer OT - Heparin OT - Hypercoagulation OT - LMWH (Fondaparinux) COIS- The authors declare no conflict of interest, financial or otherwise. EDAT- 2022/07/06 06:00 MHDA- 2022/07/06 06:01 PMCR- 2022/06/28 CRDT- 2022/07/05 10:32 PHST- 2022/05/09 00:00 [received] PHST- 2022/06/17 00:00 [revised] PHST- 2022/06/18 00:00 [accepted] PHST- 2022/07/05 10:32 [entrez] PHST- 2022/07/06 06:00 [pubmed] PHST- 2022/07/06 06:01 [medline] PHST- 2022/06/28 00:00 [pmc-release] AID - S2049-0801(22)00802-0 [pii] AID - 104042 [pii] AID - 10.1016/j.amsu.2022.104042 [doi] PST - ppublish SO - Ann Med Surg (Lond). 2022 Jul;79:104042. doi: 10.1016/j.amsu.2022.104042. Epub 2022 Jun 28.