Thrombosis in COVID-19: A Narrative Review of Current Literature and Inpatient Management

R I Med J (2013). 2021 Jun 1;104(5):14-19.

Abstract

COVID-19 infection has been associated with an increased incidence of thrombotic events leading to poor patient outcomes. Given the rapid rise of the COVID-19 pandemic, the ability to conduct prospective trials has been limited and data regarding the use of standard-dose versus intermediate-dose thromboprophylaxis, use of empiric therapeutic anticoagulation, and use of extended-duration thromboprophylaxis after discharge has been largely based upon observational data without any high-quality prospective data guiding their use. In this article, we will review the incidence and frequency of arterial and venous thrombotic events along with the current literature surrounding the use of intermediate-dose thromboprophylaxis, empiric therapeutic anticoagulation, and use of extended-duration thromboprophylaxis for patients hospitalized with COVID-19.

Keywords: COVID-19; COVID-19 coagulopathy; anticoagulation; coronavirus 2019; thrombosis.

Publication types

  • Review

MeSH terms

  • Anticoagulants / therapeutic use*
  • COVID-19 / complications*
  • Drug Administration Schedule
  • Hospitalization*
  • Humans
  • Thrombosis / epidemiology
  • Thrombosis / therapy*
  • Thrombosis / virology*

Substances

  • Anticoagulants