The 2023 Belgian clinical guidance on anticoagulation management in hospitalized and ambulatory COVID-19 patients

被引:0
|
作者
Vanassche, Thomas [1 ]
Engelen, Matthias M. [1 ,11 ]
Orlando, Christelle [2 ]
Vandenbosch, Kristel [3 ]
Gadisseur, Alain [4 ]
Hermans, Cedric [5 ]
Jochmans, Kristin [2 ]
Minon, Jean-Marc [6 ]
Motte, Serge [7 ]
Peperstraete, Harlinde [8 ]
Peters, Pierre [3 ]
Sprynger, Muriel [9 ]
Lancellotti, Patrizio [9 ]
Dehaene, Isabelle [10 ]
Emonts, Patrick
Vandenbriele, Christophe [1 ]
Verhamme, Peter [1 ]
Oury, Cecile
机构
[1] Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium
[2] Univ Ziekenhuis Brussel, Vrije Univ Brussel VUB, Dept Haematol, Brussels, Belgium
[3] CHU Univ Hosp Liege, Dept Lab Haematol, Liege, Belgium
[4] Antwerp Univ Hosp, Dept Haematol, Antwerp, Belgium
[5] Dept Haematol, Brussels, Belgium
[6] CHR Citadelle, Dept Lab Med, Thrombosis Haemostasis & Transfus Unit, Liege, Belgium
[7] Erasme Univ Hosp, Dept Vasc Dis, Brussels, Belgium
[8] Ghent Univ Hosp, Dept Cardiac Intens Care, Ghent, Belgium
[9] CHU Univ Hosp Liege, Dept Cardiol, Liege, Belgium
[10] Univ Ziekenhuis Gent, Vlaamse Vereniging Obstet Gynaecol, Ghent, Belgium
[11] Univ Leuven, Dept Cardiovasc Sci, Herestr 49 O&N1 Box 911, B-3000 Leuven, Belgium
关键词
Practice guideline; COVID-19; thrombosis; anticoagulants; MOLECULAR-WEIGHT HEPARIN; CORONAVIRUS DISEASE 2019; ILL ICU PATIENTS; OPEN-LABEL; MULTICENTER; THROMBOPROPHYLAXIS; RIVAROXABAN; OUTPATIENTS; GUIDELINES; MORTALITY;
D O I
10.1080/17843286.2023.2241692
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
COVID-19 is associated with an increased risk for thrombotic complications. The trials investigating the optimal thromboprophylactic dose are performed in challenging times and seemingly produce conflicting evidence. The burdensome circumstances, divergent endpoints, and different analytical approaches hamper comparison and extrapolation of available evidence. Most importantly, clinicians should provide thromboprophylaxis in hospitalized COVID-19 patients while (re)assessing bleeding and thrombotic risk frequently. The COVID-19 Thromboprophylaxis Working Group of the BSTH updated its guidance document. It aims to summarize the available evidence critically and to guide clinicians in providing the best possible thromboprophylaxis.
引用
收藏
页码:497 / 508
页数:12
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