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Cited by 2,369

The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.

COVID-19 and its implications for thrombosis and anticoagulation

Open access
Connors, Jean M., Levy, Jerrold H.·2020·Blood

Abstract

Severe acute respiratory syndrome coronavirus 2, coronavirus disease 2019 (COVID-19)-induced infection can be associated with a coagulopathy, findings consistent with infection-induced inflammatory changes as observed in patients with disseminated intravascular coagulopathy (DIC). The lack of prior immunity to COVID-19 has resulted in large numbers of infected patients across the globe and uncertainty regarding management of the complications that arise in the course of this viral illness. The lungs are the target organ for COVID-19; patients develop acute lung injury that can progress to respiratory failure, although multiorgan failure can also occur. The initial coagulopathy of COVID-19 presents with prominent elevation of D-dimer and fibrin/fibrinogen-degradation products, whereas abnormalities in prothrombin time, partial thromboplastin time, and platelet counts are relatively uncommon in initial presentations. Coagulation test screening, including the measurement of D-dimer and fibrinogen levels, is suggested. COVID-19–associated coagulopathy should be managed as it would be for any critically ill patient, following the established practice of using thromboembolic prophylaxis for critically ill hospitalized patients, and standard supportive care measures for those with sepsis-induced coagulopathy or DIC. Although D-dimer, sepsis physiology, and consumptive coagulopathy are indicators of mortality, current data do not suggest the use of full-intensity anticoagulation doses unless otherwise clinically indicated. Even though there is an associated coagulopathy with COVID-19, bleeding manifestations, even in those with DIC, have not been reported. If bleeding does occur, standard guidelines for the management of DIC and bleeding should be followed.

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Metadata

Authors
Connors, J. M., & Levy, J. H.
Venue
Blood
Published
2020-06-04
Volume
135
Issue
23
Pages
2033-2040
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W3020168167
Cited by
2,369
References
63
FWCI
63.65
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: COVID-19 and its implications for thrombosis and anticoagulation. https://app.cochat.ai/papers/10.1182/blood.2020006000
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Connors, J. M., & Levy, J. H. (2020). COVID-19 and its implications for thrombosis and anticoagulation. Blood. https://doi.org/10.1182/blood.2020006000

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