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Prominent changes in blood coagulation of patients with SARS-CoV-2 infection

Open access
Han, Huan, Yang, Lan, Liu, Rui, Liu, Fang, Wu, Kai-lang, Li, Jie, Liu, Xing-hui, Zhu, Cheng-liang·2020·Clinical Chemistry and Laboratory Medicine (CCLM)

Abstract

Background: As the number of patients increases, there is a growing understanding of the form of pneumonia sustained by the 2019 novel coronavirus (SARS-CoV-2), which has caused an outbreak in China. Up to now, clinical features and treatment of patients infected with SARS-CoV-2 have been reported in detail. However, the relationship between SARS-CoV-2 and coagulation has been scarcely addressed. Our aim is to investigate the blood coagulation function of patients with SARS-CoV-2 infection. Methods: In our study, 94 patients with confirmed SARS-CoV-2 infection were admitted in Renmin Hospital of Wuhan University. We prospectively collect blood coagulation data in these patients and in 40 healthy controls during the same period. Results: Antithrombin values in patients were lower than that in the control group (p < 0.001). The values of D-dimer, fibrin/fibrinogen degradation products (FDP), and fibrinogen (FIB) in all SARS-CoV-2 cases were substantially higher than those in healthy controls. Moreover, D-dimer and FDP values in patients with severe SARS-CoV-2 infection were higher than those in patients with milder forms. Compared with healthy controls, prothrombin time activity (PT-act) was lower in SARS-CoV-2 patients. Thrombin time in critical SARS-CoV-2 patients was also shorter than that in controls. Conclusions: The coagulation function in patients with SARS-CoV-2 is significantly deranged compared with healthy people, but monitoring D-dimer and FDP values may be helpful for the early identification of severe cases.

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Metadata

Authors
Han, H., Yang, L., Liu, R., Liu, F., Wu, K.-L., Li, J., Liu, X.-H., & Zhu, C.-L.
Venue
Clinical Chemistry and Laboratory Medicine (CCLM)
Published
2020-03-16
Volume
58
Issue
7
Pages
1116-1120
ISSN
  • 1434-6621 (ISSN-L)
  • 1437-4331
OpenAlex
W3012232836
Cited by
1,223
References
5
FWCI
34.22
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Prominent changes in blood coagulation of patients with SARS-CoV-2 infection. https://app.cochat.ai/papers/10.1515/cclm-2020-0188
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Han, H., Yang, L., Liu, R., Liu, F., Wu, K.-L., Li, J., Liu, X.-H., & Zhu, C.-L. (2020). Prominent changes in blood coagulation of patients with SARS-CoV-2 infection. Clinical Chemistry and Laboratory Medicine (CCLM). https://doi.org/10.1515/cclm-2020-0188

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