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Article: Incidence of lupus anticoagulant in hospitalized covid-19 patients.

Owaidah, Tarek / Saleh, Mahasen / Aguilos, Amelita M / Amri, Abdulllah Al / Maghrabi, Khalid / Owaidah, Mustafa / Siddiqui, Khawar / Alsaleh, Khalid / Alnounou, Randa

American journal of blood research

2021  Volume 11, Issue 3, Page(s) 317–324

Abstract: ... the incidence of positivity of lupus anticoagulant in Covid-19 patients and analyze the association between LA ... an increased incidence of LA in Covid-19 patients, yet we didn't find any association between thrombotic events ... year. Perturbance in coagulating factors has also been reported in Covid-19 patients, including ...

Abstract Background: Procoagulant profile of 2019-nCoV/SARS-CoV-2 has been well documented over the last year. Perturbance in coagulating factors has also been reported in Covid-19 patients, including increased d-dimers and reports of lupus anticoagulant (LA).
Methods: The current study aimed to identify the incidence of positivity of lupus anticoagulant in Covid-19 patients and analyze the association between LA and D-dimer in predicting thrombosis and mortality in one-hundred and five hospitalized adult (age >14 years) patients and forty-three hospitalized pediatric (age <14 years) patients with a confirmed diagnosis of Covid-19 between June 2020 and September 2020.
Results: Twenty-one (20%) adult patients were tested positive for PTT LA, of which nine (8.6%) turned out to be confirmed positive for LA through StaClot and DRVVT Ratio tests. Six (14%) pediatric patients were positive for PTT LA, and only one (2.3%) had positive StaClot. Median D-dimer at admission was positively correlated with age and CRP among adult patients and was significantly higher in expired cases (P=0.001). No association between any of the coagulation tests and thrombosis or mortality was observed in the pediatric cohort.
Conclusion: We report an increased incidence of LA in Covid-19 patients, yet we didn't find any association between thrombotic events or mortality, probably due to the small sample size.
Language English
Publishing date 2021-06-15
Publishing country United States
Document type Journal Article
ZDB-ID 2620435-6
ISSN 2160-1992
ISSN 2160-1992
Database MEDical Literature Analysis and Retrieval System OnLINE

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