Thrombotic and hemorrhagic complications of COVID-19 in adults hospitalized in high-income countries compared with those in adults hospitalized in low- and middle-income countries in an international registry

Griffee, M.J.; Bozza, P.T.; Reyes, L.F.; Eddington, D.P.; Rosenberger, D.; Merson, L.; Citarella, B.W.; Fanning, J.P.; Alexander, P.M.A.; Fraser, J.; Dalton, H.; Cho, S.; Abdukahil, S.A.; Abdulkadir, N.N.; Abe, R.; Abel, L.; Abrous, A.; Absil, L.; Acker, A.; Adam, E.; Adrião, D.; Al Ageel, S.; Ahmed, S.; Ainscough, K.; Aisa, T.; Hssain, A.A.; Tamlihat, Y.A.; Akimoto, T.; Akmal, E.; Akwani, C.; Al Qasim, E.; Alalqam, R.; Alberti, A.; Al-dabbous, T.; Alegesan, S.; Alessi, M.; Alex, B.; Alexandre, K.; Al-Fares, A.; Alfoudri, H.; Ali, I.; Alidjnou, K.E.; Aliudin, J.; Alkhafajee, Q.; Allavena, C.; Allou, N.; Alves, J.; Alves, R.; Alves, J.M.; Cabrita, J.A.; Amaral, M.; Amira, N.; Ampaw, P.; Andini, R.; Andréjak, C.; Angheben, A.; Angoulvant, F.; Ansart, S.; Anthonidass, S.; Antonelli, M.; De Brito, C.A.A.; Apriyana, A.; Arabi, Y.; Aragao, I.; Arancibia, F.; Araujo, C.; Arcadipane, A.; Archambault, P.; Arenz, L.; Arlet, J.; Arnold-Day, C.; Arora, L.; Arora, R.; Artaud-Macari, E.; Aryal, D.; Asensio, A.; Ashraf, M.; Assie, J.B.; Asyraf, A.; Atif, M.; Atique, A.; Auchabie, J.; Aumaitre, H.; Auvet, A.; Azemar, L.; Azoulay, C.; Bach, B.; Bachelet, D.; Badr, C.; Baig, N.; Baillie, J.K.; Bak, E.; Bakakos, A.; Bakar, N.A.; Bal, A.; Balakrishnan, M.; Balan, V.; Bani-Sadr, F.; Barbalho, R.; Barbosa, N.Y.; Barclay, W.S.; Barnett, S.U.; Barnikel, M.; Barrasa, H.; Barrelet, A.; Barrigoto, C.; Bartoli, M.; Baruch, J.; Basmaci, R.; Basri, M.F.H.; Battaglini, D.; Bauer, J.; Rincon, D.F.B.; Beane, A.; Bedossa, A.; Hong Bee, K.; Begum, H.; Behilill, S.; Beishuizen, A.; Beljantsev, A.; Bellemare, D.; Beltrame, A.; Beltrão, B.A.; Beluze, M.; Benech, N.; Benjiman, L.E.; Benkerrou, D.; Bennett, S.; Benny, B.; Bento, L.; Berdal, J.; Bergeaud, D.; Bergin, H.; Sobrino, J.L.B.; Bertoli, G.; Bertolino, L.; Bessis, S.; Bevilcaqua, S.; Bezulier, K.; Bhatt, A.; Bhavsar, K.; Bianco, C.; Bidin, F.N.; Singh, M.B.; Humaid, F.B.; Kamarudin, M.N.B.; Bisoffi, Z.; Bissuel, F.; Bitker, L.; Bitton, J.; Blanco-Schweizer, P.; Blier, C.; Bloos, F.; Blot, M.; Blumberg, L.; Boccia, F.; Bodenes, L.; Bogaert, D.; Boivin, A.; Bolaños, I.; Bolze, P.; Bompart, F.; Borges, D.; Borie, R.; Bosse, H.M.; Botelho-Nevers, E.; Bouadma, L.; Bouchaud, O.; Bouchez, S.; Bouhmani, D.; Bouhour, D.; Bouiller, K.; Bouillet, L.; Bouisse, C.; Boureau, A.; Bourke, J.; Bouscambert, M.; Bousquet, A.; Bouziotis, J.; Boxma, B.; Boyer-Besseyre, M.; Boylan, M.; Bozza, F.A.; Braconnier, A.; Braga, C.; Brandenburger, T.; Monteiro, F.B.; Brazzi, L.; Breen, P.; Breen, D.; Brewster, D.; Brickell, K.; Browne, S.; Browne, A.; Brozzi, N.; Brusse-Keizer, M.; Bryda, P.; Buchtele, N.; Buisson, M.; Burhan, E.; Burrell, A.; Bustos, I.G.; Cabie, A.; Cabral, S.; Caceres, E.; Cadoz, C.; Garcês, R.C.; Calligy, K.; Calvache, J.A.; Camões, J.; Campana, V.; Campbell, P.; Campisi, J.; Canepa, C.; Cantero, M.; Caraux-Paz, P.; Cárcel, S.; Cardellino, C.S.; Cardoso, S.; Cardoso, F.; Cardoso, F.; Cardoso, N.; Carelli, S.; Carlier, N.; Carmoi, T.; Carney, G.; Carqueja, I.; 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doi:10.1016/j.rpth.2023.102142

Background: COVID-19 has been associated with a broad range of thromboembolic, ischemic, and hemorrhagic complications (coagulopathy complications). Most studies have focused on patients with severe disease from high-income countries (HICs). Objectives: The main aims were to compare the frequency of coagulopathy complications in developing countries (low- and middle-income countries [LMICs]) with those in HICs, delineate the frequency across a range of treatment levels, and determine associations with in-hospital mortality. Methods: Adult patients enrolled in an observational, multinational registry, the International Severe Acute Respiratory and Emerging Infections COVID-19 study, between January 1, 2020, and September 15, 2021, met inclusion criteria, including admission to a hospital for laboratory-confirmed, acute COVID-19 and data on complications and survival. The advanced-treatment cohort received care, such as admission to the intensive care unit, mechanical ventilation, or inotropes or vasopressors; the basic-treatment cohort did not receive any of these interventions. Results: The study population included 495,682 patients from 52 countries, with 63% from LMICs and 85% in the basic treatment cohort. The frequency of coagulopathy complications was higher in HICs (0.76%-3.4%) than in LMICs (0.09%-1.22%). Complications were more frequent in the advanced-treatment cohort than in the basic-treatment cohort. Coagulopathy complications were associated with increased in-hospital mortality (odds ratio, 1.58; 95% CI, 1.52-1.64). The increased mortality associated with these complications was higher in LMICs (58.5%) than in HICs (35.4%). After controlling for coagulopathy complications, treatment intensity, and multiple other factors, the mortality was higher among patients in LMICs than among patients in HICs (odds ratio, 1.45; 95% CI, 1.39-1.51). Conclusion: In a large, international registry of patients hospitalized for COVID-19, coagulopathy complications were more frequent in HICs than in LMICs (developing countries). Increased mortality associated with coagulopathy complications was of a greater magnitude among patients in LMICs. Additional research is needed regarding timely diagnosis of and intervention for coagulation derangements associated with COVID-19, particularly for limited-resource settings.

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Thrombotic and hemorrhagic complications of COVID-19 in adults hospitalized in high-income countries compared with those in adults hospitalized in low- and middle-income countries in an international registry

Griffee, Matthew J.;Bozza, Patricia T.;Reyes, Luis Felipe;Eddington, Devin P.;Rosenberger, Dorothea;Merson, Laura;Citarella, Barbara Wanjiru;Fanning, Jonathon P.;Alexander, Peta M. A.;Fraser, John;Dalton, Heidi;Cho, Sung-Min;Abdukahil, Sheryl Ann;Abdulkadir, Nurul Najmee;Abe, Ryuzo;Abel, Laurent;Abrous, Amal;Absil, Lara;Acker, Andrew;Adam, Elisabeth;Adrião, Diana;Al Ageel, Saleh;Ahmed, Shakeel;Ainscough, Kate;Aisa, Tharwat;Hssain, Ali Ait;Tamlihat, Younes Ait;Akimoto, Takako;Akmal, Ernita;Akwani, Chika;Al Qasim, Eman;Alalqam, Razi;Alberti, Angela;Al-dabbous, Tala;Alegesan, Senthilkumar;Alessi, Marta;Alex, Beatrice;Alexandre, Kévin;Al-Fares, Abdulrahman;Alfoudri, Huda;Ali, Imran;Alidjnou, Kazali Enagnon;Aliudin, Jeffrey;Alkhafajee, Qabas;Allavena, Clotilde;Allou, Nathalie;Alves, João;Alves, Rita;Alves, João Melo;Cabrita, Joana Alves;Amaral, Maria;Amira, Nur;Ampaw, Phoebe;Andini, Roberto;Andréjak, Claire;Angheben, Andrea;Angoulvant, François;Ansart, Séverine;Anthonidass, Sivanesen;Antonelli, Massimo;de Brito, Carlos Alexandre Antunes;Apriyana, Ardiyan;Arabi, Yaseen;Aragao, Irene;Arancibia, Francisco;Araujo, Carolline;Arcadipane, Antonio;Archambault, Patrick;Arenz, Lukas;Arlet, Jean-Benoît;Arnold-Day, Christel;Arora, Lovkesh;Arora, Rakesh;Artaud-Macari, Elise;Aryal, Diptesh;Asensio, Angel;Ashraf, Muhammad;Assie, Jean Baptiste;Asyraf, Amirul;Atif, Minahel;Atique, Anika;Auchabie, Johann;Aumaitre, Hugues;Auvet, Adrien;Azemar, Laurène;Azoulay, Cecile;Bach, Benjamin;Bachelet, Delphine;Badr, Claudine;Baig, Nadia;Baillie, J. 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David;Debard, Alexa;DeBenedictis, Bianca;Debray, Marie-Pierre;DeCastro, Nathalie;Dechert, William;Deconninck, Lauren;Decours, Romain;Defous, Eve;Delacroix, Isabelle;Delaveuve, Eric;Delavigne, Karen;Delfos, Nathalie M.;Deligiannis, Ionna;Dell'Amore, Andrea;Delmas, Christelle;Delobel, Pierre;Delsing, Corine;Demonchy, Elisa;Denis, Emmanuelle;Deplanque, Dominique;Depuydt, Pieter;Desai, Mehul;Descamps, Diane;Desvallées, Mathilde;Dewayanti, Santi;Dhanger, Pathik;Diallo, Alpha;Diamantis, Sylvain;Dias, André;Da Silva, Fernanda Dias;Diaz, Juan Jose;Diaz, Rodrigo;Diaz, Priscila;Didier, Kévin;Diehl, Jean-Luc;Dieperink, Wim;Dimet, Jérôme;Dinot, Vincent;Diop, Fara;Diouf, Alphonsine;Dishon, Yael;Djossou, Félix;Docherty, Annemarie B.;Doherty, Helen;Donnelly, Maria;Donnelly, Christl A.;Donohue, Sean;Donohue, Yoann;Donohue, Chloe;Doran, Peter;Dorival, Céline;D'Ortenzio, Eric;Douglas, James Joshua;Dournon, Nathalie;Downer, Triona;Downey, Joanne;Downing, Mark;Drake, Tom;Driscoll, Aoife;Dryden, Murray;Fonseca, Claudio Duarte;Dubee, Vincent;Dubos, François;Ducancelle, Alexandre;Duculan, Toni;Dudman, Susanne;Duggal, Abhijit;Dunand, Paul;Dunning, Jake;Duplaix, Mathilde;Durante-Mangoni, Emanuele;Durham, Lucian;Dussol, Bertrand;Duthoit, Juliette;Duval, Xavier;Dyrhol-Riise, Anne Margarita;Ean, Sim Choon;Echeverria-Villalobos, Marco;Egan, Siobhan;Eira, Carla;El Sanharawi, Mohammed;Elapavaluru, Subbarao;Elharrar, Brigitte;Ellerbroek, Jacobien;Eloy, Philippine;Elshazly, Tarek;Enderle, Isabelle;Endo, Tomoyuki;Eng, Chan Chee;Engelmann, Ilka;Enouf, Vincent;Epaulard, Olivier;Escher, Martina;Esperatti, Mariano;Esperou, Hélène;Santo, Catarina Espírito;Esposito-Farese, Marina;Estevão, João;Etienne, Manuel;Ettalhaoui, Nadia;Everding, Anna Greti;Evers, Mirjam;Fabre, Isabelle;Fabre, Marc;Faheem, Amna;Fahy, Arabella;Fairfield, Cameron J.;Faria, Pedro;Fateena, Hanan;Fatoni, Arie Zainul;Faure, Karine;Favory, Raphaël;Fayed, Mohamed;Feely, Niamh;Feeney, Laura;Fernandes, Jorge;Fernandes, Marília Andreia;Fernandes, Susana;Ferrand, François-Xavier;Devouge, Eglantine Ferrand;Ferrão, Joana;Ferraz, Mário;Ferreira, Sílvia;Ferreira, Bernardo;Ferreira, Benigno;Ferreira, Isabel;Ferriere, Nicolas;Ficko, Céline;Figueiredo-Mello, Claudia;Fiorda, Juan;Flament, Thomas;Flateau, Clara;Fletcher, Tom;Florence, Aline-Marie;Florio, Letizia Lucia;Flynn, Deirdre;Foley, Claire;Foley, Jean;Fonseca, Tatiana;Forsyth, Simon;Foster, Denise;Foti, Giuseppe;Fourn, Erwan;Fowler, Robert A.;Fraher, Marianne;Franch-Llasat, Diego;Fraser, John F.;Fraser, Christophe;Freire, Marcela Vieira;Ribeiro, Ana Freitas;Fritz, Ricardo;Fry, Stéphanie;Fuentes, Nora;Fukuda, Masahiro;Gaborieau, Valérie;Gaci, Rostane;Gagliardi, Massimo;Gagnard, Jean-Charles;Gagneux-Brunon, Amandine;Gaião, Sérgio;Skeie, Linda Gail;Gallagher, Phil;Gamble, Carrol;Gani, Yasmin;Garan, Arthur;Garcia, Rebekha;Barrio, Noelia García;Garcia-Gallo, Esteban;Garot, Denis;Garrait, Valérie;Gault, Nathalie;Gavin, Aisling;Gavrylov, Anatoliy;Gaymard, Alexandre;Gebauer, Johannes;Geraud, Eva;Morlaes, Louis Gerbaud;Germano, Nuno;Ghosn, Jade;Giani, Marco;Gibson, Jess;Gigante, Tristan;Gilg, Morgane;Gilroy, Elaine;Giordano, Guillermo;Girvan, Michelle;Gissot, Valérie;Glikman, Daniel;Gnall, Eric;Goehringer, François;Goepel, Siri;Goffard, Jean-Christophe;Goh, Jin Yi;Golob, Jonathan;Gómez-Junyent, Joan;Gominet, Marie;Gonzalez, Alicia;Gordon, Patricia;Gorenne, Isabelle;Gormley, Conor;Goubert, Laure;Goujard, Cécile;Goulenok, Tiphaine;Grable, Margarite;Graf, Jeronimo;Grandin, Edward Wilson;Granier, Pascal;Grasselli, Giacomo;Green, Christopher A.;Greene, Courtney;Greenhalf, William;Greffe, Segolène;Grieco, Domenico Luca;Griffee, Matthew;Griffiths, Fiona;Grigoras, Ioana;Groenendijk, Albert;Gruner, Heidi;Gu, Yusing;Guedj, Jérémie;Guego, Martin;Guellec, Dewi;Guerreiro, Daniela;Guery, Romain;Guillaumot, Anne;Guilleminault, Laurent;de Castro, Maisa Guimarães;Guimard, Thomas;Haalboom, Marieke;Haber, Daniel;Habraken, Hannah;Hachemi, Ali;Hadri, Nadir;Hakak, Sheeba;Hall, Adam;Hall, Matthew;Halpin, Sophie;Hamer, Ansley;Hamidfar, Rebecca;Hammond, Terese;Hammond, Naomi;Han, Lim Yuen;Haniffa, Rashan;Hao, Kok Wei;Hardwick, Hayley;Harrison, Ewen M.;Harrison, Janet;Ekow Harrison, Samuel Bernard;Hartman, Alan;Hashmi, Junaid;Hayes, Ailbhe;Hays, Leanne;Heerman, Jan;Heggelund, Lars;Hendry, Ross;Hennessy, Martina;Henriquez-Trujillo, Aquiles;Hentzien, Maxime;Hernandez, Diana;Hernandez-Montfort, Jaime;Hershey, Andrew;Hesstvedt, Liv;Higgins, Eibhlin;Higgins, Dawn;Higgins, Rupert;Hinchion, Rita;Hinton, Samuel;Hiraiwa, Hiroaki;Hitoto, Hikombo;Ho, Antonia;Ho, Yi Bin;Hoctin, Alexandre;Hoffmann, Isabelle;Hoh, Wei Han;Hoiting, Oscar;Holt, Rebecca;Holter, Jan Cato;Horby, Peter;Horcajada, Juan Pablo;Hoshino, Koji;Houas, Ikram;Hough, Catherine L.;Houltham, Stuart;Ming-Yang Hsu, Jimmy;Hulot, Jean-Sébastien;Hurd, Abby;Ijaz, Samreen;Ikram, M. Arfan;Illes, Hajnal-Gabriela;Imbert, Patrick;Inácio, Hugo;Infante Dominguez, Carmen;Ing, Yun Sii;Iosifidis, Elias;Ippolito, Mariachiara;Isgett, Sarah;Isidoro, Tiago;Ismail, Nadiah;Isnard, Margaux;Itai, Junji;Ivulich, Daniel;Jaafar, Danielle;Jaafoura, Salma;Jabot, Julien;Jackson, Clare;Janes, Victoria;Jaquet, Pierre;Jassat, Waasila;Jaud-Fischer, Coline;Jaureguiberry, Stéphane;Jaworsky, Denise;Jego, Florence;Jelani, Anilawati Mat;Jenum, Synne;Jimbo-Sotomayor, Ruth;Joe, Ong Yiaw;Jorge García, Ruth N.;Joseph, Cédric;Joseph, Mark;Jourdain, Mercé;Jouvet, Philippe;Jung, Anna;Jung, Hanna;Juzar, Dafsah;Kafif, Ouifiya;Kaguelidou, Florentia;Kaisbain, Neerusha;Kaleesvran, Thavamany;Kali, Sabina;Kalomoiri, Smaragdi;Ayadi Kamaluddin, Muhammad Aisar;Che Kamaruddin, Zul Amali;Kamarudin, Nadiah;Kandamby, Darshana Hewa;Kandel, Chris;Kang, Kong Yeow;Karpayah, Pratap;Kartsonaki, Christiana;Kasugai, Daisuke;Kataria, Anant;Katz, Kevin;Kaur, Aasmine;Kay, Christy;Kayyali, Lamees;Keane, Hannah;Keating, Seán;Kelly, Claire;Kelly, Yvelynne;Kelly, Andrea;Kelly, Niamh;Kelly, Aoife;Kelly, Sadie;Kelsey, Maeve;Kennedy, Ryan;Kennon, Kalynn;Kernan, Maeve;Kerroumi, Younes;Keshav, Sharma;Khalid, Imrana;Khalil, Antoine;Khan, Coralie;Khan, Irfan;Kho, Michelle E.;Khoo, Saye;Khoo, Ryan;Khoo, Denisa;Kiat, Khor How;Kida, Yuri;Kiiza, Peter;Granerud, Beathe Kiland;Kildal, Anders Benjamin;Kimmoun, Antoine;Kindgen-Milles, Detlef;King, Alexander;Kitamura, Nobuya;Klenerman, Paul;Klont, Rob;Bekken, Gry Kloumann;Knight, Stephen R.;Vasconcelos, Malte Kohns;Komatsu, Mamoru;Kosgei, Caroline;Kpangon, Arsène;Krawczyk, Karolina;Krishnan, Sudhir;Krishnan, Vinothini;Kruglova, Oksana;Kumar, Deepali;Kumar, Ganesh;Vecham, Pavan Kumar;Kuriakose, Dinesh;Kurtzman, Ethan;Kutsogiannis, Demetrios;Kutsyna, Galyna;Kyriakoulis, Konstantinos;Lachatre, Marie;Lacoste, Marie;Laffey, John G.;Lafhej, Nadhem;Lagrange, Marie;Laine, Fabrice;Lairez, Olivier;Lalueza, Antonio;Lambert, Marc;Lamontagne, François;Langelot-Richard, Marie;Langlois, Vincent;Lantang, Eka Yudha;Lanza, Marina;Laouénan, Cédric;Laribi, Samira;Lariviere, Delphine;Lasry, Stéphane;Launay, Odile;Laureillard, Didier;Lavie-Badie, Yoan;Law, Andy;Lawrence, Teresa;Lawrence, Cassie;Le, Minh;Le Bihan, Clément;Le Bris, Cyril;Le Falher, Georges;Le Fevre, Lucie;Le Hingrat, Quentin;Le Maréchal, Marion;Mestre, Soizic Le;Le Moal, Gwenaël;Le Moing, Vincent;Le Nagard, Hervé;LeTurnier, Paul;Leal, Ema;Santos, Marta Leal;Lee, Todd C.;Lee, Su Hwan;Lee, James;Lee, Jennifer;Lee, Heng Gee;Lee, Biing Horng;Lee, Yi Lin;Leeming, Gary;Lefebvre, Bénédicte;Lefebvre, Laurent;Lefèvre, Benjamin;LeGac, Sylvie;Lelievre, Jean-Daniel;Lellouche, François;Lemaignen, Adrien;Lemee, Véronique;Lemeur, Anthony;Lemmink, Gretchen;Lene, Ha Sha;Lennon, Jenny;León, Rafael;Leone, Marc;Leone, Michela;Lepiller, Quentin;Lescure, François-Xavier;Lesens, Olivier;Lesouhaitier, Mathieu;Lester-Grant, Amy;Letrou, Sophie;Levy, Bruno;Levy, Yves;Levy-Marchal, Claire;Lewandowska, Katarzyna;L'Her, Erwan;Bassi, Gianluigi Li;Liegeon, Geoffrey;Lim, Wei Shen;Lim, Kah Chuan;Lima, Chantre;Lina, Bruno;Lina, Lim;Lind, Andreas;Lingas, Guillaume;Lion-Daolio, Sylvie;Lissauer, Samantha;Liu, Keibun;Livrozet, Marine;Lizotte, Patricia;Lolong, Navy;Loon, Leong Chee;Lopes, Diogo;Lopez-Colon, Dalia;Loschner, Anthony L.;Loubet, Paul;Loufti, Bouchra;Louis, Guillame;Lourenco, Silvia;Lee Low, Lee;Lowik, Marije;Loy, Jia Shyi;Lucet, Jean-Christophe;Bermejo, Carlos Lumbreras;Luna, Carlos M.;Lungu, Olguta;Luong, Liem;Luque, Nestor;Luton, Dominique;Lwin, Nilar;Lyons, Ruth;Maasikas, Olavi;Mabiala, Oryane;Machado, Moïse;Machado, Sara;Macheda, Gabriel;Madiha, Hashmi;de la Calle, Guillermo Maestro;Mahieu, Rafael;Mahy, Sophie;Maia, Ana Raquel;Maier, Lars S.;Maillet, Mylène;Maitre, Thomas;Malfertheiner, Maximilian;Malik, Nadia;Mallon, Paddy;Maltez, Fernando;Malvy, Denis;Manda, Victoria;Mandelbrot, Laurent;Manetta, Frank;Mankikian, Julie;Manning, Edmund;Manuel, Aldric;Sant`Ana Malaque, Ceila Maria;Marino, Flávio;Markowicz, Samuel;Marques, Ana;Marquis, Catherine;Marsh, Brian;Marsh, Laura;Marshal, Megan;Marshall, John;Martelli, Celina Turchi;Martin, Emily;Martin-Blondel, Guillaume;Martinez, F. Eduardo;Martin-Loeches, Ignacio;Martinot, Martin;Martins, João;Martins, Ana;Martins, Nuno;Rego, Caroline Martins;Martucci, Gennaro;Martynenko, Olga;Marwali, Eva Miranda;Marzukie, Marsilla;Maslove, David;Mason, Sabina;Mat Nor, Mohd Basri;Matan, Moshe;Mathieu, Daniel;Mattei, Mathieu;Maulin, Laurence;Maxwell, Michael;Maynar, Javier;Mazzoni, Thierry;Sweeney, Lisa Mc;McArthur, Colin;McCanny, Peter;McCarthy, Anne;McCarthy, Aine;McCloskey, Colin;McConnochie, Rachael;McDermott, Sherry;McDonald, Sarah E.;McElroy, Aine;McElwee, Samuel;McEneany, Victoria;McEvoy, Natalie;McGeer, Allison;McKay, Chris;McKeown, Johnny;McLean, Kenneth A.;McNally, Paul;McNicholas, Bairbre;McPartlan, Elaine;Meaney, Edel;Mear-Passard, Cécile;Mechlin, Maggie;Mehkri, Omar;Mele, Ferruccio;Melo, Luis;Mendes, Joao Joao;Menon, Kusum;Mentré, France;Mentzer, Alexander J.;Mercier, Emmanuelle;Mercier, Noémie;Merckx, Antoine;Mergeay-Fabre, Mayka;Mergler, Blake;Merson, Laura;Mesquita, António;Metwally, Osama;Meybeck, Agnès;Meyer, Dan;Meynert, Alison M.;Meysonnier, Vanina;Meziane, Amina;Mezidi, Mehdi;Michelanglei, Céline;Michelet, Isabelle;Mihelis, Efstathia;Mihnovit, Vladislav;Miller, Jennene;Miranda-Maldonado, Hugo;Misnan, Nor Arisah;Mohamed, Tahira Jamal;Eliza Mohamed, Nik Nur;Moin, Asma;Molinos, Elena;Molloy, Brenda;Monahan, Sinead;Mone, Mary;Monteiro, Agostinho;Montes, Claudia;Montrucchio, Giorgia;Moore, Shona C.;Moore, Sarah;Cely, Lina Morales;Moro, Lucia;Morton, Ben;Motherway, Catherine;Motos, Ana;Mouquet, Hugo;Perrot, Clara Mouton;Moyet, Julien;Mudara, Caroline;Muh, Ng Yong;Muhamad, Dzawani;Mullaert, Jimmy;Müller, Fredrik;Müller, Karl Erik;Murphy, Aisling;Murphy, Lorna;Murray, Patrick;Murris, Marlène;Murthy, Srinivas;Musaab, Himed;Muyandy, Gugapriyaa;Myrodia, Dimitra Melia;Nagpal, Dave;Nagrebetsky, Alex;Narasimhan, Mangala;Narayanan, Nageswaran;Nazerali-Maitland, Alasdair;Neant, Nadège;Neb, Holger;Neto, Raul;Neumann, Emily;Ng, Pauline Yeung;Ng, Wing Yiu;Nghi, Anthony;Nguyen, Duc;Choileain, Orna Ni;Leathlobhair, Niamh Ni;Nichol, Alistair D.;Nitayavardhana, Prompak;Nonas, Stephanie;Mohd Noordin, Nurul Amani;Noret, Marion;Izzati Norharizam, Nurul Faten;Norman, Lisa;Noursadeghi, Mahdad;Nowinski, Adam;Nseir, Saad;Nunez, Jose I.;Nyamankolly, Elsa;Brien, Fionnuala O.;Callaghan, Annmarie O.;O'Callaghan, Annmarie;Occhipinti, Giovanna;OConnor, Derbrenn;O'Donnell, Max;Ogston, Tawnya;Ogura, Takayuki;Oh, Tak-Hyuk;O'Halloran, Sophie;O'Hearn, Katie;Ohshimo, Shinichiro;Oliveira, João;Oliveira, Larissa;Olliaro, Piero L.;Ong, David S. Y.;Ong, Jee Yan;Oosthuyzen, Wilna;Opavsky, Anne;Openshaw, Peter;Orozco-Chamorro, Claudia Milena;Ortoleva, Jamel;Osatnik, Javier;O'Shea, Linda;O'Sullivan, Miriam;Othman, Siti Zubaidah;Ouamara, Nadia;Ouissa, Rachida;Oziol, Eric;Pagadoy, Maïder;Pages, Justine;Palacios, Amanda;Palmarini, Massimo;Panarello, Giovanna;Panda, Prasan Kumar;Pang, Lai Hui;Panigada, Mauro;Pansu, Nathalie;Papadopoulos, Aurélie;Parke, Rachael;Pasquier, Jérémie;Pastene, Bruno;Patauner, Fabian;Pathmanathan, Mohan Dass;Patrão, Luís;Patricio, Patricia;Patrier, Juliette;Patterson, Lisa;Paul, Christelle;Paul, Mical;Paulos, Jorge;Paxton, William A.;Payen, Jean-François;Peake, Sandra L.;Peariasamy, Kalaiarasu;Jiménez, Miguel Pedrera;Peek, Giles J.;Peelman, Florent;Peiffer-Smadja, Nathan;Peigne, Vincent;Pejkovska, Mare;Pelosi, Paolo;Peltan, Ithan D.;Pereira, Rui;Perez, Daniel;Periel, Luis;Perpoint, Thomas;Pesenti, Antonio;Pestre, Vincent;Petrou, Lenka;Petrovic, Michele;Petrov-Sanchez, Ventzislava;Pettersen, Frank Olav;Peytavin, Gilles;Pharand, Scott;Picard, Walter;Picone, Olivier;de Piero, Maria;Pierobon, Carola;Piersma, Djura;Pimentel, Carlos;Pinto, Raquel;Piquard, Valentine;Pires, Catarina;Pironneau, Isabelle;Piroth, Lionel;Piubelli, Chiara;Pius, Riinu;Plantier, Laurent;Png, Hon Shen;Poissy, Julien;Pokeerbux, Ryadh;Poli, Sergio;Pollakis, Georgios;Ponscarme, Diane;Porto, Diego Bastos;Post, Andra-Maris;Postma, Douwe F.;Povoa, Pedro;Póvoas, Diana;Powis, Jeff;Prapa, Sofia;Preau, Sébastien;Prebensen, Christian;Preiser, Jean-Charles;Prinssen, Anton;Pritchard, Mark G.;Proença, Lucia;Pudota, Sravya;Puéchal, Oriane;Semedi, Bambang Pujo;Purcell, Gregory;Quesada, Luisa;González, Víctor Quirós;Quist-Paulsen, Else;Quraishi, Mohammed;Qutishat, Fadi;Rabaud, Christian;Rafael, Aldo;Rafiq, Marie;Rahman, Rozanah Abd;Haji Ab Rahman, Ahmad Kashfi;Rainieri, Fernando;Rajahram, Giri Shan;Ramakrishnan, Nagarajan;Ramalho, José;Ramli, Ahmad Afiq;Rammaert, Blandine;Ramos, Grazielle Viana;Ranjan, Ritika;Rapp, Christophe;Rasmin, Menaldi;Rätsep, Indrek;Ravi, Tharmini;Real, Andre;Rebaudet, Stanislas;Redl, Sarah;Reeve, Brenda;Reid, Liadain;Reikvam, Dag Henrik;Reis, Renato;Rello, Jordi;Remppis, Jonathan;Remy, Martine;Ren, Hongru;Renk, Hanna;Resseguier, Anne-Sophie;Revest, Matthieu;Rewa, Oleksa;Reyes, Tiago;Reyes, Luis Felipe;Ribeiro, Maria Ines;Richardson, David;Richardson, Denise;Richier, Laurent;Atikah Ahmad Ridzuan, Siti Nurul;Rios, Ana L.;Rishu, Asgar;Rispal, Patrick;Risso, Karine;Rizer, Nicholas;Robba, Chiara;Roberto, André;Roberts, Stephanie;Robertson, David L.;Robineau, Olivier;Roche-Campo, Ferran;Rodari, Paola;Rodeia, Simão;Roessler, Bernhard;Roger, Pierre-Marie;Roger, Claire;Roilides, Emmanuel;Rojek, Amanda;Romaru, Juliette;Roncon-Albuquerque, Roberto;Roriz, Mélanie;Rosa-Calatrava, Manuel;Rose, Michael;Rosenberger, Dorothea;Rossanese, Andrea;Rossetti, Matteo;Rossignol, Bénédicte;Rossignol, Patrick;Rousset, Stella;Roy, Carine;Roze, Benoît;Russell, Clark D.;Ryan, Maria;Ryan, Maeve;Ryckaert, Steffi;Holten, Aleksander Rygh;Saba, Isabela;Sadat, Musharaf;Sahraei, Valla;Saint-Gilles, Maximilien;Sakiyalak, Pranya;Salazar, Leonardo;Sales, Gabriele;Sallaberry, Stéphane;Gandonniere, Charlotte Salmon;Salvator, Hélène;Sanchez, Olivier;Sanchez, Emely;Sanchez-Miralles, Angel;Sancho-Shimizu, Vanessa;Sandhu, Gyan;Sandhu, Zulfiqar;Sandrine, Pierre-François;Sandulescu, Oana;Santos, Marlene;Sarfo-Mensah, Shirley;Sarmento Banheiro, Bruno;Sarmiento, Iam Claire E.;Sarton, Benjamin;Satyapriya, Sree;Satyawati, Rumaisah;Saviciute, Egle;Savvidou, Parthena;Saw, Yen Tsen;Schaffer, Justin;Schermer, Tjard;Scherpereel, Arnaud;Schneider, Marion;Schroll, Stephan;Schwameis, Michael;Scicluna, Brendan;Scott, Janet T.;Scott-Brown, James;Sedillot, Nicholas;Seitz, Tamara;Selvarajoo, Mageswari;Semaille, Caroline;Semple, Malcolm G.;Senian, Rasidah Bt;Senneville, Eric;Sepulveda, Claudia;Sequeira, Filipa;Sequeira, Tânia;Neto, Ary Serpa;Balazote, Pablo Serrano;Shadowitz, Ellen;Shahidan, Syamin Asyraf;Shamsah, Mohammad;Sharjeel, Shaikh;Sharma, Pratima;Shaw, Catherine A.;Shaw, Victoria;Sheenan, John Robert;Shi, Haixia;Shime, Nobuaki;Shimizu, Keiki;Shrapnel, Sally;Shum, Hoi Ping;Mohammed, Nassima Si;Siang, Ng Yong;Sibiude, Jeanne;Siddiqui, Atif;Sigfrid, Louise;Sillaots, Piret;Silva, Catarina;Silva, Rogério;Silva, Maria Joao;Lim Heng, Benedict Sim;Sin, Wai Ching;Singh, Punam;Singh, Budha Charan;Sitompul, Pompini Agustina;Sivam, Karisha;Skogen, Vegard;Smith, Sue;Smood, Benjamin;Smyth, Coilin;Smyth, Michelle;Snacken, Morgane;So, Dominic;Soh, Tze Vee;Solomon, Joshua;Solomon, Tom;Somers, Emily;Sommet, Agnès;Song, Rima;Song, Myung Jin;Song, Tae;Chia, Jack Song;Sonntagbauer, Michael;Soom, Azlan Mat;Sotto, Albert;Soum, Edouard;Sousa, Marta;Sousa, Ana Chora;Uva, Maria Sousa;Souza-Dantas, Vicente;Sperry, Alexandra;Spinuzza, Elisabetta;Sriskandan, Shiranee;Stabler, Sarah;Staudinger, Thomas;Stecher, Stephanie-Susanne;Steinsvik, Trude;Stienstra, Ymkje;Stiksrud, Birgitte;Stolz, Eva;Stone, Amy;Streinu-Cercel, Adrian;Streinu-Cercel, Anca;Stuart, Ami;Stuart, David;Su, Richa;Suen, Jacky Y.;Suen, Gabriel;Sukumar, Prasanth;Sultana, Asfia;Summers, Charlotte;Supic, Dubravka;Suppiah, Deepashankari;Surovcová, Magdalena;Syahrin, Sarah;Syrigos, Konstantinos;Sztajnbok, Jaques;Szuldrzynski, Konstanty;Tabrizi, Shirin;Taccone, Fabio S.;Tagherset, Lysa;Taib, Shahdattul Mawarni;Taleb, Sara;Talsma, Jelmer;Tampubolon, Maria Lawrensia;Tan, Kim Keat;Tan, Yan Chyi;Tanaka, Hiroyuki;Tanaka, Taku;Taniguchi, Hayato;Tardivon, Coralie;Tattevin, Pierre;Taufik, M. Azhari;Tawfik, Hassan;Tedder, Richard S.;Tee, Tze Yuan;Teixeira, João;Tejada, Sofia;Tellier, Marie-Capucine;Teoh, Sze Kye;Teotonio, Vanessa;Téoulé, François;Terpstra, Pleun;Terrier, Olivier;Terzi, Nicolas;Tessier-Grenier, Hubert;Tey, Adrian;Mohd Thabit, Alif Adlan;Tham, Zhang Duan;Thangavelu, Suvintheran;Theron, Elmi;Thibault, Vincent;Thiberville, Simon-Djamel;Thill, Benoît;Thirumanickam, Jananee;Thompson, Shaun;Thomson, David;Thomson, Emma C.;Thorpe, Mathew;Thanga Thurai, Surain Raaj;Thwaites, Ryan S.;Tierney, Paul;Tieroshyn, Vadim;Timsit, Jean-François;Tissot, Noémie;Toal, Fiona;Yang Toh, Jordan Zhien;Toki, Maria;Tonby, Kristian;Tonnii, Sia Loong;Torre, Marta;Torres, Margarida;Torres, Antoni;Torres-Zevallos, Hernando;Towers, Michael;Trapani, Tony;Trioux, Théo;Tromeur, Cécile;Trontzas, Ioannis;Trouillon, Tiffany;Truong, Jeanne;Tual, Christelle;Tubiana, Sarah;Tuite, Helen;Turgeon, Alexis F.;Turmel, Jean-Marie;Turtle, Lance C. W.;Tveita, Anders;Twardowski, Pawel;Uchiyama, Makoto;Udy, Andrew;Ullrich, Roman;Uribe, Alberto;Usman, Asad;Uyeki, Timothy M.;Vajdovics, Cristinava;Val-Flores, Luís;Valran, Amélie;Van de Velde, Stijn;van den Berge, Marcel;Van der Feltz, Machteld;van der Palen, Job;van der Valk, Paul;Van Der Vekens, Nicky;Van der Voort, Peter;Van Der Werf, Sylvie;van Gulik, Laura;Van Hattem, Jarne;van Netten, Carolien;van Someren Gréve, Frank;van Veen, Ilonka;Van Willigen, Hugo;Vanel, Noémie;Vanoverschelde, Henk;Varghese, Pooja;Varrone, Michael;Vasudayan, Shoban Raj;Vauchy, Charline;Veeran, Shaminee;Veislinger, Aurélie;Vencken, Sebastian;Ventura, Sara;Verbon, Annelies;Vidal, José Ernesto;Vieira, César;Villanueva, Joy Ann;Villar, Judit;Villeneuve, Pierre-Marc;Villoldo, Andrea;Visseaux, Benoit;Visser, Hannah;Vitiello, Chiara;Vonkeman, Harald;Vuotto, Fanny;Wahab, Noor Hidayu;Wahab, Suhaila Abdul;Wahid, Nadirah Abdul;Wainstein, Marina;Walsh, Laura;Wang, Chih-Hsien;Webb, Steve;Wei, Jia;Weil, Katharina;Wen, Tan Pei;Wesselius, Sanne;Wham, Murray;Whelan, Bryan;White, Nicole;Wicky, Paul Henri;Wiedemann, Aurélie;Wijaya, Surya Otto;Wille, Keith;Willems, Sue;Williams, Bailey;Williams, Virginie;Williams, Patricia J.;Wils, Evert-Jan;Wittman, Jessica;Wong, Calvin;Wong, Xin Ci;Wong, Yew Sing;Wong, Teck Fung;Xian, Gan Ee;Xian, Lim Saio;Kuan, Pei Xuan;Xynogalas, Ioannis;Binti Mohd Yakop, Siti Rohani;Yamazaki, Masaki;Yarad, Elizabeth;Yazdanpanah, Yazdan;Liang Hing, Nicholas Yee;Yelnik, Cécile;Yeoh, Chian Hui;Yerkovich, Stephanie;Yokoyama, Toshiki;Yonis, Hodane;Yousif, Obada;Zaaqoq, Akram;Zabbe, Marion;Zacharowski, Kai;Zahid, Masliza;Zahran, Maram;Binti Zaidan, Nor Zaila;Zambon, Maria;Zambrano, Miguel;Zanella, Alberto;Zaynah, Nurul;Zayyad, Hiba;Zoufaly, Alexander;Zucman, David

2023

Abstract

Background: COVID-19 has been associated with a broad range of thromboembolic, ischemic, and hemorrhagic complications (coagulopathy complications). Most studies have focused on patients with severe disease from high-income countries (HICs). Objectives: The main aims were to compare the frequency of coagulopathy complications in developing countries (low- and middle-income countries [LMICs]) with those in HICs, delineate the frequency across a range of treatment levels, and determine associations with in-hospital mortality. Methods: Adult patients enrolled in an observational, multinational registry, the International Severe Acute Respiratory and Emerging Infections COVID-19 study, between January 1, 2020, and September 15, 2021, met inclusion criteria, including admission to a hospital for laboratory-confirmed, acute COVID-19 and data on complications and survival. The advanced-treatment cohort received care, such as admission to the intensive care unit, mechanical ventilation, or inotropes or vasopressors; the basic-treatment cohort did not receive any of these interventions. Results: The study population included 495,682 patients from 52 countries, with 63% from LMICs and 85% in the basic treatment cohort. The frequency of coagulopathy complications was higher in HICs (0.76%-3.4%) than in LMICs (0.09%-1.22%). Complications were more frequent in the advanced-treatment cohort than in the basic-treatment cohort. Coagulopathy complications were associated with increased in-hospital mortality (odds ratio, 1.58; 95% CI, 1.52-1.64). The increased mortality associated with these complications was higher in LMICs (58.5%) than in HICs (35.4%). After controlling for coagulopathy complications, treatment intensity, and multiple other factors, the mortality was higher among patients in LMICs than among patients in HICs (odds ratio, 1.45; 95% CI, 1.39-1.51). Conclusion: In a large, international registry of patients hospitalized for COVID-19, coagulopathy complications were more frequent in HICs than in LMICs (developing countries). Increased mortality associated with coagulopathy complications was of a greater magnitude among patients in LMICs. Additional research is needed regarding timely diagnosis of and intervention for coagulation derangements associated with COVID-19, particularly for limited-resource settings.

Scheda breve

Scheda completa

Scheda completa (DC)

	Parole chiave
	
				COVID-19; SARS-CoV-2; developing countries; disseminated intravascular coagulation; hemorrhage; ischemic stroke; thromboembolism; thrombosis
			
	Settori scientifico-disciplinari dell'articolo (validi dal 09/05/2024)
	
				Settore MEDS-23/A - Anestesiologia
			
	Titolo del progetto
	
	Titolo Progetto
	
									European Clinical Research Alliance on Infectious Diseases
								
	Acronimo
	
									ECRAID-Base
								
	Nome finanziatore
	
										European Commission
									
	Finanziamento
	
									Horizon 2020 Framework Programme
								
	N. Contratto
	
									965313
								
	Titolo Progetto
	
									Norwegian SARS-CoV-2 study – Virological, clinical and immunological characterisation of inpatients during the COVID-19 outbreak
								
	Nome finanziatore
	
										The Research Council of Norway
									
	Finanziamento
	
									BEHANDLING
								
	N. Contratto
	
									312780
								
	Titolo Progetto
	
									Combatting Bacterial Resistance in Europe
								
	Acronimo
	
									COMBACTE-NET
								
	Nome finanziatore
	
										European Commission
									
	Finanziamento
	
									SEVENTH FRAMEWORK PROGRAMME
								
	N. Contratto
	
									115523
								
	Titolo Progetto
	
									ISARIC - Coronavirus Clinical Characterisation Consortium (ISARIC-4C)
								
	Nome finanziatore
	
										UK Research and Innovation
									
	Finanziamento
	
									MRC
								
	N. Contratto
	
									MC_PC_19059
								
	Data di pubblicazione
	
				lug-2023
			
	Rivista in ANCE
	
				RESEARCH AND PRACTICE IN THROMBOSIS AND HAEMOSTASIS
			
	DOI
	
				https://dx.doi.org/10.1016/j.rpth.2023.102142
			
	Tipologia
	
				Article (author)
			
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