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Table 3 Clinical characteristics, laboratory parameters and coagulation profiles among patients with and without thrombotic complications

From: Thrombotic and haemorrhagic complications in critically ill patients with COVID-19: a multicentre observational study

Characteristic

All patients (n = 187)

Thrombotic complication (n = 81)

No thrombosis (n = 106)

p value

Age (years), median (IQR)

57 (49–64)

59 (53–66)

56 (48–63)

0.046

Sex, n (%)

 Female

63 (32)

21 (26)

42 (40)

0.071

 Male

124 (68)

60 (74)

64 (60)

–

APACHE II score, median (IQR)

13 (10–13)

14 (11–18)

13 (9–16)

0.594

ISTH DIC score, median (IQR)

3 (2–3)

3 (2–3)

2 (2–3)

 

Baseline treatments (n = 185), n (%)

 Prophylactic LMWH or UFH, n

151

59 (31.3)

92 (49.9)

 

 Therapeutic LMWH or UFH, n

27

18 (9.9)

9 (5.0)

 

 Vitamin K antagonist, n

2

0 (0)

2 (1.1)

 

 Directly acting oral anticoagulant, n

2

0 (0)

2 (1.1)

 

 No anticoagulant, n

3

3 (1.7)

0

Laboratory parameters (approximate normal range)

 Haemoglobin (g/L) (120–150)

121.1 (20.4)

121.2 (22.9)

121.0 (18.2)

0.948

 Platelet count (×109/L) (150–400)

241 (186–318)

238 (179–319)

243 (193–311)

0.749

 White cell count (×109/L) (4.0–11.0)

9.18 (6.81–12.43)

9.72 (7.82–12.64)

8.16 (6.02–11.55)

0.024

 Lymphocyte count (×109/L) (1.0–4.0)

0.80 (0.50–1.10)

0.80 (0.50–1.10)

0.80 (0.56–1.10)

0.321

 Lactate dehydrogenase

629 (418–927)

700 (437–1032)

579 (415–820)

0.096

 Peak troponin T (ng/mL) (n = 62)

27 (12–57)

44 (23–66)

18 (12–39)

0.008

 Peak troponin I (ng/L) (n = 103)

14 (6–61)

26 (9–194)

9 (4–32)

< 0.001

 CRP (mg/L) (0–5)

202 (128–294)

209 (143–300)

187 (121–267)

0.055

 Ferritin (mcg/l) (10–200)

1126 (495–1880)

1305 (737–2301)

886 (370–1499)

0.008

Coagulation parameters

 Prothrombin time (seconds)

12.4 (11.0–14.9)

12.0 (11.0–13.3)

12.8 (11.0–14.36)

0.499

 D-dimer (ug/mL)

2587 (950–10,000)

6139 (1644–10,000)

1264 (788–5535)

< 0.001

 Fibrinogen (g/L)

7.0 (6.0–10.0)

6.9 (6.0–9.6)

7.4 (6.0–10.0)

0.441

Thromboelastography parameters (n = 20) (normal ranges)

n = 20

n = 12

n = 8

 

 R time (mins) (4.6–9.1)

7.37 (2.45)

7.70 (1.87)

6.86 (3.22)

0.094

 CK alpha (angle) (63–78)

75.7 (3.4)

75.5 (3.5)

76.1 (3.3)

0.156

 MA (mm) (52–69)

69.3 (2.26)

69.3 (1.70)

69.4 (3.06)

0.169

 Platelet contribution to clot strength (%)

64 (61–73)

63 (53–69)

68 (64–77)

0.552

 Fibrin contribution to clot strength (%)

36 (27–39)

37 (31–47)

32 (23–36)

–

 Thrombodynamic ratio

17.1 (11.5–24.6)

14.1 (11.5–18.0)

24.5 (13.9–24.8)

0.201

 LY30 (0.0–2.6)

0.00 (0.00–0.05)

0.00 (0.00–0.00)

0.00 (0.00–0.48)

0.240

Outcome as of 15 May 2020, n (%)

 Died in ICU

59 (31.6)

32 (39.5)

27 (25.5)

0.059

 Still alive in ICU

33 (17.6)

17 (21.0)

16 (15.1)

–

 Discharged alive from ICU

95 (50.8)

32 (39.5)

63 (59.4)

–

ICU length of stay (days), median (IQR)

15 (7–21)

17 (11–27)

12 (7–13)

0.003

  1. APACHE Acute Physiology and Chronic Health Evaluation, DIC disseminated Intravascular coagulation, ICU intensive care unit, LWMH low molecular weight heparin