COVID-19: opening a new paradigm in thromboprophylaxis for critically ill patients?
Keywords: 
SARS-CoV-2
Respiratory system
Procoagulant state
Issue Date: 
2020
Publisher: 
Springer Nature
ISSN: 
1466-609X
Note: 
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Citation: 
Ferrandis, R. (Raquel); Llau, J.V. (Juan V.); Quintana, M. (Manuel); et al. "COVID-19: opening a new paradigm in thromboprophylaxis for critically ill patients?". Critical care. 24 (332), 2020,
Abstract
The novel infection caused by coronavirus SARS-CoV-2 determining COVID-19 disease causes alterations mainly in the respiratory system. Many reports have postulated a procoagulant state accompanying the respiratory distress with thrombosis at both venous and arterial levels [1]. The procoagulant pattern is characterized by hyperfibrinogenemia and elevated D-dimer levels, with mild thrombocytopenia and a moderately prolonged prothrombin time [2]. Although D-dimers are not specific indicators of clot formation, in combination with the other parameters, its elevation may suggest a systemic coagulation activation with an increase of thrombin generation and fibrinolysis.

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