From the Journals

Prophylactic anticoagulation tied to lower death rate in COVID


 

Study boosts confidence

Despite its limitations, the study should make clinicians more confident that the use of prophylactic anticoagulation is warranted for hospitalized patients with COVID-19, write Andrew B. Dicks, MD, and Ido Weinberg, MD, from Massachusetts General Hospital, Boston, in an invited commentary.

“Practically, we still lack the granular data we need to help guide us in patient-by-patient decision-making – such as anticoagulation agent choice, dosage, and duration of therapy – especially as dictated by acuity of patient illness,” Dr. Dicks and Dr. Weinberg note.

“While we still await the data from randomized controlled trials to guide the optimal anticoagulation dose and duration, this study adds significant merit to the previously published recommendations from several different medical organizations regarding the use of prophylactic anticoagulation in hospitalized patients with COVID-19,” Dr. Dicks told this news organization.

The study was supported by Blue Cross and Blue Shield of Michigan and Blue Care Network as part of their Value Partnerships program. Dr. Vaughn has reported receiving speaking fees from Thermo Fisher Scientific. Dr. Dicks and Dr. Weinberg have reported no relevant financial relationships.

A version of this article first appeared on Medscape.com.

Pages

Recommended Reading

AUGUSTUS: Dual surpasses triple therapy when AFib patients have PCI or ACS
MDedge Family Medicine
Rivaroxaban tied to higher GI bleeding than other NOACs
MDedge Family Medicine
Older IBD patients are most at risk of postdischarge VTE
MDedge Family Medicine
FDA approves rivaroxaban for VTE prevention in hospitalized, acutely ill patients
MDedge Family Medicine
New ASH guideline: VTE prophylaxis after major surgery
MDedge Family Medicine
Are providers asking about menstrual bleeding before/during anticoagulant therapy?
MDedge Family Medicine
PCSK9 inhibitors unexpectedly link with lower VTE, aortic stenosis
MDedge Family Medicine
TNF inhibitors cut odds of VTE in RA patients
MDedge Family Medicine
VTEs tied to immune checkpoint inhibitor cancer treatment
MDedge Family Medicine
ASH guidelines for venous thromboembolism: What family physicians need to know
MDedge Family Medicine