Coagulopathy in COVID-19: Posted april 24, 2020

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Abstract

COVID-19-associated coagulopathy is common in patients with COVID-19, causing high rates of thrombotic complications that increase the morbidity and mortality. Markedly elevated levels of D-dimer with normal fi brinogen levels are the hallmark laboratory fi ndings and correlate with severity of illness and risk of thrombosis. Aggressive VTE prophylaxis is paramount for all patients with COVID-19. Patients with very high D-dimer levels (6 times the upper limit of normal, greater than 3,000 ng/mL) have the greatest risk of thrombosis and may benefi t from active screening and more intensive VTE prophylaxis.

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Mucha, S. R., Dugar, S., McCrae, K., Joseph, D. E., Bartholomew, J., Sacha, G., & Militello, M. (2020). Coagulopathy in COVID-19: Posted april 24, 2020. Cleveland Clinic Journal of Medicine, 87(5), 461–468. https://doi.org/10.3949/CCJM.87A.CCC024

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