Thrombosis Journal (Mar 2021)

Low incidence of venous thrombosis but high incidence of arterial thrombotic complications among critically ill COVID-19 patients in Singapore

  • Chuen Wen Tan,
  • Bingwen Eugene Fan,
  • Winnie Z. Y. Teo,
  • Moon Ley Tung,
  • Humaira Shafi,
  • Dheepa Christopher,
  • Shuwei Zheng,
  • Wee Ming Peh,
  • Stephrene Seok Wei Chan,
  • Vanessa Cui Lian Chong,
  • Christian Aledia Gallardo,
  • Cheng Chieh Ray Chang,
  • Li Min Ling,
  • Jing Yuan Tan,
  • Ken Cheah Hooi Lee,
  • Ghee Chee Phua,
  • Benjamin Pei Zhi Cherng,
  • Jenny Guek Hong Low,
  • Vui Kian Ho,
  • Vishnu Prasad,
  • Lester Jung Long Wong,
  • Cheryl Xiu Qi Lim,
  • Yen Lin Chee,
  • Kiat Hoe Ong,
  • Lai Heng Lee,
  • Heng Joo Ng,
  • Eng Soo Yap,
  • on behalf of the Thrombosis Haemostasis Workgroup of Singapore Society of Haematology

DOI
https://doi.org/10.1186/s12959-021-00268-9
Journal volume & issue
Vol. 19, no. 1
pp. 1 – 7

Abstract

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Abstract Background Arterial and venous thrombosis are reported to be common in critically ill COVID-19 patients. Method and results This is a national multicenter retrospective observational study involving all consecutive adult COVID-19 patients who required intensive care units (ICU) admission between 23 January 2020 and 30 April 2020 in Singapore. One hundred eleven patients were included and the venous and arterial thrombotic rates in ICU were 1.8% (n = 2) and 9.9% (n = 11), respectively. Major bleeding rate was 14.8% (n = 16). Conclusions Critically ill COVID-19 patients in Singapore have lower venous thromboembolism but higher arterial thrombosis rates and bleeding manifestations than other reported cohorts.

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