COVID-19 outcomes in patients with antiphospholipid syndrome: a retrospective cohort study
Erden et al.,
COVID-19 outcomes in patients with antiphospholipid syndrome: a retrospective cohort study,
Bratislava Medical Journal, doi:10.4149/BLL_2022_018
Retrospective 9 COVID-19 patients with antiphospholipid syndrome in Turkey, showing no significant differences based on existing HCQ treatment.
This study is excluded in the after exclusion results of meta
analysis:
unadjusted results with no group details.
risk of death, 150.0% higher, RR 2.50, p = 1.00, treatment 1 of 6 (16.7%), control 0 of 3 (0.0%), continuity correction due to zero event (with reciprocal of the contrasting arm).
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risk of hospitalization, 75.0% lower, RR 0.25, p = 0.23, treatment 1 of 6 (16.7%), control 2 of 3 (66.7%), NNT 2.0.
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Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
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Erden et al., 23 Jan 2022, retrospective, Turkey, peer-reviewed, 11 authors.
Abstract: DOI: 10.4149/BLL_2022_018
Bratisl Med J 2022; 123 (2)
120 – 124
CLINICAL STUDY
COVID-19 outcomes in patients with antiphospholipid
syndrome: a retrospective cohort study
Erden A1, Karakas O1, Armagan B1, Guven SC1, Ozdemir B1, Atalar E1, Apaydin H1, Usul E2,
Ates I3, Omma A1, Kucuksahin O4
Ankara Sehir Hastanesi, MH6 Onkoloji binasi, Romatoloji bolumu, Bilkent, Cankaya,
Ankara, Turkey. drserdarguven@gmail.com
ABSTRACT
BACKGROUND: Aim of this study is to investigate COVID-19 outcomes in patients with antiphospholipid
syndrome (APS).
METHODS: A retrospective cohort was formed from APS patients. Patients were screened for a record of
positive SARS-CoV 2 PCR. In PCR-positive patients, clinical data and information regarding COVID-19
outcomes were collected from medical records.
RESULTS: A positive PCR test was detected in 9/53 APS patients, while 66.7 %, 33.3 % and 11.1 % of
APS patients with COVID-19 were under hydroxychloroquine, LMWH or warfarin, and acetylsalicylic acid,
respectively. There were 3/9 patients found to be hospitalized and one died. No new thrombotic event was
reported in any of the patients during COVID-19 infection.
CONCLUSION: Baseline use of hydroxychloroquine, antiaggregants and anticoagulants may be associated
with an absence of new thrombotic event (Tab. 2, Ref. 33). Text in PDF www.elis.sk
KEY WORDS: antiphospholipid syndrome, COVID-19, outcome, thrombosis, mortality.
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