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Factors Associated With Pulmonary Embolism Among Coronavirus Disease 2019 Acute Respiratory Distress Syndrome: A Multicenter Study Among 375 Patients.
Soumagne, Thibaud; Lascarrou, Jean-Baptiste; Hraiech, Sami; Horlait, Geoffroy; Higny, Julien; d'Hondt, Alain; Grimaldi, David; Gaudry, Stéphane; Courcelle, Romain; Carbutti, Giuseppe; Blonz, Gauthier; Aissaoui, Nadia; Vinsonneau, Christophe; Vandenbunder, Benoit; Textoris, Julien; Szychowiak, Piotr; Serck, Nicolas; Sauneuf, Bertrand; Piagnerelli, Michael; Ly, Andre; Lejeune, François; Lefebvre, Laurent; Piton, Gaël.
  • Soumagne T; Service de Réanimation Médicale, CHU Besançon, Besançon, France.
  • Lascarrou JB; CRICS-TriggerSEP research network, Tours, France, and Medecine Intensive Reanimation, CHU Nantes, Nantes, France.
  • Hraiech S; Médecine Intensive Réanimation, Assistance Publique - Hôpitaux de Marseille, Marseille, France, and Centre d'Etudes et de Recherches sur les Services de Santé et qualité de vie EA 3279, Aix- Faculté de médecine, Marseille Université, Marseille, France.
  • Horlait G; Unité de soins intensifs, CHU Dinant Godinne, site Godinne, Namur, Belgium.
  • Higny J; Unité de soins intensifs, CHU Dinant Godinne, site Dinant, Dinant, Belgium.
  • d'Hondt A; Unité de soins intensifs, CHU Ambroise Paré, Mons, Belgium.
  • Grimaldi D; Soins Intensifs, Hôpital Erasme, ULB, Bruxelles, Belgium.
  • Gaudry S; Réanimation médico-chirurgicale CHU Avicennes, Université Sorbonne Paris Nord, Bobigny, France.
  • Courcelle R; Unité de soins intensifs, Centres Hospitaliers de Jolimont, La Louvière, Belgium.
  • Carbutti G; Unité de soins intensifs, CHR Mons-Hainaut, Mons, Belgium.
  • Blonz G; Medecine Intensive Reanimation, District Hospital Center, Boulevard Stephane Moreau, La Roche Sur Yon, France.
  • Aissaoui N; Medecine Intensive Reanimation, Hôpital Européen Georges Pompidou, Paris centre U 970 PARCC, Paris, France.
  • Vinsonneau C; CRICS-TriggerSEP research network, Tours, France, and Service de Médecine Intensive Réanimation Unité de Sevrage Ventilatoire et Réhabilitation Centre Hospitalier de Bethune, Beuvry, France.
  • Vandenbunder B; Groupe des anesthésistes réanimateurs, Hôpital Privé d'Antony, Antony, France.
  • Textoris J; Service de réanimation, Hospices Civils de Lyon, Lyon, France, and Laboratoire Commun de Recherche bioMérieux-Hospices Civils de Lyon-Université de Lyon 1, Lyon, France.
  • Szychowiak P; CRICS-TriggerSEP research network, Tours, France, and Médecine Intensive Réanimation, CHRU Tours, Tours, France, and INSERM CIC 1415, CHRU Tours, Tours, France.
  • Serck N; Unité de soins intensifs, Clinique Saint Pierre, Ottignies, Belgium.
  • Sauneuf B; Réanimation - Médecine Intensive, Centre Hospitalier Public du Cotentin, Cherbourg-en-Cotentin, France.
  • Piagnerelli M; Intensive Care, CHU-Charleroi, Marie Curie, Université Libre de Bruxelles, chaussée de Bruxelles, Charleroi, Belgium.
  • Ly A; Service d'anesthésie-réanimation chirurgicale Unité de réanimation chirurgicale polyvalente Hôpitaux Universitaires Henri Mondor, Créteil, France.
  • Lejeune F; Unité de soins intensifs, Clinique Notre Dame de Grâce, Gosselies, Belgium.
  • Lefebvre L; Réanimation polyvalente Centre Hospitalier du pays d'Aix, Aix en Provence, France.
  • Piton G; Service de Réanimation Médicale, CHU Besançon, Besançon, France.
Crit Care Explor ; 2(7): e0166, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-977408
ABSTRACT
Risk factors associated with pulmonary embolism in coronavirus disease 2019 acute respiratory distress syndrome patients deserve to be better known. We therefore performed a post hoc analysis from the COronaVirus-Associated DIsease Study (COVADIS) project, a multicenter observational study gathering 21 ICUs from France (n = 12) and Belgium (n = 9). Three-hundred seventy-five consecutive patients with moderate-to-severe acute respiratory distress syndrome and positive coronavirus disease 2019 were included in the study. At day 28, 15% were diagnosed with pulmonary embolism. Known risk factors for pulmonary embolism including cancer, obesity, diabetes, hypertension, and coronary artery disease were not associated with pulmonary embolism. In the multivariate analysis, younger age (< 65 yr) (odds ratio, 2.14; 1.17-4.03), time between onset of symptoms and antiviral administration greater than or equal to 7 days (odds ratio, 2.39; 1.27-4.73), and use of neuromuscular blockers greater than or equal to 7 days (odds ratio, 1.89; 1.05-3.43) were independently associated with pulmonary embolism. These new findings reinforce the need for prospective studies that will determine the predictors of pulmonary embolism among patients with severe coronavirus disease 2019.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Crit Care Explor Year: 2020 Document Type: Article Affiliation country: CCE.0000000000000166

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Crit Care Explor Year: 2020 Document Type: Article Affiliation country: CCE.0000000000000166