Abstract
Introduction: COVID-19 is a pneumonia due to the new SARS-CoV-2 Coronavirus, with a very heterogeneous clinical presentation, which in severe cases can be associated with a high risk of disseminated intravascular coagulation, similar to that observed in sepsis-induced coagulopathy, but with a predominantly thrombotic phenotype. Therefore, anticoagulation should be considered as a therapeutic strategy in this type of patient. Objectives: To show all available literature on the benefits of anticoagulation in severe COVID-19. Methodology: An advanced search was performed with the terms DeSC and MeSH: Coronavirus Infections; SARS-CoV; Blood Coagulation; Disseminated intravascular coagulation; Multiple organic dysfunction; Sepsis; Systemic inflammatory response syndrome; Acute kidney injury. The Clinical Key, Embase, PubMed and Ovid search engines were used, obtaining a total of 143 results, among original articles, case reports, case series and literature reviews, a total of 56 articles were selected that were used to the preparation of this literature review. Conclusions: Patients with severe COVID-19 have a high thrombotic risk and could benefit from anticoagulation with low molecular weight heparins; however, further studies are needed on the usefulness of anticoagulant therapy in patients with severe COVID-19 and risk of disseminated intravascular coagulation.
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This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2020 Nehomar Pájaro Galvis, Emilio Abuabara Franco, Victor Leal Martínez, Dagoberto Serpa Díaz, Jorge Rico Fontalvo, Rodrigo Daza Arnedo, José Bohorquez Rivero, José Correa Guerrero, Jonatan López Fontalvo, Alonso Pomares Lara, María Raad Sarabia, Daniel Porto Corbacho