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Erschienen in: Journal of Thrombosis and Thrombolysis 1/2023

14.12.2022 | COVID-19

Association between thromboembolic events and COVID-19 infection within 30 days: a case–control study among a large sample of adult hospitalized patients in the United States, March 2020–June 2021

verfasst von: Ya-Lin A. Huang, Hussain Yusuf, Alys Adamski, Joy Hsu, James Baggs, Rehab Auf, Stacey Adjei, Rhett Stoney, W. Craig Hooper, Eloisa Llata, Emilia H. Koumans, Jean Y. Ko, Sebastian Romano, Tegan K. Boehmer, Aaron M. Harris

Erschienen in: Journal of Thrombosis and Thrombolysis | Ausgabe 1/2023

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Abstract

The association between thromboembolic events (TE) and COVID-19 infection is not completely understood at the population level in the United States. We examined their association using a large US healthcare database. We analyzed data from the Premier Healthcare Database Special COVID-19 Release and conducted a case–control study. The study population consisted of men and non-pregnant women aged ≥ 18 years with (cases) or without (controls) an inpatient ICD-10-CM diagnosis of TE between 3/1/2020 and 6/30/2021. Using multivariable logistic regression, we assessed the association between TE occurrence and COVID-19 diagnosis, adjusting for demographic factors and comorbidities. Among 227,343 cases, 15.2% had a concurrent or prior COVID-19 diagnosis within 30 days of their index TE. Multivariable regression analysis showed a statistically significant association between a COVID-19 diagnosis and TE among cases when compared to controls (adjusted odds ratio [aOR] 1.75, 95% CI 1.72–1.78). The association was more substantial if a COVID-19 diagnosis occurred 1–30 days prior to index hospitalization (aOR 3.00, 95% CI 2.88–3.13) compared to the same encounter as the index hospitalization. Our findings suggest an increased risk of TE among persons within 30 days of being diagnosed COVID-19, highlighting the need for careful consideration of the thrombotic risk among COVID-19 patients, particularly during the first month following diagnosis.
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Metadaten
Titel
Association between thromboembolic events and COVID-19 infection within 30 days: a case–control study among a large sample of adult hospitalized patients in the United States, March 2020–June 2021
verfasst von
Ya-Lin A. Huang
Hussain Yusuf
Alys Adamski
Joy Hsu
James Baggs
Rehab Auf
Stacey Adjei
Rhett Stoney
W. Craig Hooper
Eloisa Llata
Emilia H. Koumans
Jean Y. Ko
Sebastian Romano
Tegan K. Boehmer
Aaron M. Harris
Publikationsdatum
14.12.2022
Verlag
Springer US
Erschienen in
Journal of Thrombosis and Thrombolysis / Ausgabe 1/2023
Print ISSN: 0929-5305
Elektronische ISSN: 1573-742X
DOI
https://doi.org/10.1007/s11239-022-02735-0

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