Evaluation of COVID-19 coagulopathy; laboratory characterization using thrombin generation and nonconventional haemostasis assays.
Danielle WhiteStephen MacDonaldTara EdwardsChris BridgemanMegan HaymanMegan SharpSally Cox-MortonEmily DuffSwati MahajanChloe MooreMelissa KirkRichard WilliamsMartin BesserWilliam ThomasPublished in: International journal of laboratory hematology (2020)
These results confirm increased fibrinogen and D-dimer in critical COVID-19-infected patients. Importantly, disease severity did not increase thrombin generation (including thrombin-antithrombin complexes and prothrombin fragment 1 + 2) when comparing both cohorts; counter-intuitively critical patients were hypocoaguable. tPA, TFPI and VEGF were increased in critical patients, which are hypothesized to reflect endothelial dysfunction and/or contribution of heparin (which may cause endothelial TFPI/tPA release).