新型冠状病毒致凝血功能障碍的诊断和治疗:一项系统综述和荟萃分析方案。

Sadegh Abbasian, Mahya Razmi, Hadiseh Bahramian, Mostafa Shanbehzadeh, Hadi Kazemi-Arpanahi
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引用次数: 0

摘要

背景:新型冠状病毒是一种与重要器官血栓形成相关的呼吸道感染病原体。本研究旨在为新型冠状病毒(Covid-19)引起的凝血功能障碍提供更好的诊断和治疗方法。材料和方法:检索Cochrane central, Web of Science, PubMed, Scopus和Ovid。此外,根据纳入标准,将纳入横断面研究、队列、临床试验和病例对照,不受性别和语言的限制。参与者还将是患有凝血功能障碍的Covid-19患者。在筛选、选择、提取数据的各个阶段,两位审稿人之间若有分歧,将通过讨论解决,如果无法解决,将采用专家审稿人的意见。采用横断面研究、队列和病例对照的NOS (Newcastle-Ottawa scale)工具和临床试验研究的Cochrane检查表评估偏倚风险。将对基于方法的相似纳入研究进行荟萃分析。此外,固定或随机效应模型将用于此。异质性指数(I2)、优势比(OR)、风险比(RR)、平均差异和%95置信区间也将由Stata V.13.0 (Corporation, College Station TX)计算。结果:抗凝治疗可降低患者血栓形成和肺部疾病的严重程度。d -二聚体的测定也将成为血栓形成的诊断指标。结论:同时研究患者凝血功能障碍和血栓形成,并在此基础上制定一套治疗方案,将对冠状病毒病的随访起到治疗作用。
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Diagnosis and Treatment of Coagulopathy Caused by the New Coronavirus: A Systematic Review and Meta-Analysis Protocol.

Background: The new coronavirus is an agent of respiratory infections associated with thrombosis in vital organs. This study aimed to propose a better diagnosis and treatment of coagulation disorders caused by the new coronavirus (Covid-19).

Materials and methods: Search in Cochrane central, Web of Science, PubMed, Scopus, and Ovid will be done. Also, according to the inclusion criteria, cross-sectional studies, cohort, clinical trial, and case-control will be included without gender and language restriction. Participants will also be Covid-19 patients with coagulation disorders. Any disagreement in the stages of screening, selection, and extraction of data between the two reviewers will be resolved by discussion, then if not resolved, the opinion of expert reviewers will be used. The risk of bias will be assessed using the NOS (Newcastle-Ottawa scale) tool for cross-sectional study, cohort and case-control, and the Cochrane checklist for clinical trials study. Metaanalysis of included studies that are similar based on the methodology will be done. Also, a fixed or random-effect model will be used for this it. Heterogeneity indices (I2), odds ratio (OR), risk ratio (RR), mean difference, and %95 confidence interval will also be calculated by Stata V.13.0 (Corporation, College Station TX).

Results: Treatment with anticoagulants will reduce the severity of thrombosis and lung disease in patients. D-dimer measurement will also be a diagnosis indicator of thrombosis.

Conclusions: Simultaneous study of coagulation disorders and thrombosis in patients and development of a Godliness based on it will play a treatment role in the follow-up of the coronavirus disease.

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