Association of Lupus Anticoagulant status with Disease Course in SARS-CoV-2 (COVID-19) Infection

Background: We investigated the importance of lupus anticoagulant (LA) in patients with SARS-CoV-2. Methods: Medical records of 41 SARS-CoV-2 infected patients were reviewed. Patients were classified into two groups according to the frequency of positive LA test results: “LA (−)” and “LA (+) ≥1” (LA...

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Main Authors: Suhyeon Woo MD, Bohyun Kim MD, PhD, Nam Hun Heo MS, Min-sun Kim MD, Young Ahn Yoon MD, Young-Jin Choi MD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2022-09-01
Series:Clinical and Applied Thrombosis/Hemostasis
Online Access:https://doi.org/10.1177/10760296221127276
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author Suhyeon Woo MD
Bohyun Kim MD, PhD
Nam Hun Heo MS
Min-sun Kim MD
Young Ahn Yoon MD
Young-Jin Choi MD, PhD
author_facet Suhyeon Woo MD
Bohyun Kim MD, PhD
Nam Hun Heo MS
Min-sun Kim MD
Young Ahn Yoon MD
Young-Jin Choi MD, PhD
author_sort Suhyeon Woo MD
collection DOAJ
description Background: We investigated the importance of lupus anticoagulant (LA) in patients with SARS-CoV-2. Methods: Medical records of 41 SARS-CoV-2 infected patients were reviewed. Patients were classified into two groups according to the frequency of positive LA test results: “LA (−)” and “LA (+) ≥1” (LA positive at least once). Statistical analysis was performed to determine the association between LA presence and change in LA test results and disease course according to both hospital days (HD) and days after diagnosis (DD). Results: The prevalence of LA was 51.2%. Averagely, the first change in LA test result occurred during DD 12-13 and between HD 9-10. The second change occurred on DD 15-16 and HD 13-14. The presence of LA was associated with severe disease ( P  = .004) but was not associated with thrombotic complications or mortality. The change of results from negative to positive or vice versa or the frequency of the changes was not associated with disease severity, thrombotic complications, or mortality. Conclusions: LA positivity can be regarded as one of the findings suggesting more serious SARS-CoV-2 infection.
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spelling doaj.art-5ae4a1ddc1854390a478042800b8e81d2022-12-22T02:00:42ZengSAGE PublishingClinical and Applied Thrombosis/Hemostasis1938-27232022-09-012810.1177/10760296221127276Association of Lupus Anticoagulant status with Disease Course in SARS-CoV-2 (COVID-19) InfectionSuhyeon Woo MD0Bohyun Kim MD, PhD1Nam Hun Heo MS2Min-sun Kim MD3Young Ahn Yoon MD4Young-Jin Choi MD, PhD5 Department of Laboratory Medicine, , Soonchunhyang University College of Medicine, Cheonan, Korea Department of Laboratory Medicine, , Soonchunhyang University College of Medicine, Cheonan, Korea Clinical Trial Center, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea Department of Laboratory Medicine, , Soonchunhyang University College of Medicine, Cheonan, Korea Department of Laboratory Medicine, , Soonchunhyang University College of Medicine, Cheonan, Korea Department of Laboratory Medicine, , Soonchunhyang University College of Medicine, Cheonan, KoreaBackground: We investigated the importance of lupus anticoagulant (LA) in patients with SARS-CoV-2. Methods: Medical records of 41 SARS-CoV-2 infected patients were reviewed. Patients were classified into two groups according to the frequency of positive LA test results: “LA (−)” and “LA (+) ≥1” (LA positive at least once). Statistical analysis was performed to determine the association between LA presence and change in LA test results and disease course according to both hospital days (HD) and days after diagnosis (DD). Results: The prevalence of LA was 51.2%. Averagely, the first change in LA test result occurred during DD 12-13 and between HD 9-10. The second change occurred on DD 15-16 and HD 13-14. The presence of LA was associated with severe disease ( P  = .004) but was not associated with thrombotic complications or mortality. The change of results from negative to positive or vice versa or the frequency of the changes was not associated with disease severity, thrombotic complications, or mortality. Conclusions: LA positivity can be regarded as one of the findings suggesting more serious SARS-CoV-2 infection.https://doi.org/10.1177/10760296221127276
spellingShingle Suhyeon Woo MD
Bohyun Kim MD, PhD
Nam Hun Heo MS
Min-sun Kim MD
Young Ahn Yoon MD
Young-Jin Choi MD, PhD
Association of Lupus Anticoagulant status with Disease Course in SARS-CoV-2 (COVID-19) Infection
Clinical and Applied Thrombosis/Hemostasis
title Association of Lupus Anticoagulant status with Disease Course in SARS-CoV-2 (COVID-19) Infection
title_full Association of Lupus Anticoagulant status with Disease Course in SARS-CoV-2 (COVID-19) Infection
title_fullStr Association of Lupus Anticoagulant status with Disease Course in SARS-CoV-2 (COVID-19) Infection
title_full_unstemmed Association of Lupus Anticoagulant status with Disease Course in SARS-CoV-2 (COVID-19) Infection
title_short Association of Lupus Anticoagulant status with Disease Course in SARS-CoV-2 (COVID-19) Infection
title_sort association of lupus anticoagulant status with disease course in sars cov 2 covid 19 infection
url https://doi.org/10.1177/10760296221127276
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