Effect of COVID-19 on Platelet Aggregation

  • STATUS
    Recruiting
  • participants needed
    200
  • sponsor
    University of Sao Paulo
Updated on 19 February 2024
hypertension
chronic disease
platelet aggregation
covid-19
SARS
respiratory symptom
acute respiratory syndrome (sars)

Summary

This is a mechanistic, observational, prospective, case and control study, to compare platelet aggregation, analyzed by Multiplate-ADP, in hospitalized patients diagnosed with COVID-19 versus healthy controls. Thus will be included 50 patients who present with respiratory symptoms within 72 hours of hospitalization and confirmation of the diagnosis of COVID-19 by laboratory method (RT -PCR and / or positive serology for SARS-CoV-2 - COVID group); this group will be compared to 50 healthy individuals (asymptomatic and with negative SARS-CoV-2 serology), matched by sex and age to the previous group.

Description

There is strong evidence that SARS-CoV-2 infection is associated with atherothrombotic phenomena. However, platelet activity in COVID-19 has not yet been studied.

Thus, the main objective of this project is to evaluate platelet aggregation by the Multiplate-ADP method in hospitalized patients diagnosed with COVID-19, in comparison with the platelet aggregation evaluated by the same method in healthy controls.

Secondary objectives include the assessment of parameters related to coagulation, inflammation, and clinical outcome variables.

This is a mechanistic, observational, prospective, case and control study, which will include 50 patients who present with respiratory symptoms within 72 hours of hospitalization and confirmation of the diagnosis of COVID-19 by laboratory method (RT -PCR and / or positive serology for SARS-CoV-2 - COVID group); this group will be compared to 50 healthy individuals (asymptomatic and with negative SARS-CoV-2 serology), matched by sex and age to the previous group.

Details
Condition Covid 19, SARS-CoV-2
Age 18-100 years
Treatment venipuncture in peripheral vein
Clinical Study IdentifierNCT04447131
SponsorUniversity of Sao Paulo
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Agreement to sign the Free and Informed Consent Form (ICF)
Case group: patients with up to 72 hours of hospitalization for respiratory symptoms
Control group: healthy volunteers, defined as having no history (confirmed or suspected) of COVID-19 or chronic diseases (except hypertension, obesity, dyslipidemia)

Exclusion Criteria

Known platelet dysfunction or platelet count <100,000 / L or> 450,000 / L
Terminal illness
Known liver disease or clotting disorder
Hematocrit less than 34% or greater than 55%
Previous use of antiplatelet agents and / or anticoagulants (except acetylsalicylic acid and prophylactic heparin)
Patients on invasive mechanical ventilation or receiving high oxygen flow
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