T\u1ea1i h\u1ed9i ngh\u1ecb chuy\u00ean \u0111\u1ec1 v\u1ec7 tinh do Roche Diagnostics t\u00e0i tr\u1ee3 \u2018\u2018T\u1eeb nghi\u00ean c\u1ee9u c\u01a1 b\u1ea3n \u0111\u1ebfn d\u1eef li\u1ec7u l\u00e2m s\u00e0ng: T\u01b0\u01a1ng lai c\u1ee7a c\u00f4ng t\u00e1c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n\u2019\u2019 \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c trong \u0111\u1ea1i h\u1ed9i Qu\u1ed1c t\u1ebf v\u1ec1 C\u1ea7m m\u00e1u (ISTH) n\u0103m 2021, B\u00e1c s\u0129 Jean M Connors MD \u0111\u00e3 tr\u00ecnh b\u00e0y th\u00f4ng tin chuy\u00ean s\u00e2u v\u1ec1 b\u1ec7nh vi\u00eam huy\u1ebft kh\u1ed1i trong k\u1ef7 nguy\u00ean COVID-19.<\/p>\n
B\u1ec7nh COVID-19 \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00f4ng m\u00e1u. S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh \u0111\u00f4ng m\u00e1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n nhi\u1ec5m COVID-19 c\u00f3 li\u00ean quan \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 t\u1ef7 l\u1ec7 huy\u1ebft kh\u1ed1i cao \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y. K\u1ec3 t\u1eeb khi xu\u1ea5t hi\u1ec7n \u0111\u1ea1i d\u1ecbch, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u quan s\u00e1t \u0111\u00e3 thu \u0111\u01b0\u1ee3c nh\u1eefng ph\u00e1t hi\u1ec7n m\u00e2u thu\u1eabn v\u1ec1 l\u1ee3i \u00edch ti\u1ec1m n\u0103ng c\u1ee7a thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u, nh\u1ea5n m\u1ea1nh nhu c\u1ea7u c\u1ea5p thi\u1ebft ti\u1ebfn h\u00e0nh c\u00e1c th\u1eed nghi\u1ec7m \u0111\u1ed1i ch\u1ee9ng ng\u1eabu nhi\u00ean (RCT).<\/p>\n
B\u00e1c s\u0129 Connors \u0111\u00e3 tr\u00ecnh b\u00e0y c\u00e1c ph\u00e1t hi\u1ec7n t\u1eeb ba RCT g\u1ea7n \u0111\u00e2y bao g\u1ed3m ph\u00e2n t\u00edch k\u1ebft h\u1ee3p ba RCT \u0111a n\u1ec1n t\u1ea3ng g\u1ea7n \u0111\u00e2y (ATTACC, REMAP-CAP v\u00e0 ACTIV-4A) nh\u1eb1m \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a li\u1ec1u d\u1ef1 ph\u00f2ng ti\u00eau chu\u1ea9n so v\u1edbi li\u1ec1u \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p ch\u1ed1ng \u0111\u00f4ng m\u00e1u cho COVID-19. Sau khi h\u00e0i h\u00f2a c\u00e1c ti\u00eau ch\u00ed nghi\u00ean c\u1ee9u, d\u1eef li\u1ec7u k\u1ebft h\u1ee3p cho th\u1ea5y, so v\u1edbi li\u1ec1u d\u1ef1 ph\u00f2ng ti\u00eau chu\u1ea9n, li\u1ec1u heparin \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 mang l\u1ea1i l\u1ee3i \u00edch gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 b\u1ec7nh t\u1eadt \u1edf b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n m\u1eafc b\u1ec7nh n\u1eb7ng \u1edf m\u1ee9c trung b\u00ecnh, b\u1ea5t k\u1ec3 n\u1ed3ng \u0111\u1ed9 D-dimer l\u00e0 bao nhi\u00eau. Tuy nhi\u00ean, th\u1eed nghi\u1ec7m ACTION cho th\u1ea5y thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng li\u1ec1u \u0111i\u1ec1u tr\u1ecb, ch\u1ee7 y\u1ebfu l\u00e0 v\u1edbi rivaroxaban, c\u1ed9ng v\u1edbi th\u1eddi gian k\u00e9o d\u00e0i sau khi xu\u1ea5t vi\u1ec7n kh\u00f4ng mang l\u1ea1i l\u1ee3i \u00edch l\u00e2m s\u00e0ng \u1edf b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n so v\u1edbi thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng d\u1ef1 ph\u00f2ng. Ngo\u00e0i ra, vi\u1ec7c t\u0103ng li\u1ec1u thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng kh\u00f4ng mang l\u1ea1i l\u1ee3i \u00edch cho nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh n\u1eb7ng trong ph\u00e2n t\u00edch RCT k\u1ebft h\u1ee3p \u0111a n\u1ec1n t\u1ea3ng ho\u1eb7c RCT nh\u00e3n m\u1edf, INSPIRATION. Nhi\u1ec1u d\u1eef li\u1ec7u li\u00ean quan \u0111\u1ebfn c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ch\u1ed1ng huy\u1ebft kh\u1ed1i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong COVID-19 \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp \u0111\u1ec3 xu\u1ea5t hi\u1ec7n t\u1eeb m\u1ed9t s\u1ed1 th\u1eed nghi\u1ec7m \u0111ang di\u1ec5n ra<\/a>.<\/p>\n M\u1eb7c d\u00f9 hi\u1ec7u qu\u1ea3 can thi\u1ec7p c\u1ee7a thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng t\u1ed1i \u01b0u v\u1eabn c\u1ea7n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh, nh\u01b0ng v\u1eabn khuy\u1ebfn ngh\u1ecb s\u1eed d\u1ee5ng t\u1ed1i thi\u1ec3u l\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng d\u1ef1 ph\u00f2ng cho t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n khi kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh. K\u1ebft qu\u1ea3 t\u1eeb c\u00e1c RCT hi\u1ec7n t\u1ea1i c\u00f3 th\u1ec3 cho th\u1ea5y ch\u1ec9 d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng vi\u00eam huy\u1ebft kh\u1ed1i li\u00ean quan \u0111\u1ebfn COVID-19, do \u0111\u00f3, c\u1ea7n ph\u1ea3i c\u00f3 n\u1ed7 l\u1ef1c to\u00e0n c\u1ea7u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c chi\u1ebfn l\u01b0\u1ee3c d\u1ef1 ph\u00f2ng huy\u1ebft kh\u1ed1i hi\u1ec7u qu\u1ea3 trong su\u1ed1t qu\u00e1 tr\u00ecnh ti\u1ebfp t\u1ee5c di\u1ec5n ra m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh COVID-19.<\/p>\n","protected":false},"excerpt":{"rendered":" T\u1ea1i h\u1ed9i ngh\u1ecb chuy\u00ean \u0111\u1ec1 v\u1ec7 tinh do Roche Diagnostics t\u00e0i tr\u1ee3 \u2018\u2018T\u1eeb nghi\u00ean c\u1ee9u c\u01a1 b\u1ea3n \u0111\u1ebfn d\u1eef li\u1ec7u l\u00e2m s\u00e0ng: T\u01b0\u01a1ng lai c\u1ee7a c\u00f4ng t\u00e1c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n\u2019\u2019 \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c trong \u0111\u1ea1i h\u1ed9i Qu\u1ed1c t\u1ebf v\u1ec1 C\u1ea7m m\u00e1u (ISTH) n\u0103m 2021, B\u00e1c s\u0129 Jean M Connors MD \u0111\u00e3 tr\u00ecnh b\u00e0y th\u00f4ng […]<\/p>\n","protected":false},"author":1,"featured_media":90629,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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