Predictors of mortality in thrombotic thrombocytopenia after adenoviral COVID-19 vaccination: the FAPIC score

Eur Heart JPublished Systematic review and pooled analysis of case series and case reports

Authors' conclusion

Fibrinogen levels, age, platelet count, and the presence of ICH and CVT were significantly associated with mortality in patients with TTS, and the FAPIC score comprising these risk factors could predict mortality.

Study context

Population
Patients with thrombosis with thrombocytopenia syndrome (TTS) after ChAdOx1 nCoV-19 vaccination6 case series · 13 case reports
Participants
64 patients
Outcome
Mortality (predictors and FAPIC score)
Methodological detailsprognostic score development, internal validation (cross-validation, bootstrapping), external validation
  • Prognostic score development
  • Internal validation (cross-validation, bootstrapping)
  • External validation

Pooled result

As reported in the abstract

Mortality
Overall mortality
35.9% (23/64)
FAPIC score C-statistic
0.837 (95% CI 0.732-0.942)
Expected mortality, FAPIC 0
2.08%
Expected mortality, FAPIC 1
6.66%
Expected mortality, FAPIC 2
19.31%
Expected mortality, FAPIC 3
44.54%
Expected mortality, FAPIC 4
72.94%
Expected mortality, FAPIC 5
90.05%

Original publication

Predictors of mortality in thrombotic thrombocytopenia after adenoviral COVID-19 vaccination: the FAPIC score. Eur Heart J. Published 21 September 2021. doi:10.1093/eurheartj/ehab592

Summarised from the published abstract; every number is checked against it

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