Antiplatelet therapy not effective in treating critically ill COVID-19 patients: REMAP-CAP

By Nicola Garrett

1 Jul 2021

Antiplatelet therapy with either aspirin and P2Y12 inhibition was ineffective at improving death and organ support free days in critically ill COVID-19 patients, latest results from REMAP-CAP show.

The findings are based on an analysis of 1467 critically ill patients and are yet to be peer reviewed and published. Previously, aspirin and P2Y12 inhibition had been proven to be equivalent in the trial.

The results highlight that the probability of futility of antiplatelet therapy (defined as an odds ratio of < 1.2) was 98%, well above the platform threshold of 95%.

The odds ratio for improving the primary outcome of death and organ support free days was 0.99 (95% Credible Interval 0.82 – 1.19) for these drugs, compared to no antiplatelet therapy.

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