Patients who develop Covid-19 have an elevated risk of blood clots for months after infection, a study shows. EPA.
Patients who develop Covid-19 have an elevated risk of blood clots for months after infection, a study shows. EPA.
Patients who develop Covid-19 have an elevated risk of blood clots for months after infection, a study shows. EPA.
Patients who develop Covid-19 have an elevated risk of blood clots for months after infection, a study shows. EPA.

Covid-19 linked to increased risk of serious blood clots for up to six months


Neil Murphy
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People who have had Covid-19 are at increased risk of serious blood clots for up to six months, a study claims.

Researchers found the risk of deep vein thrombosis (DVT) was “significantly increased” for three months after Covid-19 infection, six months for pulmonary embolism, or blocked blood vessel in the lungs, and two months for bleeding.

The findings show people with underlying health problems are most at risk, as are those with more severe Covid-19.

Risks were higher during the first wave of the pandemic compared to the second and third waves.

Researchers said this could reflect the role of vaccines and treatments, particularly for older people, in cutting their chances of suffering complications.

The team of experts behind the study, published in the British Medical Journal, also said the findings were important for offering some patients drugs to prevent clots.

For the research, experts from Umea University in Sweden looked at data for more than a million people in the country who tested positive between February 2020 and May 2021.

They were compared to more than four million people without the virus.

The team also looked at the risk of clots in the period after Covid symptoms began, compared to long before people tested positive, and long after their symptoms disappeared.

The results showed a five-fold increase in risk of deep vein thrombosis, a 33-fold increase in risk of pulmonary embolism, and an almost double increase in risk of bleeding in the 30 days after infection.

  • A family member pays their respects to those who lost their lives to Covid-19, as the one year anniversary of the National Covid Memorial Wall is marked in London. PA
    A family member pays their respects to those who lost their lives to Covid-19, as the one year anniversary of the National Covid Memorial Wall is marked in London. PA
  • A woman holds a photograph of a family member who died as she takes part in a march from the National Covid Memorial wall to Downing Street in London. AP Photo
    A woman holds a photograph of a family member who died as she takes part in a march from the National Covid Memorial wall to Downing Street in London. AP Photo
  • Bereaved families travelled to the wall from across the country to mark the day, with a petition to make the wall a permanent memorial. AP Photo
    Bereaved families travelled to the wall from across the country to mark the day, with a petition to make the wall a permanent memorial. AP Photo
  • Bereaved families march alongside the wall. PA
    Bereaved families march alongside the wall. PA
  • Families with MPs Sir Peter Bottomley, right, and Afzal Khan, left, deliver a petition to 10 Downing Street. PA
    Families with MPs Sir Peter Bottomley, right, and Afzal Khan, left, deliver a petition to 10 Downing Street. PA
  • Family members write a message to two sisters who died of Covid-19 on the National Covid Memorial wall. AP Photo
    Family members write a message to two sisters who died of Covid-19 on the National Covid Memorial wall. AP Photo
  • Becca Slater, centre, receives a hug as she remembers her father Anthony Elward, who died in 2020. AP Photo
    Becca Slater, centre, receives a hug as she remembers her father Anthony Elward, who died in 2020. AP Photo
  • A woman writes a message in a red heart on the wall. AP Photo
    A woman writes a message in a red heart on the wall. AP Photo
  • Families marching through central London. PA
    Families marching through central London. PA

In absolute terms, this means a first DVT occurred in 401 patients with Covid-19 (absolute risk 0.04 per cent) and 267 patients without (absolute risk 0.01 per cent) over this period.

Meanwhile, a first pulmonary embolism occurred in 1,761 patients with Covid (absolute risk 0.17 per cent) and 171 without (absolute risk 0.004 per cent).

A first bleed occurred in 1,002 patients with Covid (absolute risk 0.10 per cent) and 1,292 without (absolute risk 0.04 per cent).

Risks continued for most patients for up to a period of six months.

The team concluded: “Our findings arguably support thromboprophylaxis [preventative treatment] to avoid thrombotic events, especially for high risk patients, and strengthen the importance of vaccination against Covid-19.”

UK experts said rising numbers of coronavirus infections could see an increase in death and hospital admissions.

Covid rates in England are the highest they have ever been, and the two variants of Omicron – BA.1 and BA.2 – have caused peaks in the pandemic – one in January and another in March.

The number of people with Covid-19 in hospital in the UK has also climbed to its highest level for more than 13 months.

A total of 20,398 patients were in hospital on Monday, government figures show.

Just over half (56 per cent) are being treated primarily for something else rather than coronavirus, up from about a quarter in the summer and autumn of last year.

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"They see their tomorrows slipping out of their reach. And though it seems to them that everything outside this reality is heaven, yet they do not want to go to that heaven. They stay, because they are afflicted with hope." - Mahmoud Darwish, to attendees of the Palestine Festival of Literature, 2008

His life in brief: Born in a village near Galilee, he lived in exile for most of his life and started writing poetry after high school. He was arrested several times by Israel for what were deemed to be inciteful poems. Most of his work focused on the love and yearning for his homeland, and he was regarded the Palestinian poet of resistance. Over the course of his life, he published more than 30 poetry collections and books of prose, with his work translated into more than 20 languages. Many of his poems were set to music by Arab composers, most significantly Marcel Khalife. Darwish died on August 9, 2008 after undergoing heart surgery in the United States. He was later buried in Ramallah where a shrine was erected in his honour.

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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Updated: April 07, 2022, 5:03 AM