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10.1093/cid/ciaa576

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32407459!7239203!32407459
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suck abstract from ncbi


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pmid32407459      Clin+Infect+Dis 2020 ; 71 (16): 2199-2206
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  • Risk Factors for Severe Disease and Efficacy of Treatment in Patients Infected With COVID-19: A Systematic Review, Meta-Analysis, and Meta-Regression Analysis #MMPMID32407459
  • Zhang JJY; Lee KS; Ang LW; Leo YS; Young BE
  • Clin Infect Dis 2020[Nov]; 71 (16): 2199-2206 PMID32407459show ga
  • The coronavirus disease 2019 (COVID-19) pandemic spread globally in the beginning of 2020. At present, predictors of severe disease and the efficacy of different treatments are not well understood. We conducted a systematic review and meta-analysis of all published studies up to 15 March 2020, which reported COVID-19 clinical features and/or treatment outcomes. Forty-five studies reporting 4203 patients were included. Pooled rates of intensive care unit (ICU) admission, mortality, and acute respiratory distress syndrome (ARDS) were 10.9%, 4.3%, and 18.4%, respectively. On meta-regression, ICU admission was predicted by increased leukocyte count (P < .0001), alanine aminotransferase (P = .024), and aspartate transaminase (P = .0040); elevated lactate dehydrogenase (LDH) (P < .0001); and increased procalcitonin (P < .0001). ARDS was predicted by elevated LDH (P < .0001), while mortality was predicted by increased leukocyte count (P = .0005) and elevated LDH (P < .0001). Treatment with lopinavir-ritonavir showed no significant benefit in mortality and ARDS rates. Corticosteroids were associated with a higher rate of ARDS (P = .0003).
  • |*COVID-19 Drug Treatment[MESH]
  • |Adrenal Cortex Hormones/adverse effects[MESH]
  • |COVID-19/mortality/*therapy[MESH]
  • |Clinical Trials as Topic[MESH]
  • |Coronavirus/drug effects[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Intensive Care Units/statistics & numerical data[MESH]
  • |Regression Analysis[MESH]
  • |Respiratory Distress Syndrome/drug therapy/mortality/*virology[MESH]
  • |Risk Factors[MESH]
  • |Ritonavir/therapeutic use[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]


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