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10.1002/phar.2467

http://scihub22266oqcxt.onion/10.1002/phar.2467
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33044019!7675747!33044019
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suck abstract from ncbi


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pmid33044019      Pharmacotherapy 2020 ; 40 (11): 1072-1081
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  • Hydroxychloroquine in Hospitalized Patients with COVID-19: Real-World Experience Assessing Mortality #MMPMID33044019
  • Annie FH; Sirbu C; Frazier KR; Broce M; Lucas BD Jr
  • Pharmacotherapy 2020[Nov]; 40 (11): 1072-1081 PMID33044019show ga
  • INTRODUCTION: Hydroxychloroquine (HCQ) for coronavirus disease 2019 (COVID-19) is presently being used off-label or within a clinical trial. OBJECTIVES: We investigated a multinational database of patients with COVID-19 with real-world data containing outcomes and their relationship to HCQ use. The primary outcome was all-cause mortality within 30 days of follow-up. METHODS: This was a retrospective cohort study of patients receiving HCQ within 48 hours of hospital admission. Medications, preexisting conditions, clinical measures on admission, and outcomes were recorded. RESULTS: Among patients with a diagnosis of COVID-19 in our propensity-matched cohort, the mean ages +/- SD were 62.3 +/- 15.9 years (53.7% male) and 61.9 +/- 16.0 years (53.0% male) in the HCQ and no-HCQ groups, respectively. There was no difference in overall 30-day mortality between the HCQ and no-HCQ groups (HCQ 13.1%, n=367; no HCQ 13.6%, n=367; odds ratio 0.95, 95% confidence interval 0.62-1.46) after propensity matching. Although statistically insignificant, the HCQ-azithromycin (AZ) group had an overall mortality rate of 14.6% (n=199) compared with propensity-matched no-HCQ-AZ cohort's rate of 12.1% (n=199, OR 1.24, 95% CI 0.70-2.22). Importantly, however, there was no trend in this cohort's overall mortality/arrhythmogenesis outcome (HCQ-AZ 17.1%, no HCQ-no AZ 17.1%; OR 1.0, 95% CI 0.6-1.7). CONCLUSIONS: We report from a large retrospective multinational database analysis of COVID-19 outcomes with HCQ and overall mortality in hospitalized patients. There was no statistically significant increase in mortality and mortality-arrhythmia with HCQ or HCQ-AZ.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Drug Repositioning[MESH]
  • |*Off-Label Use[MESH]
  • |Aged[MESH]
  • |COVID-19/*mortality[MESH]
  • |Clinical Trials as Topic[MESH]
  • |Cohort Studies[MESH]
  • |Databases, Factual[MESH]
  • |Female[MESH]
  • |Hospitalization/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Hydroxychloroquine/administration & dosage/adverse effects/*therapeutic use[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Mortality/trends[MESH]
  • |Retrospective Studies[MESH]


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