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10.1111/jcpt.13303

http://scihub22266oqcxt.onion/10.1111/jcpt.13303
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33098139!ä!33098139

suck abstract from ncbi


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pmid33098139      J+Clin+Pharm+Ther 2021 ; 46 (2): 440-446
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  • Tocilizumab use in patients with moderate to severe COVID-19: A retrospective cohort study #MMPMID33098139
  • Chilimuri S; Sun H; Alemam A; Kang KS; Lao P; Mantri N; Schiller L; Sharabun M; Shehi E; Tejada J; Yugay A; Nayudu SK
  • J Clin Pharm Ther 2021[Apr]; 46 (2): 440-446 PMID33098139show ga
  • WHAT IS KNOWN AND OBJECTIVE: The coronavirus disease 2019 (COVID-19) associated cytokine activation can lead to a rapid progression into respiratory failure, shock and multiorgan failure. Interleukin-6 (IL-6) is a pro-inflammatory cytokine that likely contributes to the pathogenesis of cytokine release syndrome. It is hypothesized that modulating IL-6 levels or its effects with tocilizumab, a recombinant humanized anti-IL-6 receptor monoclonal antibody, may alter the course of disease. METHODS: We examined the association between tocilizumab use and intubation or death at a community hospital in New York City. Data were obtained regarding consecutive patients hospitalized with COVID-19. The primary end point was a composite of intubation or death in a time-to-event analysis. We compared outcomes in patients who received tocilizumab with those in patients who did not, using a multivariable Cox model with inverse probability weighting according to the propensity score. RESULTS AND DISCUSSION: In this single-centre retrospective cohort study involving 1225 hospitalized patients with SARS-CoV-2 infection, the probability to respiratory failure, which was measured as intubation or death, was less frequent in patients who received tocilizumab. WHAT IS NEW AND CONCLUSION: Tocilizumab and other IL-6 receptor monoclonal antibodies may evolve as a viable option in treating patients with moderate and severe COVID-19.
  • |*Antibodies, Monoclonal, Humanized/administration & dosage/adverse effects[MESH]
  • |*COVID-19 Drug Treatment[MESH]
  • |*COVID-19/diagnosis/immunology/mortality[MESH]
  • |*Cytokine Release Syndrome/blood/etiology[MESH]
  • |*Interleukin-6/antagonists & inhibitors/blood[MESH]
  • |*Respiration, Artificial/methods/statistics & numerical data[MESH]
  • |*SARS-CoV-2/isolation & purification[MESH]
  • |Correlation of Data[MESH]
  • |Female[MESH]
  • |Hospital Mortality[MESH]
  • |Humans[MESH]
  • |Immunologic Factors/administration & dosage/adverse effects[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Multiple Organ Failure/etiology/prevention & control[MESH]
  • |New York City/epidemiology[MESH]
  • |Retrospective Studies[MESH]


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