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10.1093/infdis/jiaa717

http://scihub22266oqcxt.onion/10.1093/infdis/jiaa717
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33216906!7717300!33216906
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suck abstract from ncbi


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pmid33216906      J+Infect+Dis 2021 ; 223 (4): 581-588
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  • The Effect of IL-6 Inhibitors on Mortality Among Hospitalized COVID-19 Patients: A Multicenter Study #MMPMID33216906
  • Sinha P; Jafarzadeh SR; Assoumou SA; Bielick CG; Carpenter B; Garg S; Harleen S; Neogi T; Nishio MJ; Sagar M; Sharp V; Kissin EY
  • J Infect Dis 2021[Feb]; 223 (4): 581-588 PMID33216906show ga
  • BACKGROUND: The effectiveness of interleukin-6 inhibitors (IL-6i) in ameliorating coronavirus disease 2019 (COVID-19) remains uncertain. METHODS: We analyzed data for patients aged >/=18 years admitted with a positive severe acute respiratory syndrome coronavirus 2 polymerase chain reaction test at 4 safety-net hospital systems with diverse populations and high rates of medical comorbidities in 3 US regions. We used inverse probability of treatment weighting via machine learning for confounding adjustment by demographics, comorbidities, and disease severity markers. We estimated the average treatment effect, the odds of IL-6i effect on in-hospital mortality from COVID-19, using a logistic marginal structural model. RESULTS: Of 516 patients, 104 (20.1%) received IL-6i. Estimate of the average treatment effect adjusted for confounders suggested a 37% reduction in odds of in-hospital mortality in those who received IL-6i compared with those who did not, although the confidence interval included the null value of 1 (odds ratio = 0.63; 95% confidence interval, .29-1.38). A sensitivity analysis suggested that potential unmeasured confounding would require a minimum odds ratio of 2.55 to nullify our estimated IL-6i effect size. CONCLUSIONS: Despite low precision, our findings suggested a relatively large effect size of IL-6i in reducing the odds of COVID-19-related in-hospital mortality.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Hospital Mortality[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Antibodies, Monoclonal, Humanized/*therapeutic use[MESH]
  • |COVID-19/mortality[MESH]
  • |Comorbidity[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Interleukin-6/*antagonists & inhibitors[MESH]
  • |Logistic Models[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |Severity of Illness Index[MESH]
  • |Treatment Outcome[MESH]


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