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10.1055/a-1336-2371

http://scihub22266oqcxt.onion/10.1055/a-1336-2371
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33401328!ä!33401328

suck abstract from ncbi


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pmid33401328      Drug+Res+(Stuttg) 2021 ; 71 (5): 265-274
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  • Efficacy and Safety of Tocilizumab for Coronavirus Disease 2019 (Covid-19) Patients: A Systematic Review and Meta-analysis #MMPMID33401328
  • Hariyanto TI; Hardyson W; Kurniawan A
  • Drug Res (Stuttg) 2021[May]; 71 (5): 265-274 PMID33401328show ga
  • BACKGROUND: Currently, the data regarding the effectiveness and safety of tocilizumab as treatment for COVID-19 infection is still conflicting. This study aims to give clear evidence regarding the potential benefit and safety of tocilizumab in improving the outcome of COVID-19 patients. METHODS: We systematically searched the PubMed and Europe PMC database using specific keywords related to our aims until November 1(st), 2020. All articles published on COVID-19 and tocilizumab were retrieved. Statistical analysis was done using Review Manager 5.4 software. RESULTS: A total of 38 studies with a total of 13 412 COVID-19 patients were included in our analysis. Our meta-analysis showed that tocilizumab treatment is associated with reduction of mortality rate from COVID-19 [OR 0.54 (95% CI 0.42-0.71), p<0.00001, I (2)=79%, random-effect modelling], but did not alter the severity of COVID-19 [OR 1.05 (95% CI 0.92-1.20), p=0.47, I (2)=84%, random-effect modelling] and length of hospital stay [Mean Difference 1.77 days (95% CI -0.61-4.14 days), p=0.15, I (2)=97%, random-effect modelling]. Tocilizumab also does not associated with serious adverse events compared with standard of care treatment [OR 0.91 (95% CI 0.71-1.15), p=0.42, I (2)=46%, random-effect modelling]. CONCLUSION: Our study does not support the routine use of tocilizumab for COVID-19 patients. Future studies should focus more on other potential therapies for COVID-19 patients.
  • |*COVID-19 Drug Treatment[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Anti-Inflammatory Agents/adverse effects/*therapeutic use[MESH]
  • |Antibodies, Monoclonal, Humanized/adverse effects/*therapeutic use[MESH]
  • |COVID-19/diagnosis/mortality[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Length of Stay[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Severity of Illness Index[MESH]
  • |Time Factors[MESH]


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