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10.7189/jogh.11.05017

http://scihub22266oqcxt.onion/10.7189/jogh.11.05017
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34326998!8284661!34326998
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suck abstract from ncbi


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pmid34326998      J+Glob+Health 2021 ; 11 (ä): 05017
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  • Arbidol is associated with increased in-hospital mortality among 109 patients with severe COVID-19: A multicenter, retrospective study #MMPMID34326998
  • Zhou X; Hou H; Yang L; Ding G; Wei T; Li C; Heng Y; Liu R; Ma M; Hu Z; Huang L; Xu X; Hu Q; Zhao Y; Xing W; Zhao Z
  • J Glob Health 2021[]; 11 (ä): 05017 PMID34326998show ga
  • BACKGROUND: The antiviral therapy has been considered as an ordinary intervention for COVID-19 patients. However, the effectiveness of antiviral therapy is uncertain. This study was designed to determine the association between the antiviral therapy and in-hospital mortality among severe COVID-19 patients. METHODS: This study enrolled severe COVID-19 patients admitted to four designated hospitals in Wuhan, China. The use of antiviral treatments, demographics, laboratory variables, co-morbidities, complications, and other treatments were compared between survival and fatal cases. The association between antiviral agents and in-hospital mortality were analyzed. RESULTS: In total, 109 severe COVID-19 patients (mean age 65.43) were enrolled for analysis, among which, 61 (56.0%) patients were discharged alive, and 48 (44.0%) died during hospitalization. We found no association between lopinavir/ritonavir (LPV/r) treatment and the in-hospital mortality (odds ratio (OR) = 0.195, 95% confidence interval (CI) = 0.023-1.679). Besides, ribavirin (OR = 0.738, 95% CI = 0.344-1.582), oseltamivir (OR = 0.765, 95% CI = 0.349-1.636), and interferon-alpha (IFN-alpha) (OR = 0.371, 95% CI = 0.112-1.236) were not associated with the in-hospital mortality. However, arbidol monotherapy (OR = 5.027, 95% CI = 1.795-14.074) or the combination of arbidol and oseltamivir (OR = 5.900, 95% CI = 1.190-29.247) was associated with an increased in-hospital mortality. In addition, the multiple logistic regression identified a significant association between the use of arbidol and the in-hospital mortality (adjusted OR = 4.195, 95% CI = 1.221-14.408). CONCLUSIONS: Our findings indicated that LPV/r, IFN-alpha, ribavirin, or oseltamivir have no beneficial effects on the prognosis of severe COVID-19 patients, whereas the use of arbidol is associated with increased in-hospital mortality.
  • |*COVID-19 Drug Treatment[MESH]
  • |*COVID-19/mortality[MESH]
  • |*Hospital Mortality/trends[MESH]
  • |*Indoles/adverse effects[MESH]
  • |Aged[MESH]
  • |China/epidemiology[MESH]
  • |Humans[MESH]
  • |Retrospective Studies[MESH]


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