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Case Characteristics, Clinical Data, And Outcomes of Hospitalized COVID-19 Patients In Qom Province, Iran: A Prospective Cohort Study

Pourhoseingholi et al., Research Square, doi:10.21203/rs.3.rs-365321/v2
May 2021  
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Mortality 13% Improvement Relative Risk Vitamin C  Pourhoseingholi et al.  LATE TREATMENT Is late treatment with vitamin C beneficial for COVID-19? Prospective study of 2,468 patients in Iran (Feb - Jul 2020) Lower mortality with vitamin C (not stat. sig., p=0.38) c19early.org Pourhoseingholi et al., Research Square, May 2021 Favorsvitamin C Favorscontrol 0 0.5 1 1.5 2+
Vitamin C for COVID-19
6th treatment shown to reduce risk in September 2020, now with p = 0.00000002 from 73 studies, recognized in 12 countries.
Lower risk for mortality, ICU, hospitalization, and recovery.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
Prospective study of 2,468 hospitalized COVID-19 patients in Iran, showing no significant difference with vitamin C treatment. IR.MUQ.REC.1399.013.
Although the 13% lower mortality is not statistically significant, it is consistent with the significant 20% lower mortality [10‑28%] from meta analysis of the 44 mortality results to date.
This is the 27th of 73 COVID-19 controlled studies for vitamin C, which collectively show efficacy with p=0.00000002 (1 in 50 million).
21 studies are RCTs, which show efficacy with p=0.0012.
Study covers remdesivir, N-acetylcysteine, aspirin, and vitamin C.
risk of death, 13.0% lower, HR 0.87, p = 0.38, treatment 54 of 199 (27.1%), control 285 of 2,269 (12.6%), adjusted per study, multivariable, Cox proportional hazards.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Pourhoseingholi et al., 26 May 2021, prospective, Iran, preprint, mean age 57.9, 11 authors, study period 2 February, 2020 - 20 July, 2020, average treatment delay 7.4 days, dosage not specified.
This PaperVitamin CAll
Case Characteristics, Clinical Data, And Outcomes of Hospitalized COVID-19 Patients In Qom Province, Iran: A Prospective Cohort Study
Mohamad Amin Pourhoseingholi, Hosein Yousefi, Hassan Fatemi Manesh, Nima Najafian Motahaver, Zahra Heydari, Mehdi Azizmohammad Looha, Nazanin Taraghikhah, Maryam Yazdi, Zahra Salami, Elmira Moallemi, Seyed Hasan Adeli
doi:10.21203/rs.3.rs-365321/v2
The outbreak of severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) dates back to December 2019 in China. Iran has been one of the most virus in icted countries. The aim of this study was to report demographics, signs and symptoms, laboratory ndings, therapeutic approaches, and outcomes. This observational cohort study was performed from 20 th February 2020 to 20 th July 2020. Patients' information was recorded in their medical les. Multivariable analysis was performed to assess demographics, signs and symptoms, paraclinical data, treatments, outcomes of disease, and nding the risk factors of death subject to COVID-19. Of all 2468 participants, the mean age was 57.9±17.6 years and 56.8% of patients were male. The most signi cant comorbidities were seen among those who have Hypertension and Diabetes Mellitus. 14.42% were admitted to ICU, and 17.2% died in hospital. The signi cant risk factors of death were ageing, male gender, HTN, CHF, CVA, CKD, increasing ESR, PT, WBC, liver function tests, and decreasing Oxygen saturation. Incontinent results in the case of COVID-19 outcomes and deathrelated risk factors attribute to marked differences in demographics and health care systems. The patients with hazardous risk factors must be detected urgently and monitored closely to save more lives.
Supplementary Files This is a list of supplementary les associated with this preprint. Click to download. app.docx
References
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Novel, The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. Zhonghua liu xing bing, xue za zhi= Zhonghua liuxingbingxue zazhi
Ranucci, Ballotta, Dedda, The procoagulant pattern of patients with COVID-19 acute respiratory distress syndrome
Richardson, Hirsch, Narasimhan, Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York City area
Wang, Fish, Editors, Global virus outbreaks: Interferons as 1st responders, Seminars in immunology
Wu, Mcgoogan, Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention, Jama
Yang, Yu, Xu, Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study, Lancet Respir Med
Ye, Fu, Ren, Treatment with convalescent plasma for COVID-19 patients in Wuhan, China, J Med Virol
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Late treatment
is less effective
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