Retrospective Assessment of Treatments of Hospitalized Covid-19 Patients
Ph.D Ghooi Ravindra, Ph. D Lele Chitra, Ph. D Motwani Madhur, Ph. D Dixit Santosh, Ph. D Premnath Venugopalan, M.D. Ph.D Salvi Sundeep, M.D Bhat Shreepad, Chaudhari Piyush, D’costa Pradeep, M.D Jahagirdar Ashwini, M.D Mane Abhay, M.D Padbidri Vikram, M.D Pande Chetan, M.D Shukla Urvi
doi:10.1101/2021.04.20.21255792
Infection with SARS-Cov-2 virus, is associated with significant morbidity and mortality, in addition to the economic burden it has put on the country. While waiting for a vaccine that gives adequate protection, it is necessary to understand the course of the infection and identify drugs that could reduce its impact. The results of this multicenter study involving 1035 hospitalized patients in Pune, identified diabetes, hypertension and low lymphocyte counts as predictors of mortality. There is also an indication that multiple comorbidities add to risk of severe disease and mortality. Data from metformin treated diabetics raises the possibility of considering repurposing of this drug in a larger study. It is also noted that Hydroxychloroquine, dexamethasone, azithromycin and remdesivir were associated with lower overall mortality. Diabetes and hypertension put Covid infected patients at greater risk of death, coexistence of both diseases further augment the risk, and must be aggressively treated.
References
Agarwal, Mukherjee, Kumar, Chatterjee, Bhatnagar et al., Convalescent plasma in the management of moderate covid-19 in adults in India: open label phase II multicentre randomised controlled trial (PLACID Trial), BMJ,
doi:10.1136/bmj.m3939
Bello-Chavolla, Bahena-López, Antonio-Villa, Predicting Mortality Due to SARS-CoV-2: A Mechanistic Score Relating Obesity and Diabetes to COVID-19 Outcomes in Mexico, J Clin Endocrinol Metab,
doi:10.1210/clinem/dgaa346
Bhadade, Harde, Desouza, Appraisal of Critically Ill COVID-19 Patients at a Dedicated COVID Hospital, J Assoc Physicians India
Bhadra, Mukherjee, Sarkar, Impact of population density on Covid-19 infected and mortality rate in India, Model Earth Syst Environ
Chakrabarti, Kaur, Singh, Chakrabarti, Krishnatreya et al., Of Cross-immunity, Herd Immunity and Country-specific Plans: Experiences from COVID-19 in India, Aging Dis
Debnath, Banerjee, Berk, Genetic gateways to COVID-19 infection: Implications for risk, severity, and outcomes, FASEB J
Fidel Pl, Noverr, Could an unrelated live attenuated vaccine serve as a preventive measure to dampen septic inflammation associated with COVID-19 infection?, mBio,
doi:10.1128/mBio.00907-20
Jain, Yuan, Predictive symptoms and comorbidities for severe COVID-19 and intensive care unit admission: a systematic review and meta-analysis, Int J Public Health
Karadag, Increase in COVID-19 cases and case-fatality and case-recovery rates in Europe: A cross-temporal meta-analysis, J Med Virol
Khan, Adil, Alkhathlan, Tahir, Saif et al., COVID-19: A Global Challenge with Old History, Epidemiology and Progress So Far, Molecules,
doi:10.3390/molecules26010039
Lally, Tsoukas, Halladay, Metformin is Associated with Decreased 30-Day Mortality Among Nursing Home Residents Infected with SARS-CoV2, J Am Med Dir Assoc
Madan, Pahuja, Mohan, Pandey, Madan et al., TB infection and BCG vaccination: are we protected from COVID-19?, Public Health
Mahajan, Kaushal, Epidemic Trend of COVID-19 Transmission in India During Lockdown-1 Phase, J Community Health
Mukherjee, COVID-19 and lockdown: Insights from Mumbai, Indian J Public Health
Pandey, Pathak, Pandey, Ivermectin in COVID-19: What do we know?, Diabetes Metab Syndr
Rawat, Kumari, Saha, COVID-19 vaccine: A recent update in pipeline vaccines, their design and development strategies, Eur J Pharmacol,
doi:10.1016/j.ejphar.2020.173751
Richardson, Hirsch, Narasimhan, Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area, JAMA
Singh, Singh, Modeling tempo of COVID-19 pandemic in India and significance of lockdown, J Public Aff,
doi:10.1002/pa.2257
Tadic, Cuspidi, Sala, COVID-19 and diabetes: Is there enough evidence?, J Clin Hypertens
Terpos, Ntanasis-Stathopoulos, Elalamy, Hematological findings and complications of COVID-19, Am J Hematol
Wiesner, Busch, David, Treatment of severe COVID-19 courses in intensive care medicine, Internist (Berl)
Wynants, Van Calster, Prediction models for diagnosis and prognosis of covid-19 infection: systematic review and critical appraisal, BMJ,
doi:10.1136/bmj.m1328
Yang, Zheng, Gou, Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis, Int J Infect Dis
Ye, Fu, Ren, Wang, Wang et al., Treatment with convalescent plasma for COVID-19 patients in Wuhan, China, J Med Virol
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