Serveur d'exploration COVID et hydrochloroquine

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Outcome of noncritical COVID-19 patients with early hospitalization and early antiviral treatment outside the ICU

Identifieur interne : 000290 ( Main/Exploration ); précédent : 000289; suivant : 000291

Outcome of noncritical COVID-19 patients with early hospitalization and early antiviral treatment outside the ICU

Auteurs : Nursel Çal K Ba Aran [Turquie] ; O Uz Abdullah Uyaro Lu [Turquie] ; Gülçin Telli Dizman [Turquie] ; Lale Öz K [Turquie] ; Taha Koray Ahin [Turquie] ; Zahit Ta [Turquie] ; Ahmet Ça Kan Nkaya [Turquie] ; Sevilay Karahan [Turquie] ; Ehnaz Alp [Turquie] ; Alpaslan Alp [Turquie] ; Gökhan Metan [Turquie] ; P Nar Zarakol [Turquie] ; Gülay Sain Güven [Turquie] ; Erife Gül Öz [Turquie] ; Arzu Topeli [Turquie] ; Ömrüm Uzun [Turquie] ; Murat Akova [Turquie] ; Serhat Ünal [Turquie]

Source :

RBID : pubmed:32718127

Descripteurs français

English descriptors

Abstract

Background/aim

Despite the fact that the COVID-19 pandemic has been going on for over 5 months, there is yet to be a standard management policy for all patients including those with mild-to-moderate cases. We evaluated the role of early hospitalization in combination with early antiviral therapy with COVID-19 patients in a tertiary care university hospital.

Materials and methods

This was a prospective, observational, single-center study on probable/confirmed COVID-19 patients hospitalized in a tertiary care hospital on COVID-19 wards between March 20 and April 30, 2020. The demographic, laboratory, and clinical data were collected.

Results

We included 174 consecutive probable/confirmed COVID-19 adult patients hospitalized in the Internal Medicine wards of the University Adult Hospital between March 20 and April 30, 2020. The median age was 45.5 (19–92) years and 91 patients (52.3%) were male. One hundred and twenty (69%) were confirmed microbiologically, 41 (23.5%) were radiologically diagnosed, and 13 (7.5%) were clinically suspected (negative microbiological and radiological findings compatible with COVID-19); 35 (20.1%) had mild, 107 (61.5%) moderate disease, and 32 (18.4%) had severe pneumonia. Out of 171 cases, 130 (74.3%) showed pneumonia; 80 were typical, and 50 showed indeterminate infiltration for COVID-19. Patients were admitted within a median of 3 days (0-14 days) after symptoms appear. The median duration of hospitalization was 4 days (0-28 days). In this case series, 13.2% patients were treated with hydroxychloroquine alone, 64.9% with hydroxychloroquine plus azithromycin, and 18.4% with regimens including favipiravir. A total of 15 patients (8.5%) were transferred to the ICU. Four patients died (2.2%).

Conclusion

In our series, 174 patients were admitted to the hospital wards for COVID-19, 69% were confirmed with PCR and/or antibody test. At the time of admission, nearly one fifth of the patients had severe diseases. Of the patients, 95.4% received hydroxychloroquine alone or in combination. The overall case fatality rate was 2.2%.


DOI: 10.3906/sag-2006-173
PubMed: 32718127


Affiliations:


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<name sortKey="Oz K, Lale" sort="Oz K, Lale" uniqKey="Oz K L" first="Lale" last="Öz K">Lale Öz K</name>
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<name sortKey=" Ahin, Taha Koray" sort=" Ahin, Taha Koray" uniqKey=" Ahin T" first="Taha Koray" last=" Ahin">Taha Koray Ahin</name>
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<name sortKey="Ta, Zahit" sort="Ta, Zahit" uniqKey="Ta Z" first="Zahit" last="Ta">Zahit Ta</name>
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<name sortKey=" Nkaya, Ahmet Ca Kan" sort=" Nkaya, Ahmet Ca Kan" uniqKey=" Nkaya A" first="Ahmet Ça Kan" last=" Nkaya">Ahmet Ça Kan Nkaya</name>
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<name sortKey="Sain Guven, Gulay" sort="Sain Guven, Gulay" uniqKey="Sain Guven G" first="Gülay" last="Sain Güven">Gülay Sain Güven</name>
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<country xml:lang="fr">Turquie</country>
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<name sortKey="Topeli, Arzu" sort="Topeli, Arzu" uniqKey="Topeli A" first="Arzu" last="Topeli">Arzu Topeli</name>
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<nlm:affiliation>Department of Internal Medicine, Intensive Care Division, Faculty of Medicine, Hacettepe University, Ankara, Turkey</nlm:affiliation>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Internal Medicine, Intensive Care Division, Faculty of Medicine, Hacettepe University, Ankara</wicri:regionArea>
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<name sortKey="Uzun, Omrum" sort="Uzun, Omrum" uniqKey="Uzun O" first="Ömrüm" last="Uzun">Ömrüm Uzun</name>
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<nlm:affiliation>Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey</nlm:affiliation>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Hacettepe University, Ankara</wicri:regionArea>
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<name sortKey="Akova, Murat" sort="Akova, Murat" uniqKey="Akova M" first="Murat" last="Akova">Murat Akova</name>
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<nlm:affiliation>Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey</nlm:affiliation>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Hacettepe University, Ankara</wicri:regionArea>
<wicri:noRegion>Ankara</wicri:noRegion>
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<name sortKey="Unal, Serhat" sort="Unal, Serhat" uniqKey="Unal S" first="Serhat" last="Ünal">Serhat Ünal</name>
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<nlm:affiliation>Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey</nlm:affiliation>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Hacettepe University, Ankara</wicri:regionArea>
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<title level="j">Turkish journal of medical sciences</title>
<idno type="eISSN">1303-6165</idno>
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<date when="2021" type="published">2021</date>
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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Amides (therapeutic use)</term>
<term>Anti-Bacterial Agents (therapeutic use)</term>
<term>Antiviral Agents (therapeutic use)</term>
<term>Azithromycin (therapeutic use)</term>
<term>COVID-19 (drug therapy)</term>
<term>Drug Therapy, Combination (MeSH)</term>
<term>Early Medical Intervention (MeSH)</term>
<term>Early Warning Score (MeSH)</term>
<term>Female (MeSH)</term>
<term>Hospitalization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hydroxychloroquine (therapeutic use)</term>
<term>Intensive Care Units (MeSH)</term>
<term>Length of Stay (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Pyrazines (therapeutic use)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Amides (usage thérapeutique)</term>
<term>Antibactériens (usage thérapeutique)</term>
<term>Antiviraux (usage thérapeutique)</term>
<term>Association de médicaments (MeSH)</term>
<term>Azithromycine (usage thérapeutique)</term>
<term>Durée du séjour (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Hospitalisation (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hydroxychloroquine (usage thérapeutique)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Intervention médicale précoce (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pyrazines (usage thérapeutique)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Unités de soins intensifs (MeSH)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Amides</term>
<term>Anti-Bacterial Agents</term>
<term>Antiviral Agents</term>
<term>Azithromycin</term>
<term>Hydroxychloroquine</term>
<term>Pyrazines</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>COVID-19</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Amides</term>
<term>Antibactériens</term>
<term>Antiviraux</term>
<term>Azithromycine</term>
<term>Hydroxychloroquine</term>
<term>Pyrazines</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Drug Therapy, Combination</term>
<term>Early Medical Intervention</term>
<term>Early Warning Score</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Intensive Care Units</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>SARS-CoV-2</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Association de médicaments</term>
<term>Durée du séjour</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Intervention médicale précoce</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Unités de soins intensifs</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>Background/aim</b>
</p>
<p>Despite the fact that the COVID-19 pandemic has been going on for over 5 months, there is yet to be a standard management policy for all patients including those with mild-to-moderate cases. We evaluated the role of early hospitalization in combination with early antiviral therapy with COVID-19 patients in a tertiary care university hospital.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Materials and methods</b>
</p>
<p>This was a prospective, observational, single-center study on probable/confirmed COVID-19 patients hospitalized in a tertiary care hospital on COVID-19 wards between March 20 and April 30, 2020. The demographic, laboratory, and clinical data were collected.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Results</b>
</p>
<p>We included 174 consecutive probable/confirmed COVID-19 adult patients hospitalized in the Internal Medicine wards of the University Adult Hospital between March 20 and April 30, 2020. The median age was 45.5 (19–92) years and 91 patients (52.3%) were male. One hundred and twenty (69%) were confirmed microbiologically, 41 (23.5%) were radiologically diagnosed, and 13 (7.5%) were clinically suspected (negative microbiological and radiological findings compatible with COVID-19); 35 (20.1%) had mild, 107 (61.5%) moderate disease, and 32 (18.4%) had severe pneumonia. Out of 171 cases, 130 (74.3%) showed pneumonia; 80 were typical, and 50 showed indeterminate infiltration for COVID-19. Patients were admitted within a median of 3 days (0-14 days) after symptoms appear. The median duration of hospitalization was 4 days (0-28 days). In this case series, 13.2% patients were treated with hydroxychloroquine alone, 64.9% with hydroxychloroquine plus azithromycin, and 18.4% with regimens including favipiravir. A total of 15 patients (8.5%) were transferred to the ICU. Four patients died (2.2%).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Conclusion</b>
</p>
<p>In our series, 174 patients were admitted to the hospital wards for COVID-19, 69% were confirmed with PCR and/or antibody test. At the time of admission, nearly one fifth of the patients had severe diseases. Of the patients, 95.4% received hydroxychloroquine alone or in combination. The overall case fatality rate was 2.2%.</p>
</div>
</front>
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<Year>2021</Year>
<Month>05</Month>
<Day>07</Day>
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<DateRevised>
<Year>2021</Year>
<Month>05</Month>
<Day>07</Day>
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<ISSN IssnType="Electronic">1303-6165</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>51</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2021</Year>
<Month>04</Month>
<Day>30</Day>
</PubDate>
</JournalIssue>
<Title>Turkish journal of medical sciences</Title>
<ISOAbbreviation>Turk J Med Sci</ISOAbbreviation>
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<ArticleTitle>Outcome of noncritical COVID-19 patients with early hospitalization and early antiviral treatment outside the ICU</ArticleTitle>
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<MedlinePgn>411-420</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.3906/sag-2006-173</ELocationID>
<Abstract>
<AbstractText Label="Background/aim">Despite the fact that the COVID-19 pandemic has been going on for over 5 months, there is yet to be a standard management policy for all patients including those with mild-to-moderate cases. We evaluated the role of early hospitalization in combination with early antiviral therapy with COVID-19 patients in a tertiary care university hospital.</AbstractText>
<AbstractText Label="Materials and methods">This was a prospective, observational, single-center study on probable/confirmed COVID-19 patients hospitalized in a tertiary care hospital on COVID-19 wards between March 20 and April 30, 2020. The demographic, laboratory, and clinical data were collected.</AbstractText>
<AbstractText Label="Results">We included 174 consecutive probable/confirmed COVID-19 adult patients hospitalized in the Internal Medicine wards of the University Adult Hospital between March 20 and April 30, 2020. The median age was 45.5 (19–92) years and 91 patients (52.3%) were male. One hundred and twenty (69%) were confirmed microbiologically, 41 (23.5%) were radiologically diagnosed, and 13 (7.5%) were clinically suspected (negative microbiological and radiological findings compatible with COVID-19); 35 (20.1%) had mild, 107 (61.5%) moderate disease, and 32 (18.4%) had severe pneumonia. Out of 171 cases, 130 (74.3%) showed pneumonia; 80 were typical, and 50 showed indeterminate infiltration for COVID-19. Patients were admitted within a median of 3 days (0-14 days) after symptoms appear. The median duration of hospitalization was 4 days (0-28 days). In this case series, 13.2% patients were treated with hydroxychloroquine alone, 64.9% with hydroxychloroquine plus azithromycin, and 18.4% with regimens including favipiravir. A total of 15 patients (8.5%) were transferred to the ICU. Four patients died (2.2%).</AbstractText>
<AbstractText Label="Conclusion">In our series, 174 patients were admitted to the hospital wards for COVID-19, 69% were confirmed with PCR and/or antibody test. At the time of admission, nearly one fifth of the patients had severe diseases. Of the patients, 95.4% received hydroxychloroquine alone or in combination. The overall case fatality rate was 2.2%.</AbstractText>
<CopyrightInformation>This work is licensed under a Creative Commons Attribution 4.0 International License.</CopyrightInformation>
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<LastName>Çalık Başaran</LastName>
<ForeName>Nursel</ForeName>
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<Affiliation>Department of Internal Medicine, General Internal Medicine Division, Faculty of Medicine, Hacettepe University, Ankara, Turkey</Affiliation>
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<ForeName>Oğuz Abdullah</ForeName>
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<Keyword MajorTopicYN="Y">noncritical illness</Keyword>
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<CoiStatement>The authors declare that they have no conflict of interest. This study was carried out without any support from funding agencies in the public, commercial, or nonprofit sectors.</CoiStatement>
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<name sortKey="Alp, Ehnaz" sort="Alp, Ehnaz" uniqKey="Alp " first=" Ehnaz" last="Alp"> Ehnaz Alp</name>
<name sortKey="Alp, Alpaslan" sort="Alp, Alpaslan" uniqKey="Alp A" first="Alpaslan" last="Alp">Alpaslan Alp</name>
<name sortKey="Karahan, Sevilay" sort="Karahan, Sevilay" uniqKey="Karahan S" first="Sevilay" last="Karahan">Sevilay Karahan</name>
<name sortKey="Metan, Gokhan" sort="Metan, Gokhan" uniqKey="Metan G" first="Gökhan" last="Metan">Gökhan Metan</name>
<name sortKey="Oz K, Lale" sort="Oz K, Lale" uniqKey="Oz K L" first="Lale" last="Öz K">Lale Öz K</name>
<name sortKey="Oz, Erife Gul" sort="Oz, Erife Gul" uniqKey="Oz " first=" Erife Gül" last="Öz"> Erife Gül Öz</name>
<name sortKey="Sain Guven, Gulay" sort="Sain Guven, Gulay" uniqKey="Sain Guven G" first="Gülay" last="Sain Güven">Gülay Sain Güven</name>
<name sortKey="Ta, Zahit" sort="Ta, Zahit" uniqKey="Ta Z" first="Zahit" last="Ta">Zahit Ta</name>
<name sortKey="Telli Dizman, Gulcin" sort="Telli Dizman, Gulcin" uniqKey="Telli Dizman G" first="Gülçin" last="Telli Dizman">Gülçin Telli Dizman</name>
<name sortKey="Topeli, Arzu" sort="Topeli, Arzu" uniqKey="Topeli A" first="Arzu" last="Topeli">Arzu Topeli</name>
<name sortKey="Unal, Serhat" sort="Unal, Serhat" uniqKey="Unal S" first="Serhat" last="Ünal">Serhat Ünal</name>
<name sortKey="Uyaro Lu, O Uz Abdullah" sort="Uyaro Lu, O Uz Abdullah" uniqKey="Uyaro Lu O" first="O Uz Abdullah" last="Uyaro Lu">O Uz Abdullah Uyaro Lu</name>
<name sortKey="Uzun, Omrum" sort="Uzun, Omrum" uniqKey="Uzun O" first="Ömrüm" last="Uzun">Ömrüm Uzun</name>
<name sortKey="Zarakol, P Nar" sort="Zarakol, P Nar" uniqKey="Zarakol P" first="P Nar" last="Zarakol">P Nar Zarakol</name>
</country>
</tree>
</affiliations>
</record>

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   |area=    CovidChloroV1
   |flux=    Main
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