Evidence map›Paper›PMID 32445030›Full record

SynthesisInternational orthopaedics2020

Medications in COVID-19 patients: summarizing the current literature from an orthopaedic perspective.

Si Heng Sharon Tan, Choon Chiet Hong, Soura Saha, Diarmuid Murphy, James Hoipo Hui

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Photocatalytic Activity of the Blends Based on TiOMolecules (Basel, Switzerland) · 2023
    Article
  7. Article
  8. Review
  9. How often are parenteral anticoagulants administered by parents?Journal of thrombosis and haemostasis : JTH · 2022
    Article
  10. Article
  11. Article
  12. Chronic Pain Management During a Pandemic: Evidence-Based Review.Turkish journal of anaesthesiology and reanimation · 2022
    Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Comment on an article: "Coagulopathy in COVID-19".Journal of thrombosis and haemostasis : JTH · 2020
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Si Heng Sharon TanDepartment of Orthopaedic Surgery, National University Health System, National University Hospital, 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119074, Singapore. sharon_sh_tan@nuhs.edu.sg.ORCID 0000-0003-0075-7890
Choon Chiet HongDepartment of Orthopaedic Surgery, National University Health System, National University Hospital, 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119074, Singapore.
Soura SahaDepartment of Orthopaedic Surgery, National University Health System, National University Hospital, 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119074, Singapore.
Diarmuid MurphyDepartment of Orthopaedic Surgery, National University Health System, National University Hospital, 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119074, Singapore.
James Hoipo HuiDepartment of Orthopaedic Surgery, National University Health System, National University Hospital, 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119074, Singapore.
National University Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe review aims to provide a summary of the current literature regarding common medications prescribed in orthopaedic surgery and their potential implications in COVID-19 patients.

methodsA systematic review was performed using the PRISMA guidelines. All clinical studies, reviews, consensus and guidelines related to the above medications and COVID-19 were included.

resultsA total of 18 articles were included. The use of analgesia, anti-inflammatories, steroids, anticoagulants, antibiotics, vitamin B, vitamin C and vitamin D and their potential impact on COVID-19 patients were reported.

conclusionEight main recommendations were derived from the review. Firstly, paracetamol remains the first line of analgesia and antipyretic. Secondly, there is no need to avoid NSAIDs for COVID-19 patients. Thirdly, opioids have the potential for immunosuppression in addition to respiratory depression and, therefore, should be prescribed with care in COVID-19 patients. Fourthly, patients with conditions where steroids are proven to be efficacious can continue to receive their steroids; otherwise, systemic steroids are not recommended for COVID-19 patients. Fifthly, orthopaedic surgeons following up on COVID-19 patients who are using steroids should continue to follow them up for possible avascular necrosis. Sixthly, whenever possible, oral anticoagulation should be converted to parental heparin. Seventhly, common orthopaedic antibiotics including penicillin and clindamycin are safe to continue for COVID-19 patients. However, for COVID-19 patients, the antibiotics can potentially be switched to macrolides and tetracyclines if the organisms are sensitive. Lastly, prescription for vitamins B, C and D should continue as per usual clinical practice.

Indexed as

BetacoronavirusCoronavirus InfectionsOrthopedic ProceduresPandemicsPneumonia, ViralCOVID-19HumansSARS-CoV-2CoronavirusCOVID-19MedicationsOrthopaedics

Identifiers

PMID32445030
PMCPMC7244258
OpenAlexW3028241472

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.