Evidence map›Paper›PMID 33025225›Full record

ArticleAnnals of intensive care2020

Characteristics and outcomes of acute respiratory distress syndrome related to COVID-19 in Belgian and French intensive care units according to antiviral strategies: the COVADIS multicentre observational study.

David Grimaldi, Nadia Aissaoui, Gauthier Blonz, Giuseppe Carbutti, Romain Courcelle, Stephane Gaudry, Aurelie Gaultier, Alain D'hondt, Julien Higny, Geoffrey Horlait and 14 more

Open access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 11% 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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Efficacy and safety of hydroxychloroquine/chloroquine against SARS-CoV-2 infection: A systematic review and meta-analysis.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2021
    Pooled it
  5. Trial
  6. Observational
  7. Article
  8. Risk Factors and Clinical Characteristics of Acute Kidney Injury in Patients with COVID-19: A Systematic Review and Meta-Analysis.Pathophysiology : the official journal of the International Society for Pathophysiology · 2023
    Review
  9. Observational
  10. Article
  11. Article
  12. Review
  13. Observational
  14. Prognostication using SpOJournal of critical care · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 20 institutions in 3 countries.

David GrimaldiSoins IntensifsHôpital Erasme, ULB, Route de Lennik 808, 1070, Bruxelles, Belgium. david.grimaldi@erasme.ulb.ac.be.ORCID http://orcid.org/0000-0001-8428-065X
Nadia AissaouiMedecine Intensive Reanimation, Hôpital Européen Georges Pompidou, Paris centre U 970 PARCC, Paris, France.
Gauthier BlonzDistrict Hospital Center, Boulevard Stephane Moreau, Medecine Intensive Reanimation, 85000, La Roche Sur Yon, France.
Giuseppe CarbuttiUnité de Soins Intensifs, CHR Mons-Hainaut, Mons, Belgium.
Romain CourcelleUnité de Soins Intensifs, Centres Hospitaliers de Jolimont, La Louvière, Belgium.
Stephane GaudryRéanimation médico-Chirurgicale CHU Avicennes, Université Sorbonne Paris Nord, Bobigny, France.
Aurelie GaultierPlateforme de Méthodologie Et Biostatistique, CHU Nantes, 1 Places Alexis Ricordeau, 44093, Nantes Cedex 9, France.
Alain D'hondtUnité de Soins Intensifs, CHU Ambroise Paré, Mons, Belgium.
Julien HignyUnité de Soins Intensifs, CHU Dinant Godinne, site Dinant, Dinant, Belgium.
Geoffrey HorlaitUnité de Soins Intensifs, CHU Dinant Godinne, site Godinne, Godinne, Belgium.
Sami HraiechMédecine Intensive Réanimation, Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, 13015, Marseille, France.
Laurent LefebvreRéanimation Polyvalente Centre Hospitalier du Pays D'Aix, Aix en Provence, France.
Francois LejeuneUnité de Soins Intensifs, Clinique Notre Dame de Grâce, Gosselies, Belgium.
Andre LyService d'anesthésie-réanimation chirurgicale Unité de réanimation chirurgicale polyvalente, Hôpitaux Universitaires Henri Mondor, Créteil, France.
Michael PiagnerelliIntensive Care. CHU-Charleroi, Marie Curie, Université Libre de Bruxelles, 140, chaussée de Bruxelles, 6042, Charleroi, Belgium.
Bertrand SauneufRéanimation - Médecine Intensive, Centre Hospitalier Public du Cotentin, BP208, 50102, Cherbourg-en-Cotentin, France.
Nicolas SerckUnité de soins intensifs, Clinique Saint Pierre, Ottignies, Belgium.
Thibaud SoumagneMédecine Intensive Réanimation, CHU Besançon, 3 Boulevard FLEMING, 25030, Besançon, France.
Piotr SzychowiakMédecine Intensive Réanimation, CHRU Tours, Tours, France.
Julien TextorisService de réanimation, Hospices Civils de Lyon, 5 Place D'Arsonval, Lyon, France.
Benoit VandenbunderGroupe des anesthésistes réanimateurs, Hôpital Privé d'Antony, Antony, France.
Christophe VinsonneauService de Médecine Intensive Réanimation Unité de Sevrage Ventilatoire et Réhabilitation Centre Hospitalier de BETHUNE, 27 Rue Delbecque, 62660, Beuvry, France.
Jean- Baptiste LascarrouCRICS-TriggerSEP research network, Tours, France.
COVADIS study group
Centre Hospitalier Universitaire de Nantes · FRClinique Saint Pierre · BEAssistance Publique – Hôpitaux de Paris · FRCHU Dinant Godinne UCL Namur · BEAssistance Publique Hôpitaux de Marseille · FRCentre Hospitalier de Béthune · FRCentre Hospitalier du Pays d'Aix · FRCentre Hospitalier Public du Cotentin · FRCentre Hospitalier Universitaire de Besançon · FRCHU Ambroise Paré · BEErasmus Hospital · BEHôpital de Jolimont · BEHôpital Privé Jacques Cartier · FRHôpitaux Universitaires Henri-Mondor · FRInserm · FRRoche (France) · FRSorbonne Université · FRUniversité Claude Bernard Lyon 1 · FRUniversité Libre de Bruxelles · BEUniversity of Mons · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data are available regarding antiviral therapy efficacy in most severe patients under mechanical ventilation for Covid-19-related acute respiratory distress syndrome (ARDS).

methodsComparison of antiviral strategies (none, hydroxychloroquine (OHQ), lopinavir/ritonavir (L/R), others (combination or remdesivir) in an observational multicentre cohort of patients with moderate-to-severe Covid-19 ARDS. The primary endpoint was the number of day 28 ventilator-free days (VFD). Patients who died before d28 were considered as having 0 VFD. The variable was dichotomized into "patients still ventilated or dead at day 28" versus "patients weaned and alive at day 28".

resultsWe analyzed 415 patients (85 treated with standard of care (SOC), 57 with L/R, 220 with OHQ, and 53 others). The median number of d28-VFD was 0 (IQR 0-13) and differed between groups (P = 0.03), SOC patients having the highest d28-VFD. After adjustment for age, sex, Charlson Comorbidity Index, PaO

conclusionIn this multicentre observational study of moderate-to-severe Covid-19 ARDS patients, we did not observe any benefit among patients treated with OHQ or L/R compared with SOC. The use of L/R treatment was associated with an increased need for RRT. Take home message Neither hydroxychloroquine nor lopinavir/ritonavir as COVID-19 antiviral treatment is associated with higher ventilator-free days at day 28 when compared with standard of care (no antiviral treatment) in ICU patients under invasive mechanical ventilation. Lopinavir/ritonavir is associated with an increased risk of renal replacement therapy requirement. Tweet COVID-19: Insights from ARDS cohort: no signal of efficacy of any antiviral drugs. Lopinavir/ritonavir may be associated with need for RRT.

Indexed as

Acute kidney injuryHydroxychloroquineLopinavirRemdesivirRenal replacement therapyRitonavir

Identifiers

PMID33025225
PMCPMC7537971
OpenAlexW3092169312

What OpenQuestion holds

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LicenceCC BY
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.