Evidence map›Paper›PMID 33165762›Full record

ArticlePharmacological reports : PR2020

The effect of tocilizumab on cytokine release syndrome in COVID-19 patients.

Carmen de Cáceres, Rodrigo Martínez, Pablo Bachiller, Laura Marín, José Manuel García

Open access · bronzeAbstract read
In one paragraph

Article in Pharmacological reports : PR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. To go or not to go? Biological logic gating engineered T cells.Journal for immunotherapy of cancer · 2022
    Review
  5. Article
  6. 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

5 authors at 1 institution in 1 country.

Carmen de CáceresPharmacy Department, Hospital General de Segovia, C/Luis Erik Clavería Neurólogo S/N, 40002, Segovia, Spain. carmendcv@hotmail.com.ORCID http://orcid.org/0000-0002-6607-3267
Rodrigo MartínezInternal Medicine Department, Hospital General de Segovia, C/Luis Erik Clavería Neurólogo S/N, 40002, Segovia, Spain.
Pablo BachillerInternal Medicine Department, Hospital General de Segovia, C/Luis Erik Clavería Neurólogo S/N, 40002, Segovia, Spain.ORCID http://orcid.org/0000-0001-5200-6568
Laura MarínPharmacy Department, Hospital General de Segovia, C/Luis Erik Clavería Neurólogo S/N, 40002, Segovia, Spain.
José Manuel GarcíaAnálisis Estadísticos 3Datos SL, Salamanca, Spain.
Hospital General De Segovia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was aimed to assess the efficacy and safety of tocilizumab (TCZ) and to investigate the factors related to the progress and mortality of patients with a secondary cytokine release syndrome caused by SARS-CoV-2.

methodsA retrospective descriptive observational study of hospitalised patients with a positive polymerase chain reaction (PCR) result for SARS-CoV-2 and whose clinical evolution required the administration of one or more doses of TCZ was conducted. Demographic variables, clinical evolution, radiologic progress and analytical parameters were analysed on days 1, 3 and 5 after administration the first dose of TCZ.

resultsA total of 75 patients with a clinical history of Accurate Respiratory Distress Syndrome (ARDS) were analysed, among whom, 19 had mild ARDS (25.3%), 37 moderate ARDS (49.4%) and 19 severe ARDS (25.3%). Lymphocytopenia and high levels of PCR, D-Dimer and IL-6 were observed in almost all the patients (91.8%). Treatment with TCZ was associated with a reduction of lymphocytopenia, C-reactive protein (CRP) levels, severe ARDS cases and fever. Although a better evolution of PaO

conclusionBased on our results, treatment with TCZ was associated with a fever, swelling and ventilator support improvement. However, there is no evidence that the administration of two or more doses of TCZ was related to a mortality decrease.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedCOVID-19COVID-19 Drug TreatmentCytokine Release SyndromeFemaleHumansIntensive Care UnitsMaleMiddle AgedPolymerase Chain ReactionRespiration, ArtificialRetrospective StudiesSARS-CoV-2Antibodies, Monoclonal, HumanizedtocilizumabCytokine release syndromeIL-6SARS-CoV-2Tocilizumab

Identifiers

PMID33165762
PMCPMC7650573
OpenAlexW3103071883

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.