Evidence map›Paper›PMID 33181320›Full record

ArticlePharmacological research2020

Association between early treatment with Qingfei Paidu decoction and favorable clinical outcomes in patients with COVID-19: A retrospective multicenter cohort study.

Nannan Shi, Bin Liu, Ning Liang, Yan Ma, Youwen Ge, Honggang Yi, Hongmei Wo, Heng Gu, Yuan Kuang, Shaowen Tang and 82 more

Abstract read
In one paragraph

Article in Pharmacological research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

55 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  20. Inhibiting the Deubiquitinase UCHL1 Reduces SARS-CoV-2 Viral Uptake by ACE2.American journal of respiratory cell and molecular biology · 2023
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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

92 authors.

Nannan ShiInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Bin LiuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Ning LiangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Yan MaInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Youwen GeInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Honggang YiSchool of Public Health, Nanjing Medical University, Nanjing, China.
Hongmei WoSchool of Health Policy and Management, Nanjing Medical University, Nanjing, China.
Heng GuSchool of Public Health, Nanjing Medical University, Nanjing, China.
Yuan KuangSchool of Public Health, Nanjing Medical University, Nanjing, China.
Shaowen TangSchool of Public Health, Nanjing Medical University, Nanjing, China.
Yang ZhaoSchool of Public Health, Nanjing Medical University, Nanjing, China.
Lin TongInstitute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Sihong LiuInstitute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Chen ZhaoInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Renbo ChenInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Weiguo BaiInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Yipin FanInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Zhan ShiInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Li LiInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Jia LiuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Hao GuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Yingjie ZhiInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Zhifei WangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Yuanyuan LiInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Huizhen LiInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Jingya WangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Liwen JiaoInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Yaxin TianInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Yibai XiongInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Ruili HuoChina Academy of Chinese Medical Sciences, Beijing, China.
Xiaohui ZhangInstitute of Medical Information, Chinese Academy of Medical Science, Beijing, China.
Jiangfeng BaiDepartment of Infectious Disease, Yulin Chinese Medicine Hospital, Shaanxi, China.
Hong ChenPresident's Office, The First Hospital of Qiqiha, Heilongjiang, China.
Liying ChenDepartment of Traditional Chinese Medicine, Shangluo Central Hospital, Shaanxi, China.
Qiao FengDepartment of Traditional Chinese Medicine, The People's Hospital of QiTaiHe, Heilongjiang, China.
Tuanmao GuoDepartment of Scientific Research, Xianyang Central Hospital, Shaanxi, China.
Yong HouThe First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Anhui, China.
Guifen HuDepartment of Infectious Disease, HePing Hospital Affiliated to ChangZhi Medical College, Shanxi, China.
Xiaomei HuDepartment of Traditional Chinese Medicine, Langfang Hospital of Chinese Medicine, Hebei, China.
Yunhong HuDepartment of Traditional Chinese Medicine, Xingtai Hospital of Chinese Medicine, Hebei, China.
Jin HuangDepartment of Traditional Chinese Medicine, The People's Hospital of GuangXi Zhuang Autonomous Region, Guangxi, China.
Qiuhua HuangDepartment of Traditional Chinese Medicine, The People's Hospital of GuangXi Zhuang Autonomous Region, Guangxi, China.
Shaozhen HuangDepartment of Traditional Chinese Medicine, The First People's Hospital of Fangchenggang, Guangxi, China.
Liang JiDepartment of Traditional Chinese Medicine, Mianyang Hospital of Traditional Chinese Medicine, Sichuan, China.
Haihao JinDepartment of Traditional Chinese Medicine, Liuzhou People's Hospital, Guangxi, China.
Xiao LeiDepartment of Traditional Chinese Medicine, Affiliated Hospital of North Sichuan Medical College, Sichuan, China.
Chunyan LiDepartment of Infectious Disease, Yan'an Second People's Hospital, Shaanxi, China.
Guihui WuDepartment of Traditional Chinese Medicine, The Public Health Clinical Center of Chengdu, Sichuan, China.
Jike LiDepartment of Traditional Chinese Medicine, The Public Health Clinical Center of Chengdu, Sichuan, China.
Minqing LiDepartment of Traditional Chinese Medicine, Dazhou Central Hospital, Sichuan, China.
Quntang LiChongqing Traditional Chinese Medicine Hospital, Chongqing, China.
Xianyong LiThe Second People's Hospital of Neijiang, Sichuan, China.
Hongde LiuShijiazhuang Fifth Hospital, Hebei, China.
Jinping LiuDepartment of Infectious Disease, The Fourth People's Hospital of Taiyuan, Shanxi, China.
Zhang LiuDepartment of Traditional Chinese Medicine, The First Hospital of Suihua City, Heilongjiang, China.
Yuting MaDepartment of Traditional Chinese Medicine, The Fourth People's Hospital of Nanning, Guangxi, China.
Ya MaoDepartment of Infectious Disease, Ankang Hospital of Traditional Chinese Medicine, Shaanxi, China.
Liufen MoBeihai Hospital of Chinese Medicine, Guangxi, China.
Hui NaDepartment of Infectious Disease, Harbin Infectious Disease Hospital, Heilongjiang, China.
Jingwei WangDepartment of Infectious Disease, Harbin Infectious Disease Hospital, Heilongjiang, China.
Fangli SongDepartment of Infectious Disease, The Third People's Hospital of Linfen, Shanxi, China.
Sheng SunDepartment of Traditional Chinese Medicine, Chengde Hospital of Traditional Chinese Medicine, Hebei, China.
Dongting WangDepartment of Infectious Disease, Datong Fourth Hospital, Shanxi, China.
Mingxuan WangDepartment of Traditional Chinese Medicine, Suining Central Hospital, Sichuan, China.
Xiaoyan WangDepartment of Infectious Disease, Jinzhong Infectious Disease Hospital, Shanxi, China.
Yinzhen WangDepartment of Infectious Disease, Jincheng People's Hospital, Shanxi, China.
Yudong WangHengshui Hospital of Chinese Medicine, Hebei, China.
Wei WuPresident's Office, Hanzhong Central Hospital, Shaanxi, China.
Lanping WuDepartment of Infectious Disease, Shuozhou People's Hospital, Shanxi, China.
Yanhua XiaoDepartment of Traditional Chinese Medicine, Mudanjiang Kangan Hospital, Heilongjiang, China.
Haijun XieDepartment of Infectious Disease, Xinzhou People's Hospital, Shanxi, China.
Hongming XuDepartment of Infectious Disease, Daqing Second Hospital, Heilongjiang, China.
Shoufang XuJiamusi Infectious Disease Hospital, Heilongjiang, China.
Ruixia XueDepartment of Infectious Disease, Yuncheng Second Hospital, Shanxi, China.
Chun YangDepartment of Traditional Chinese Medicine, Hanzhong Hospital for Infectious Diseases, Shaanxi, China.
Kaijun YangDepartment of Medical Administration, The Third People's Hospital of Yangquan, Shanxi, China.
Puye YangDepartment of Infectious Disease, Shaanxi Infectious Disease Hospital, Shaanxi, China.
Shengli YuanDepartment of Traditional Chinese Medicine, Zhangjiakou Hospital of Traditional Chinese Medicine, Hebei, China.
Gongqi ZhangDepartment of Traditional Chinese Medicine, Baoji Central Hospital, Shaanxi, China.
Jinbo ZhangDepartment of Infectious Disease, Xi'an Chest Hospital, Shaanxi, China.
Linsong ZhangDepartment of Traditional Chinese Medicine, Hospital (T·C·M) Affiliated to Southwest Medical University, Sichuan, China.
Shusen ZhaoQiqihar Institute for The Prevention and Treatment of Infectious Diseases, Heilongjiang, China.
Wanying ZhaoHegang Infectious Hospital, Heilongjiang, China.
Kai ZhengFenyang Hospital of Shanxi Province, Shanxi, China.
Yingchun ZhouDepartment of Infectious Disease, Shuangyashan People's Hospital, Heilongjiang, China.
Junteng ZhuDepartment of Rehabilitation Medicine, The Affiliated Hospital of Putian College, Fujian, China.
Tianqing ZhuDepartment of Infectious Disease, The Greater Khingan Range People's Hospital, Heilongjiang, China.
Guangxi LiGuang anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. Electronic address: lgx0410@163.com.
Wei WangBeijing University of Chinese Medicine, Beijing, China. Electronic address: wangwei26960@126.com.
Huamin ZhangInstitute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, China. Electronic address: zhanghm@mail.cintcm.ac.cn.
Yanping WangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China. Electronic address: wangyanping4816@163.com.
Yongyan WangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China. Electronic address: wangyongyan1938@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) epidemic has been almost controlled in China under a series of policies, including "early diagnosis and early treatment". This study aimed to explore the association between early treatment with Qingfei Paidu decoction (QFPDD) and favorable clinical outcomes. In this retrospective multicenter study, we included 782 patients (males, 56 %; median age 46) with confirmed COVID-19 from 54 hospitals in nine provinces of China, who were divided into four groups according to the treatment initiation time from the first date of onset of symptoms to the date of starting treatment with QFPDD. The primary outcome was time to recovery; days of viral shedding, duration of hospital stay, and course of the disease were also analyzed. Compared with treatment initiated after 3 weeks, early treatment with QFPDD after less than 1 week, 1-2 weeks, or 2-3 weeks had a higher likelihood of recovery, with adjusted hazard ratio (HR) (95 % confidence interval [CI]) of 3.81 (2.65-5.48), 2.63 (1.86-3.73), and 1.92 (1.34-2.75), respectively. The median course of the disease decreased from 34 days to 24 days, 21 days, and 18 days when treatment was administered early by a week (P < 0.0001). Treatment within a week was related to a decrease by 1-4 days in the median duration of hospital stay compared with late treatment (P<0.0001). In conclusion, early treatment with QFPDD may serve as an effective strategy in controlling the epidemic, as early treatment with QFPDD was associated with favorable outcomes, including faster recovery, shorter time to viral shedding, and a shorter duration of hospital stay. However, further multicenter, prospective studies with a larger sample size should be conducted to confirm the benefits of early treatment with QFPDD.

Indexed as

COVID-19 Drug TreatmentAdultAgedAged, 80 and overChinaCohort StudiesDrugs, Chinese HerbalFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedTime-to-TreatmentTreatment OutcomeYoung AdultDrugs, Chinese Herbalqingfei paidu decoctionCOVID-19Early treatmentQingfei Paidu decoction

Identifiers

PMID33181320
PMCPMC7833425

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