Evidence map›Paper›PMID 33231925›Full record

Trial reportInternational journal of clinical practice2021

Assessment of COVID-19 Treatment containing both Hydroxychloroquine and Azithromycin: A natural clinical trial.

Hassan M Abbas, Ali Azeez Al-Jumaili, Kawthar F Nassir, Muhammed Waheeb Al-Obaidy, Adnan Mohammed Al Jubouri, Basim Dhawi Dakhil, Mohammed Mahir Abdulelah, Qutaiba Ahmed Al Khames

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in International journal of clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Antibiotics for the treatment of COVID-19.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Trial
  3. Review
  4. What might COVID-19 patients experience after recovery? A comprehensive review.The International journal of pharmacy practice · 2022
    Review
  5. Article
  6. Effects of COVID-19 on Arrhythmia.Journal of cardiovascular development and disease · 2022
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
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

8 authors at 5 institutions in 3 countries.

Hassan M AbbasHeadquarter, Ministry of Health, Baghdad, Iraq.
Ali Azeez Al-JumailiCollege of Pharmacy, University of Iowa, Iowa City, IA, USA.ORCID https://orcid.org/0000-0003-4691-0280
Kawthar F NassirTherapeutic Drug Monitoring Center, Baghdad Teaching Hospital, Medical City Complex, Baghdad, Iraq.ORCID https://orcid.org/0000-0002-4266-3115
Muhammed Waheeb Al-ObaidyUniversity of Baghdad College of Medicine, Baghdad, Iraq.
Adnan Mohammed Al JubouriUniversity of Baghdad College of Medicine, Baghdad, Iraq.
Basim Dhawi DakhilCritical Care Unit, Bagdad Teaching Hospital, Medical City Complex, Internal Medicine Department in Al-Shifa center for the treatment of COVID-19, Baghdad, Iraq.
Mohammed Mahir AbdulelahIntensive Care Unit, Bagdad Teaching Hospital, Medical City Complex, Baghdad, Iraq.
Qutaiba Ahmed Al KhamesFaculty of Pharmacy, Philadelphia University, Amman, Jordan.
Baghdad Medical City · IQUniversity of Baghdad · IQMinistry of Health · IQPhiladelphia University · JOUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The goal of this study was to assess the clinical effectiveness and safety profile of the COVID-19 treatment protocol (containing both hydroxychloroquine (HCQ) and azithromycin) in an Iraqi specialised hospital.

methodsThis prospective study used a pre- and post-intervention design without a comparison group. The intervention was routine Ministry of Health (MOH) approved the management of COVID-19 for all patients. The study was conducted in a public healthcare setting in Baghdad, Iraq from March 1st to May 25, 2020. The study outcome measures included the changes in clinical and biochemical parameters during the hospitalisation period. Paired t-test and Chi-square test were used to compare the measures of vital signs, lab tests and symptoms before and after treatment.

resultsThe study included 161 patients who were admitted with positive RT-PCR and clinical symptoms of COVID-19. In terms of severity, 53 (32.9%) patients had amild condition, 47 (29.2%) had moderate condition, 35 (21.7%) had severe condition and 26 (16.1%) had critical condition. Most patients (84.5%) recovered and were discharged without symptoms after testing negative with RT-PCR, while 11 (6.8%) patients died during the study period. The signs and symptoms of COVID-19 were reduced significantly in response to a therapy regimen containing HCQ and azithromycin. The most common reported side effects were stomach pain, hypoglycemia, dizziness, itching, skin rash, QT prolongation, arrhythmia, and conjunctivitis.

conclusionsThis natural trial showed that the COVID-19 regimen containing both HCQ and azithromycin can be helpful to promote the recovery of most patients and reduced their signs and symptoms significantly. It also shows some manageable side effects mostly those related to heart rhythm. In the absence of FDA-approved medications to treat COVID-19, the repurposing of HCQ and azithromycin to control the disease signs and symptoms can be useful.

Indexed as

COVID-19 Drug TreatmentHydroxychloroquineAdolescentAdultAgedAged, 80 and overAzithromycinFemaleHospitals, SpecialHumansIraqMaleMiddle AgedProspective StudiesSARS-CoV-2Treatment OutcomeAzithromycinHydroxychloroquineazithromycinCOVID-19effectivenesshydroxychloroquinenatural trialsafetytreatment

Identifiers

PMID33231925
PMCPMC7744890
OpenAlexW3107852051

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.