Evidence map›Paper›PMID 33375676›Full record

Observational studyInternational journal of environmental research and public health2020

Cardiovascular Comorbidities and Pharmacological Treatments of COVID-19 Patients Not Requiring Hospitalization.

Vincenzo Russo, Gaetano Piccinocchi, Vincenzo Mandaliti, Saverio Annunziata, Giovanni Cimmino, Emilio Attena, Nicola Moio, Pierpaolo Di Micco, Sergio Severino, Roberta Trotta and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.4field-weighted citation impact, top 25% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

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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

11 authors at 6 institutions in 1 country.

Vincenzo RussoCardiology Unit, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli-Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0002-9227-0360
Gaetano PiccinocchiComegen Primary Care Physicians Cooperative SIMG, Italian Society of Family Medicine, 80125 Naples, Italy.
Vincenzo MandalitiComegen Primary Care Physicians Cooperative SIMG, Italian Society of Family Medicine, 80125 Naples, Italy.
Saverio AnnunziataKOS Primary Care Physicians Cooperative, 80128 Naples, Italy.
Giovanni CimminoCardiology Unit, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli-Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0002-3802-7052
Emilio AttenaCardiology Unit, Cotugno Hospital, 80131 Naples, Italy.ORCID 0000-0002-8418-7815
Nicola MoioCardiology Department, Santa Maria delle Grazie Hospital, 80078 Pozzuoli, Italy.
Pierpaolo Di MiccoMedicine Unit, Fatebenefratelli Hospital, 80131 Naples, Italy.
Sergio SeverinoCardiology Unit, Cotugno Hospital, 80131 Naples, Italy.
Roberta TrottaMedical Affairs Department-Daiichi Sankyo, 00142 Roma, Italy.
Michele Del GuercioAngiology Unit, District 24, Health Authority Naples 1, 80131 Naples, Italy.
Ospedale D. Cotugno · ITSocietà Italiana di Medicina Generale · ITUniversity of Campania "Luigi Vanvitelli" · ITAzienda Sanitaria Locale Roma 3 · ITFatebenefratelli Hospital · ITOspedale Santa Maria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Coronavirus disease 2019 (COVID-19) outbreak is a whole Earth health emergency related to a highly pathogenic human coronavirus responsible for severe acute respiratory syndrome (SARS-CoV-2). Despite the fact that the majority of infected patients were managed in outpatient settings, little is known about the clinical characteristics of COVID-19 patients not requiring hospitalization. The aim of our study was to describe the clinical comorbidity and the pharmacological therapies of COVID-19 patients managed in outpatient settings. MATERIALS AND

methodsWe performed an observational, retrospective analysis of laboratory-confirmed COVID-19 patients managed in outpatient settings in Naples, Italy between 9 March and 1 May 2020. Data were sourced from the prospectively maintained Health Search (HS)/Thales database, shared by 128 primary care physicians (PCPs) in Naples, Italy. The clinical features and pharmacological therapies of COVID-19 patients not requiring hospitalization and managed in outpatient settings have been described.

resultsA total of 351 laboratory-confirmed COVID-19 patients (mean age 54 ± 17 years; 193 males) with outpatient management were evaluated. Hypertension was the most prevalent comorbidity (35%). The distribution of cardiovascular comorbidities showed no gender-related differences. A total of 201 patients (57.3%) were treated with at least one experimental drug for COVID-19. Azithromycin, alone (42.78%) or in combination (27.44%), was the most widely used experimental anti-COVID drug in outpatient settings. Low Molecular Weight Heparin and Cortisone were prescribed in 24.87% and 19.4% of the study population, respectively. At multivariate regression model, diabetes (risk ratio (RR): 3.74; 95% CI 1.05 to 13.34;

conclusionsOur data show a high prevalence of hypertension, more likely treated with renin-angiotensin-aldosterone system (RASS) inhibitors, among COVID-19 patients not requiring hospitalization. Experimental COVID-19 therapies have been prescribed to COVID-19 patients considered at risk for increased venous thromboembolism based on concomitant comorbidities, in particular diabetes and hypertension.

Indexed as

ComorbidityCOVID-19 Drug TreatmentAdultAgedCardiovascular DiseasesCOVID-19Diabetes MellitusFemaleHospitalizationHumansHypertensionItalyMaleMiddle AgedRetrospective StudiesRisk Factorsanticoagulationcardiovascular diseasesCOVID-19experimental drugshypertensionlow molecular weight heparinoutpatient’s settingrisk factorsvenous thromboembolism

Identifiers

PMID33375676
PMCPMC7795623
OpenAlexW3114652113

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.