Evidence map›Paper›PMID 34009133›Full record

ArticleJMIR public health and surveillance2021

Notes From the Field: The Combined Effects of Tocilizumab and Remdesivir in a Patient With Severe COVID-19 and Cytokine Release Syndrome.

Sabahat Ali, Sundas Khalid, Maham Afridi, Samar Akhtar, Yousef S Khader, Hashaam Akhtar

Open access · goldAbstract readCase Reports
In one paragraph

Article in JMIR public health and surveillance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

6 authors at 3 institutions in 2 countries.

Sabahat AliDepartment Of Gynecology And Obstetrics, Pakistan Air Force Hospital, Islamabad, Pakistan.ORCID 0000-0002-8047-6249
Sundas KhalidSchool of Chemical and Materials Engineering, National University of Science and Technology, Islamabad, Pakistan.ORCID 0000-0003-1801-2133
Maham AfridiDepartment of Biotechnology, Quaid-i-Azam University, Islamabad, Pakistan.ORCID 0000-0002-1750-9829
Samar AkhtarYusra Institute of Pharmaceutical Sciences, Islamabad, Pakistan.ORCID 0000-0001-8341-672X
Yousef S KhaderDepartment of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science & Technology, Irbid, Jordan.ORCID 0000-0002-7830-6857
Hashaam AkhtarYusra Institute of Pharmaceutical Sciences, Islamabad, Pakistan.ORCID 0000-0003-1913-831X
Air University · PKJordan University of Science and Technology · JOQuaid-i-Azam University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 is known to cause severe bilateral pneumonia and acute respiratory distress syndrome or COVID-19 in patients, which can be debilitating and even fatal. With no drugs or vaccines available yet, a wide range of treatment regimens used are being repurposed. The need of the hour is to analyze various currently available regimens and devise a treatment plan that is most effective for COVID-19. Here we describe the case of a 68-year-old man with hypertension and diabetes, exhibiting symptoms of cough and shortness of breath, who presented at the emergency department of our hospital. Chest computed tomography revealed bilateral ground glass opacities that were indicative of COVID-19, and a computed tomography score of 24 was indicative of severe pulmonary pneumonia. He tested positive for COVID-19. His treatment regimen included the use of convalescent plasma, oxygen therapy, steroids, high-dose antibiotics, broad-spectrum antiviral remdesivir, and anti-interleukin-6 monoclonal antibody (Tocilizumab) at various stages of the disease. Oxygen supplementation was required at the time of admission. The patient initially developed a cytokine release storm, and oxygen supplementation was initiated to manage his condition. Supportive care and multiple treatment regimens were used to successfully recover the patient's health. With a rapid increase in number of confirmed cases worldwide, COVID-19 has become a major challenge to our health care system. With no available vaccines currently, the establishment of a combination of therapeutic drugs that effectively reduce disease progression is of utmost importance.

Indexed as

COVID-19 Drug TreatmentAdenosine MonophosphateAgedAlanineAntibodies, Monoclonal, HumanizedAntiviral AgentsCOVID-19COVID-19 SerotherapyCytokine Release SyndromeDrug Therapy, CombinationHumansImmunization, PassiveMaleSARS-CoV-2Adenosine MonophosphateAlanineAntibodies, Monoclonal, HumanizedAntiviral AgentsremdesivirtocilizumabCOVID-19remdesivirtocilizumabtreatment

Identifiers

PMID34009133
PMCPMC8136404
OpenAlexW3146046973

What OpenQuestion holds

Textmetadata
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.