Evidence map›Paper›PMID 34015598›Full record

ArticleInternational immunopharmacology2021

Clinical outcomes of patients with mild COVID-19 following treatment with hydroxychloroquine in an outpatient setting.

Majid Mokhtari, Minoo Mohraz, Mohammad Mehdi Gouya, Hengameh Namdari Tabar, Jafar-Sadegh Tabrizi, Katayoun Tayeri, Saeide Aghamohamadi, Zahra Rajabpoor, Manoochehr Karami, Alireza Raeisi and 2 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in International immunopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-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

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  6. Review
  7. A Clinical Monitoring Program of COVID-19 Outpatients: A Prospective Cohort Study.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Majid MokhtariLoghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: m.mokhtari@sbmu.ac.ir.
Minoo MohrazIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Mehdi GouyaCenter for Communicable Disease Control (CDC), IHR National Focal Point, Ministry of Health & Medical Education, Tehran, Iran.
Hengameh Namdari TabarMinistry of Health and Medical Education, AIDS/STI Control Dep. Ministry of Health and Medical Education, Eyvanak Street, Shahrak-e-Gharb, Tehran, Iran.
Jafar-Sadegh TabriziTabriz Health Services Management Research Center, Tabriz, Iran. Electronic address: js.tabrizi@gmail.com.
Katayoun TayeriMinistry of Health and Medical Education, Tehran Iran, Eyvanak Street, Shahrak-e-Gharb, Tehran, Iran.
Saeide AghamohamadiHealth Service Management, Deputy of Health, Ministry of Health and Medical Education, Tehran, Iran. Electronic address: Aghamohamadi@health.gov.ir.
Zahra RajabpoorMinistry of Health and Medical Education, Eyvanak Street, Shahrak-e-Gharb, Tehran, Iran.
Manoochehr KaramiResearch Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
Alireza RaeisiSchool of Medicine, Shiraz University of Medical Sciences, Shiraz Iran, Deputy of Health, Ministry of Health and Medical Education, Tehran, Iran.
Hamid RahmaniDepartment of Pharmacotherapy, Tehran University of Medical Sciences, Tehran, Iran.
Hossein KhaliliDepartment of Pharmacotherapy, Tehran University of Medical Sciences, Postal Code: 1417614411, P.O. Box: 14155/6451, Tehran, Iran. Electronic address: khalilih@tums.ac.ir.
Ministry of Health and Medical Education · IRTehran University of Medical Sciences · IRHamedan University of Medical Sciences · IRIranian Institute for Health Sciences Research · IRShahid Beheshti University of Medical Sciences · IRShiraz University of Medical Sciences · IRTabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of hydroxychloroquine (HCQ) in early outpatient management of mild coronavirus disease 2019 (COVID-19) needs further investigation. This study was a multicenter, population-based national retrospective-cohort investigation of 28,759 adults with mild COVID-19 seen at the network of Comprehensive Healthcare Centers (CHC) between March and September 2020 throughout Iran. The baseline characteristics and outcome variables were extracted from the national integrated health system database. A total of 7295 (25.37%) patients who presented with mild COVID-19 within 3-7 days of symptoms onset received HCQ (400 mg twice daily on day 1 followed by 200 mg twice daily for the next four days and were then followed for 14 days). The main outcome measures were hospitalization or death for six months follow-up. COVID-19-related hospitalizations or deaths occurred in 523 (7.17%) and 27 (0.37%) respectively, in HCQ recipients and 2382 (11.10%) and 287 (1.34%) respectively, in non-recipients. The odds of hospitalization or death was reduced by 38% (odds ratio [OR] = 0.62; 95% confidence interval [CI]: 0.56-0.68, p = < 0.001) and 73% (OR = 0.27; 95% CI: 0.18-0.41, p = < 0.001) in HCQ recipients and non-recipients. These effects were maintained after adjusting for age, comorbidities, and diagnostic modality. No serious HCQ-related adverse drug reactions were reported. In our large outpatient national cohort of adults with mild COVID-19 disease who were given HCQ early in the course of the disease, the odds of hospitalization or death was reduced significantly regardless of age or comorbidities.

Indexed as

COVID-19 Drug TreatmentAdultAgedAged, 80 and overAntiviral AgentsCohort StudiesFemaleHumansHydroxychloroquineIranMaleMiddle AgedOutpatientsRetrospective StudiesSARS-CoV-2Treatment OutcomeAntiviral AgentsHydroxychloroquineCOVID-19HydroxychloroquineOutpatient

Identifiers

PMID34015598
PMCPMC8023208
OpenAlexW3149548205

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.