Evidence map›Paper›PMID 34171154›Full record

ArticleInternational journal of clinical practice2021

Variation in therapeutic strategies for the management of severe COVID-19 in India: A nationwide cross-sectional survey.

Bharat Jagiasi, Prashant Nasa, Gunjan Chanchalani, Ahsan Ahmed, Ajith Kumar Ak, Kanwalpreet Sodhi, Kishore Mangal, Manoj K Singh, Nitesh Gupta, Prasanna U Bidkar and 9 more

Registry-linked trialAbstract read
In one paragraph

Article 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. It is linked to trial NCT04998799 (Current Practices on Antithrombotic Therapy in Hospitalised and Discharged Patients With COVID-19), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT04998799 completednot on this map

Current Practices on Antithrombotic Therapy in Hospitalised and Discharged Patients With COVID-19

TypeobservationalSponsorNMC Specialty HospitalRan2021 to 2021Enrolled435ConditionsCOVID-19 Pneumonia, Thrombosis, COVID-19 Acute Respiratory Distress Syndrome, Severe Acute Respiratory Syndrome (SARS) PneumoniaArmsCurrent clinical practices of participating physicians
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  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

19 authors.

Bharat JagiasiCritical Care Department, Reliance Hospital, Navi Mumbai, Maharashtra, India.
Prashant NasaCritical Care Medicine, NMC Specialty Hospital, Dubai, United Arab Emirates.ORCID https://orcid.org/0000-0003-1948-4060
Gunjan ChanchalaniCritical Care Medicine, Cumballa Hill Hospital, Mumbai, Maharashtra, India.
Ahsan AhmedAnesthesiology and Critical Care, KPC Medical College and Hospital, Kolkata, West Bengal, India.
Ajith Kumar AkCritical Care Medicine, Manipal Hospitals, Bengaluru, Karnataka, India.
Kanwalpreet SodhiDepartment of Critical Care, Deep Hospital, Ludhiana, Punjab, India.
Kishore MangalCritical Care, Eternal Hospital, Jaipur, Rajasthan, India.
Manoj K SinghCritical Care & Sleep Medicine, Apollo Hospital, Ahmedabad, Gujarat, India.
Nitesh GuptaDepartment of Pulmonary, Critical Care and Sleep Medicine, VMMC and Safdarjung Hospital, New Delhi, India.
Prasanna U BidkarDepartment of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.ORCID https://orcid.org/0000-0002-4497-6772
Ranvir S TyagiDepartment of Anaesthesia and Critical Care Medicine, Synergy Plus Hospital, Agra, Uttar Pradesh, India.
Reshu G KhanikarDepartment of Critical Care Medicine, Health City Hospital, Guwahati, Assam, India.
Swagata TripathyAnesthesia & Intensive Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Swapna KhanzodeMedicine and Critical Care, Wockhardt Multispecialty Hospital, Nagpur, Maharashtra, India.
Kesavarapu Subba ReddyDepartment Of Critical Care Medicine, Apollo Health City, Hyderabad, Telangana, India.
Saurabh SaigalAnaesthesia and Intensive Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Vijay Anand SivakumarVelammal Medical college and Research Centre, Madurai, Tamil Nadu, India.
Yash JaveriCritical Care Medicine and Emergency Medicine, Regency Super Specialty Hospital, Lucknow, Uttar Pradesh, India.
Seema S TekwaniDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimDuring the pandemic of coronavirus disease 2019 (COVID-19), the physicians are using various off-label therapeutics to manage COVID-19. We undertook a cross-sectional survey to study the current variation in therapeutic strategies for managing severe COVID-19 in India.

methodsFrom January 4 to January 18, 2021, an online cross-sectional survey was conducted among physicians involved in the management of severe COVID-19. The survey had three sections: 1. Antiviral agents, 2. Immunomodulators, and 3. Adjuvant therapies.

results1055 respondents (from 24 states and five union territories), of which 64.2% were consultants, 54.3% working in private hospitals, and 39.1% were from critical care medicine completed the survey. Remdesivir (95.2%), antithrombotics (94.2%), corticosteroids (90.3%), vitamins (89.7%) and empirical antibiotics (85.6%) were the commonly used therapeutics. Ivermectin (33%), convalescent plasma (28.6%) and favipiravir (17.6%) were other antiviral agents used. Methylprednisolone (50.2%) and dexamethasone (44.1%) were preferred corticosteroids and at a dose equivalent of 8 mg of dexamethasone phosphate (70.2%). There was significant variation among physicians from different medical specialities in the use of favipiravir, corticosteroids, empirical antibiotics and vitamins.

conclusionThere is a considerable variation in the physicians' choice of therapeutic strategies for the management of severe COVID-19 in India, as compared with the available evidence.

Indexed as

COVID-19COVID-19 SerotherapyCross-Sectional StudiesHumansImmunization, PassiveIndiaPandemicsSARS-CoV-2

Identifiers

PMID34171154
PMCPMC8420329

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Registered trials

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.