Evidence map›Paper›PMID 34520465›Full record

Observational studyPloS one2021

Lack of effect on in-hospital mortality of drugs used during COVID-19 pandemic: Findings of the retrospective multicenter COVOCA study.

Pia Clara Pafundi, Raffaele Galiero, Vittorio Simeon, Luca Rinaldi, Alessandro Perrella, Erica Vetrano, Alfredo Caturano, Maria Alfano, Domenico Beccia, Riccardo Nevola and 24 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 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
0.6field-weighted citation impact, top 30% 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, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Observational
  5. Review
  6. Article
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  8. 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

34 authors at 9 institutions in 2 countries.

Pia Clara PafundiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Raffaele GalieroDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Vittorio SimeonMedical Statistics Unit, Department of Physical and Mental Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Luca RinaldiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Alessandro PerrellaTask Force Covid-19 Regione Campania, Italy.
Erica VetranoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Alfredo CaturanoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0001-7761-7533
Maria AlfanoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Domenico BecciaDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Riccardo NevolaDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Raffaele MarfellaDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Celestino SarduDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Carmine CoppolaCOVID Center "S. Anna e SS. Madonna della Neve" Hospital, Boscotrecase, Italy.
Ferdinando ScaranoCOVID Center "S. Anna e SS. Madonna della Neve" Hospital, Boscotrecase, Italy.
Paolo MaggiU.O.C. Infectious and Tropical diseases, S. Anna e S. Sebastiano Hospital, Caserta, Italy.
Pellegrino De Lucia SpositoCovid Center - Maddaloni Hospital, Maddaloni, Italy.
Laura VoccianteGeneral Medicine Unit, Loreto Mare Hospital, Naples, Italy.
Carolina RescignoU.O.C. Infectious Diseases and Neurology, Cotugno Hospital, Naples, Italy.
Costanza SbregliaU.O.C. Infectious Diseases of the Elderly, Cotugno Hospital, Naples, Italy.
Fiorentino FraganzaU.O.C. Anestesia and Intensive Care Unit, Cotugno Hospital, Naples, Italy.
Roberto ParrellaU.O.C. Respiratory Infectious Diseases, Cotugno Hospital, Naples, Italy.
Annamaria RomanoU.O.C. Pneumology, Moscati Hospital, Avellino, Italy.
Giosuele CalabriaIXth Division of Infectious Diseases and Interventional Ultrasound, Cotugno Hospital, Naples, Italy.
Benedetto Polverino"Giovanni da Procida" Hospital, Salerno, Italy.
Antonio PaganoEmergency and Acceptance Unit, "Santa Maria delle Grazie" Hospital, Pozzuoli, Italy.
Carolina BolognaInternal Medicine Unit, Ospedale Del Mare, Naples, Italy.ORCID 0000-0002-2007-3835
Maria AmitranoU.O.C. Internal Medicine - Moscati Hospital, Avellino, Italy.
Vincenzo EspositoIVth Division of Immunodeficiency and Gender Infectious Diseases, Cotugno Hospital, Naples, Italy.
Nicola CoppolaDepartment of Mental Health and Public Medicine, Centro COVID A.O.U. Vanvitelli, Naples, Italy.
Nicola MaturoU.O.S.D. Infectious Diseases Emergency and Acceptance, Cotugno Hospital, Naples, Italy.
Luigi Elio AdinolfiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Paolo ChiodiniMedical Statistics Unit, Department of Physical and Mental Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Ferdinando Carlo SassoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0002-9142-7848
COVOCA Study Group
University of Campania "Luigi Vanvitelli" · ITOspedale D. Cotugno · ITAzienda Ospedaliera S.Giuseppe Moscati · ITCorvid Technologies (United States) · USOspedale Santa Maria · ITOspedale Santa Maria di Loreto Nuovo · ITOspedale Sant'Anna · ITOspedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITRegione Campania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDuring COVID-19 pandemic, the use of several drugs has represented the worldwide clinical practice. However, though the current increase of knowledge about the disease, there is still no effective treatment for the usage of drugs. Thus, we retrospectively assessed use and effects of therapeutic regimens in hospitalized patients on in-hospital mortality.

methodsCOVOCA is a retrospective observational cohort study on 18 COVID centres throughout Campania Region Hospitals. We included adult patients with confirmed SARS-CoV-2 infection, discharged/dead between March/June 2020.

results618 patients were included, with an overall in-hospital cumulative mortality incidence of 23.1%. Most prescribed early treatments were antivirals (72%), antibiotics (65%) and hydroxychloroquine/anticoagulants (≈50%). Tocilizumab, indeed, was largely prescribed late during hospitalization. Multivariable models, with a cut-off at day 2 for early COVID-19 therapy administration, did not disclose any significant association of a single drug administration on the clinical outcome. DISCUSSION: COVOCA represents the first multicenter database in Campania region. None drug class used during the pandemic significantly modified the outcome, regardless of therapy beginning, both overall and net of those already in non-invasive ventilation (NIV)/ orotracheal intubation (OTI) at hospitalization. Our cumulative incidence of mortality seems lower than other described during the same period, particularly in Northern Italy.

Indexed as

COVID-19 Drug TreatmentAgedAntiviral AgentsCOVID-19FemaleHospital MortalityHumansItalyMaleMiddle AgedPandemicsRespiratory TherapyRetrospective StudiesAntiviral Agents

Identifiers

PMID34520465
PMCPMC8439483
OpenAlexW3200718307

What OpenQuestion holds

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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.