Evidence map›Paper›PMID 34534686›Full record

ArticleTravel medicine and infectious disease

Hydroxychloroquine / azithromycin in COVID-19: The association between time to treatment and case fatality rate.

Roberto Alfonso Accinelli, Grisel Jesús Ynga-Meléndez, Juan Alonso León-Abarca, Lidia Marianella López, Juan Carlos Madrid-Cisneros, Juan Diego Mendoza-Saldaña

Open access · greenAbstract read
In one paragraph

Article in Travel medicine and infectious disease. 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
0.4field-weighted citation impact, top 36% 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, 7 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

6 authors at 1 institution in 1 country.

Roberto Alfonso AccinelliInstituto de Investigaciones de la Altura. Universidad Peruana Cayetano Heredia, Lima, Peru; Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru; Hospital Cayetano Heredia, Peru. Electronic address: roberto.accinelli@upch.pe.
Grisel Jesús Ynga-MeléndezCentro Materno-Infantil Tahuantinsuyo Bajo, Lima, Peru.
Juan Alonso León-AbarcaInstituto de Investigaciones de la Altura. Universidad Peruana Cayetano Heredia, Lima, Peru.
Lidia Marianella LópezInstituto de Investigaciones de la Altura. Universidad Peruana Cayetano Heredia, Lima, Peru.
Juan Carlos Madrid-CisnerosCentro Materno-Infantil Tahuantinsuyo Bajo, Lima, Peru.
Juan Diego Mendoza-SaldañaFacultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru.
Universidad Peruana Cayetano Heredia · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, there is no formally accepted pharmacological treatment for COVID-19. MATERIALS AND

methodsWe included COVID-19 outpatients of a Peruvian primary care center from Lima, Peru, who were treated between April 30 - September 30, 2020, with hydroxychloroquine and azithromycin. Logistic regression was applied to determine factors associated with case-fatality rate.

resultsA total of 1265 COVID-19 patients with an average age of 44.5 years were studied. Women represented 50.1% of patients, with an overall 5.9 symptom days, SpO2 97%, temperature of 37.3 °C, 41% with at least one comorbidity and 96.1% one symptom or sign. No patient treated within the first 72 h of illness died. The factors associated with higher case fatality rate were age (OR = 1.06; 95% CI 1.01-1.11, p = 0.021), SpO2 (OR = 0.87; 95% CI 0.79-0.96, p = 0.005) and treatment onset (OR = 1.16; 95% CI 1.06-1.27, p = 0.002), being the latter the only associated in the multivariate analysis (OR = 1.18; 95% CI 1.05-1.32, p = 0.005). 0.6% of our patients died.

conclusionsThe case fatality rate in COVID-19 outpatients treated with hydroxychloroquine/azithromycin was associated with the number of days of illness on which treatment was started.

Indexed as

COVID-19 Drug TreatmentHydroxychloroquineAdultAzithromycinDrug Therapy, CombinationFemaleHumansOxygen SaturationSARS-CoV-2Time-to-TreatmentAzithromycinHydroxychloroquineAzithromycinCOVID-19HydroxychloroquineMortalitySARS-CoV-2Time-to-Treatment

Identifiers

PMID34534686
PMCPMC8438859
OpenAlexW3199528936

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.