Evidence map›Paper›PMID 34703696›Full record

ArticleCureus2021

Elevation of Serum Transaminase Levels Due to Favipiravir Use in the Treatment of COVID-19.

Mehmet Bayram, Ozgur Yildirim, Raye Sevra Ozmen, Beyza Soylu, Ahmet Said Dundar, Ali Riza Koksal, Murat Akarsu, Abdulbaki Kumbasar, Omur Tabak

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 42% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. The efficacy and adverse effects of favipiravir on patients with COVID-19: A systematic review and meta-analysis of published clinical trials and observational studies.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Pooled it
  2. Article
  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

9 authors at 3 institutions in 2 countries.

Mehmet BayramGastroenterology and Hepatology, Health Sciences University Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, TUR.
Ozgur YildirimDepartment of Internal Medicine, Health Sciences University Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, TUR.
Raye Sevra OzmenDepartment of Internal Medicine, Health Sciences University Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, TUR.
Beyza SoyluDepartment of Internal Medicine, Health Sciences University Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, TUR.
Ahmet Said DundarDepartment of Internal Medicine, Health Sciences University Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, TUR.
Ali Riza KoksalGastroenterology and Hepatology, Tulane University School of Medicine, New Orleans, USA.
Murat AkarsuDepartment of Internal Medicine, Health Sciences University Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, TUR.
Abdulbaki KumbasarDepartment of Internal Medicine, Health Sciences University Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, TUR.
Omur TabakDepartment of Internal Medicine, Health Sciences University Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, TUR.
İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi · TRSağlık Bilimleri Üniversitesi · TRTulane University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsFavipiravir is a ribonucleic acid (RNA)-dependent RNA polymerase (RdRP) inhibitor antiviral agent used in the treatment of coronavirus disease-2019 (COVID-19). In this study, we investigated the changes in serum transaminase levels of patients and the relationship between serum transaminase elevation with mortality in patients who were hospitalized with the diagnosis of COVID-19 and received favipiravir treatment. MATERIALS AND

methods454 patients who received favipiravir and 113 patients who did not receive favipiravir were evaluated. Serum transaminase levels of the patients were compared at baseline and after five days of treatment, and the relationship between serum transaminase elevation and mortality was investigated.

resultsNo significant aspartate aminotransferase (AST) or alanine aminotransferase (ALT) elevation was detected due to favipiravir treatment. AST elevation was found, respectively, as 133 (29.3%), 32 (28.3%) (p=0.100), ALT elevation as 112 (24.7%), 35 (29.3%) (p=0.100) in the groups receiving and not receiving favipiravir. High AST level was found as a risk factor for mortality in all patient groups (p=0.008).

conclusionsThere was no statistically significant elevation in serum transaminase levels due to favipiravir use in patients hospitalized for COVID-19. A high level of AST is a significant risk factor to show mortality and intensive care unit (ICU) admission in patients with COVID-19.

Indexed as

covid-19elevated transaminasesfavipiraviricu admissionmortality

Identifiers

PMID34703696
PMCPMC8530246
OpenAlexW3201552404

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.