Evidence map›Paper›PMID 34937570›Full record

ArticleRespiratory research2021

Tocilizumab improves 28-day survival in hospitalized patients with severe COVID-19: an open label, prospective study.

Theodoros Karampitsakos, Elli Malakounidou, Ourania Papaioannou, Vasilina Dimakopoulou, Eirini Zarkadi, Matthaios Katsaras, Panagiota Tsiri, Georgios Tsirikos, Vasiliki Georgiopoulou, Ioanna Oikonomou and 6 more

Abstract read
In one paragraph

Article in Respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Tocilizumab versus baricitinib in hospitalized patients with severe COVID-19: an open label, randomized controlled trial.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Article
  6. Article
  7. Biologics in COVID-19 So Far: Systematic Review.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. 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

16 authors.

Theodoros Karampitsakos *Department of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece.ORCID http://orcid.org/0000-0003-0804-6292
Elli Malakounidou *Department of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece.
Ourania PapaioannouDepartment of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece.
Vasilina DimakopoulouDepartment of Internal Medicine, University Hospital of Patras, Pátrai, Greece.
Eirini ZarkadiDepartment of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece.
Matthaios KatsarasDepartment of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece.
Panagiota TsiriDepartment of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece.
Georgios TsirikosDepartment of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece.
Vasiliki GeorgiopoulouDepartment of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece.
Ioanna OikonomouDepartment of Internal Medicine, University Hospital of Patras, Pátrai, Greece.
Christos DavoulosDepartment of Internal Medicine, University Hospital of Patras, Pátrai, Greece.
Dimitrios VelissarisDepartment of Internal Medicine, University Hospital of Patras, Pátrai, Greece.
Fotios SampsonasDepartment of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece.
Markos Marangos *Department of Internal Medicine, University Hospital of Patras, Pátrai, Greece.
Karolina Akinosoglou *Department of Internal Medicine, University Hospital of Patras, Pátrai, Greece.
Argyris Tzouvelekis *Department of Respiratory Medicine, University Hospital of Patras, Pátrai, Greece. atzouvelekis@upatras.gr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the safety and efficacy profile of tocilizumab in patients with severe COVID-19 needs to be enriched.

methodsIn this open label, prospective study, we evaluated clinical outcomes in consecutive patients with COVID-19 and PaO

findingsOverall, 114 patients were included in the analysis (tocilizumab plus usual care: 56, usual care: 58). Allocation to usual care was associated with significant increase in 28-day mortality compared to tocilizumab plus usual care [Cox proportional-hazards model: HR: 3.34, (95% CI: 1.21-9.30), (p = 0.02)]. There was not a statistically significant difference with regards to hospital discharge over the 28 day period for patients receiving tocilizumab compared to usual care [11.0 days (95% CI: 9.0 to 16.0) vs 14.0 days (95% CI: 10.0-24.0), HR: 1.32 (95% CI: 0.84-2.08), p = 0.21]. ΔPaO

conclusionAdministration of tocilizumab, at the time point that PaO

Indexed as

COVID-19 Drug TreatmentPatient AcuityAdministration, IntravenousAgedAntibodies, Monoclonal, HumanizedCOVID-19FemaleHospitalizationHumansMaleMiddle AgedProspective StudiesSurvival RateAntibodies, Monoclonal, HumanizedtocilizumabCOVID-19MortalityOutcomesPaO2/FiO2Tocilizumab

Identifiers

PMID34937570
PMCPMC8692825

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.