Evidence map›Paper›PMID 35857159›Full record

Observational studyInternational journal of clinical pharmacy2022

An observational, retrospective, comprehensive pharmacovigilance analysis of hydroxychloroquine-associated cardiovascular adverse events in patients with and without COVID-19.

Min Luo, Bin Wu, Yuwen Li, Fengbo Wu

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in International journal of clinical pharmacy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

4 authors at 1 institution in 1 country.

Min LuoDepartment of Pharmacy, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.ORCID http://orcid.org/0000-0001-9322-7279
Bin WuDepartment of Pharmacy, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China. binw83@hotmail.com.ORCID http://orcid.org/0000-0001-5313-5193
Yuwen LiDepartment of Pharmacy, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Fengbo WuDepartment of Pharmacy, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Sichuan University · CN

Funding

National Key Research and Development Program of China 2020YFC2008302
6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) is a global pandemic. Hydroxychloroquine (HCQ)-associated cardiovascular adverse events (CVAEs) have been increasingly reported.

aimThis study aimed to present an observational, retrospective, and comprehensive pharmacovigilance analysis of CVAE associated with HCQ in patients with and without COVID-19 using the US Food and Drug Administration Adverse Events Reporting System (FAERS) data from January 2020 to December 2020.

methodWe identified 3302 adverse event reports from the FAERS database in the year 2020 and divided them into COVID-19 and non-COVID-19 groups, respectively. Then we analyzed whether there were differences in CVAEs between the two groups.

resultsWe found that CVAE was higher in cases with COVID-19 compared to those without COVID-19, odds ratio (OR) of 1.26 and a 95% confidence interval (95% CI) of 1.02-1.54. Cases with COVID-19 treated with HCQ exhibited relatively higher proportions of torsade de points (TdP) and QT prolongation (OR 3.10, 95% CI 2.24-4.30), shock-associated TdP (OR 2.93, 95% CI 2.13-4.04), cardiac arrhythmias (OR 2.07, 95% CI 1.60-2.69), cardiac arrhythmia terms (including bradyarrhythmias and tachyarrhythmias) (OR 2.15, 95% CI 1.65-2.80), bradyarrhythmias (including conduction defects and disorders of sinus node function) (OR 2.56, 95% CI 1.86-3.54), and conduction defects (OR 2.56, 95% CI 1.86-3.54).

conclusionOur retrospective observational analysis suggested that the proportion of CVAE associated with HCQ, especially TdP and QT prolongation, was higher in patients with COVID-19. Understanding the effects of COVID-19 on the cardiovascular system is essential to providing comprehensive medical care to patients receiving HCQ treatment.

Indexed as

Cardiovascular SystemCOVID-19COVID-19 Drug TreatmentLong QT SyndromeArrhythmias, CardiacBradycardiaCardiac Conduction System DiseaseDNA-Binding ProteinsHumansHydroxychloroquinePharmacovigilanceRetrospective StudiesDNA-Binding ProteinsHydroxychloroquineAdverse event reporting systemCardiovascular adverse eventCOVID-19HydroxychloroquineObservational studyPharmacovigilance

Identifiers

PMID35857159
PMCPMC9297057
OpenAlexW4285993008

What OpenQuestion holds

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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.