Evidence map›Paper›PMID 35908013›Full record

ArticleInternal and emergency medicine2022

To clarify the safety profile of paracetamol for home-care patients with COVID-19: a real-world cohort study, with nested case-control analysis, in primary care.

Francesco Lapi, Ettore Marconi, Ignazio Grattagliano, Alessandro Rossi, Diego Fornasari, Alberto Magni, Pierangelo Lora Aprile, Claudio Cricelli

Open access · bronzeAbstract read
In one paragraph

Article in Internal and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Francesco LapiHealth Search, Italian College of General Practitioners and Primary Care, Via del Sansovino 179, 50142, Florence, Italy. lapi.francesco@simg.it.ORCID 0000-0002-4342-9128
Ettore MarconiHealth Search, Italian College of General Practitioners and Primary Care, Via del Sansovino 179, 50142, Florence, Italy.
Ignazio GrattaglianoItalian College of General Practitioners and Primary Care, Florence, Italy.
Alessandro RossiItalian College of General Practitioners and Primary Care, Florence, Italy.
Diego FornasariDepartment Medical Biotechnology and Translational Medicine, Università Degli Studi Di Milano, Milan, Italy.
Alberto MagniItalian College of General Practitioners and Primary Care, Florence, Italy.
Pierangelo Lora AprileItalian College of General Practitioners and Primary Care, Florence, Italy.
Claudio CricelliItalian College of General Practitioners and Primary Care, Florence, Italy.
Società Italiana di Medicina Generale · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveThis study aimed to compare the prescribing patterns of paracetamol in COVID-19 with those for similar respiratory conditions and investigated the association between paracetamol use and COVID-19-related hospitalization/death.

methodsUsing a primary care data source, we conducted a cohort study to calculate the incidence rate of paracetamol use in COVID-19 and for similar respiratory conditions in 2020 and 2019 (i.e. pre-pandemic phase), respectively. In the study cohort, we nested a case-control analyses to investigate the association between paracetamol use and COVID-19-related hospitalizations/deaths.

resultsOverall, 1554 (33.4 per 1000) and 2566 patients (78.3 per 1000) were newly prescribed with paracetamol to treat COVID-19 or other respiratory conditions, respectively. Those aged 35-44 showed the highest prevalence rate (44.7 or 99.0 per 1000), while the oldest category reported the lowest value (17.8 or 39.8 per 1000). There was no association for early (OR = 1.15; 95% CI: 0.92-1.43) or mid-term (OR = 1.29; 95% CI: 0.61-2.73) users of paracetamol vs. non-users. Instead, the late users of paracetamol showed a statistically significant increased risk of hospitalization/death (OR = 1.75; 95% CI: 1.4-2.2).

conclusionsOur findings provide reassuring evidence on the use and safety profile of paracetamol to treat early symptoms of COVID-19 as in other respiratory infections.

Indexed as

COVID-19 Drug TreatmentRespiratory Tract InfectionsAcetaminophenCase-Control StudiesCohort StudiesHumansPrimary Health CareAcetaminophenCOVID-19Home-careParacetamolPrescribing patternSafety profile

Identifiers

PMID35908013
PMCPMC9362076
OpenAlexW4288903017

What OpenQuestion holds

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Registered trials

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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.