Evidence map›Paper›PMID 36274736›Full record

ArticleFrontiers in microbiology2022

Ambroxol for the treatment of COVID-19 among hospitalized patients: A multicenter retrospective cohort study.

Yun Lu, Qing-Qing Yang, Lin Zhuo, Kun Yang, Hao Kou, Su-Yu Gao, Wen Hu, Qiao-Li Jiang, Wen-Jing Li, Dong-Fang Wu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 4 institutions in 1 country.

Yun LuDepartment of Pharmacy, Zhongnan Hospital of Wuhan University, Wuhan, China.
Qing-Qing YangDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Lin ZhuoResearch Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.
Kun YangDepartment of Pharmacy, Zhongnan Hospital of Wuhan University, Wuhan, China.
Hao KouDepartment of Pharmacy, Zhongnan Hospital of Wuhan University, Wuhan, China.
Su-Yu GaoDepartment of Pharmacy, Zhongnan Hospital of Wuhan University, Wuhan, China.
Wen HuDepartment of Pharmacy, Zhongnan Hospital of Wuhan University, Wuhan, China.
Qiao-Li JiangDepartment of Pharmacy, Zhongnan Hospital of Wuhan University, Wuhan, China.
Wen-Jing LiDepartment of Pharmacy, Zhongnan Hospital of Wuhan University, Wuhan, China.
Dong-Fang WuDepartment of Pharmacy, Zhongnan Hospital of Wuhan University, Wuhan, China.
Feng SunDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Hong ChengDepartment of Pharmacy, Zhongnan Hospital of Wuhan University, Wuhan, China.
Siyan ZhanDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Wuhan University · CNZhongnan Hospital of Wuhan University · CNPeking University · CNPeking University Third Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ambroxol is a commonly used mucolytic agent principally used to treat respiratory diseases, which may have a role as adjunctive therapy for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection, but there is lack of evidence about its effectiveness on coronavirus disease-2019 (COVID-19) patients. To study the association between ambroxol use and clinical outcomes among hospitalized patients of COVID-19 infection. We conducted a multicenter retrospective cohort study involving 3,111 patients with confirmed SARS-CoV-2 infection from three hospitals in Wuhan from 19 December 2019 to 15 April 2020, and the primary outcome was in-hospital mortality. COVID-19 patients were classified into ambroxol and non-ambroxol groups based on the administration of ambroxol during hospitalization. Two analyses including propensity score matching (PSM) to obtain a 1:1 balanced cohort and logistic regression were used to control for confounding factors. The average age of 3,111 patients was 57.55 ± 14.93 years old, 127 of them died during hospitalization, and 924 of them used ambroxol. Treatment with ambroxol did not have a significant effect on in-hospital mortality of COVID-19 patients when compared with non-ambroxol in PSM model after adjusting for confounders (8.0% vs. 3.5%, adjusted OR, 1.03 [95% CI, 0.54-1.97],

Indexed as

ambroxolclinical outcomesCOVID-19effectivenessSARS-CoV-2

Identifiers

PMID36274736
PMCPMC9582747
OpenAlexW4302305030

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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.