Evidence map›Paper›PMID 36294461›Full record

ArticleJournal of clinical medicine2022

Early Outpatient Treatment of COVID-19: A Retrospective Analysis of 392 Cases in Italy.

Marco Cosentino, Veronica Vernocchi, Stefano Martini, Franca Marino, Barbara Allasino, Maria Antonietta Bàlzola, Fabio Burigana, Alberto Dallari, Carlo Servo Florio Pagano, Antonio Palma and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. 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

12 authors at 1 institution in 1 country.

Marco CosentinoCenter for Research in Medical Pharmacology, University of Insubria, 21100 Varese, Italy.ORCID 0000-0002-6978-7775
Veronica VernocchiIppocrateOrg Association, Via Canova 15, 6900 Lugano, Switzerland.
Stefano MartiniCenter for Research in Medical Pharmacology, University of Insubria, 21100 Varese, Italy.ORCID 0000-0002-2519-9138
Franca MarinoCenter for Research in Medical Pharmacology, University of Insubria, 21100 Varese, Italy.
Barbara AllasinoIppocrateOrg Association, Via Canova 15, 6900 Lugano, Switzerland.
Maria Antonietta BàlzolaIppocrateOrg Association, Via Canova 15, 6900 Lugano, Switzerland.
Fabio BuriganaIppocrateOrg Association, Via Canova 15, 6900 Lugano, Switzerland.
Alberto DallariIppocrateOrg Association, Via Canova 15, 6900 Lugano, Switzerland.
Carlo Servo Florio PaganoIppocrateOrg Association, Via Canova 15, 6900 Lugano, Switzerland.
Antonio PalmaIppocrateOrg Association, Via Canova 15, 6900 Lugano, Switzerland.
Mauro RangoIppocrateOrg Association, Via Canova 15, 6900 Lugano, Switzerland.
On Behalf Of IppocrateOrg Association Working Group For The Early Outpatient Treatment Of Covid-
University of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 was declared a pandemic in March 2020. The knowledge of COVID-19 pathophysiology soon provided a strong rationale for the early use of both anti-inflammatory and antithrombotic drugs; however, its evidence was slowly and partially incorporated into institutional guidelines. The unmet needs of COVID-19 outpatients were taken care of by networks of physicians and researchers. We analyse the characteristics, management and outcomes in COVID-19 outpatients who were taken care of by physicians within the IppocrateOrg Association. In this observational retrospective study, volunteering doctors provided data on 392 COVID-19 patients. The mean age of patients was 48.5 years (range: 0.5-97), and patients were taken care of in COVID-19 stage 0 (15.6%), stage 1 (50.0%), stage 2a (28.8%) and stage 2b (5.6%). Many patients were overweight (26%) or obese (11.5%), with chronic comorbidities (34.9%), mainly cardiovascular (23%) and metabolic (13.3%). The most frequently prescribed drugs included: vitamins and supplements (98.7%), aspirin (66.1%), antibiotics (62%), glucocorticoids (41.8%), hydroxychloroquine (29.6%), enoxaparin (28.6%), colchicine (8.9%), oxygen therapy (6.9%), and ivermectin (2.8%). Hospitalization occurred in 5.8% of cases, mainly in stage 2b (27.3%). A total of 390 patients (99.6%) recovered; one patient was lost at follow up, and one patient died after hospitalization. This is the first real-world study describing the behaviours of physicians caring for COVID-19 outpatients, and the outcomes of COVID-19 early treatment. The lethality in this cohort was 0.2%, while overall, and over the same period, the COVID-19 lethality in Italy was over 3%. The drug use described in this study appears effective and safe. The present evidence should be carefully considered by physicians and political decision makers.

Indexed as

COVID-19early outpatient treatmentfamily medicineprimary careSARS-CoV-2

Identifiers

PMID36294461
PMCPMC9605012
OpenAlexW4306765726

What OpenQuestion holds

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LicenceCC BY
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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.