Evidence map›Paper›PMID 36310337›Full record

ArticleInfectious diseases and therapy2022

Disease Progression of Hospitalized Elderly Patients with Omicron BA.2 Treated with Molnupiravir.

Yayun Liu, Lingling Ge, Shiyong Fan, Aijing Xu, Xinyu Wang, Xu Dong, Mingxiao Xu, Wenhan Fan, Wu Zhong, Xuesong Liang

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Outcomes of Elderly Patients Hospitalized with the SARS-CoV-2 Omicron B.1.1.529 Variant: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  3. 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

10 authors.

Yayun Liu *Department of Infectious Diseases, First Hospital of Navy Military Medical University, 168 Changhai Road, Shanghai, 200433, China.
Lingling Ge *Department of Infectious Diseases, First Hospital of Navy Military Medical University, 168 Changhai Road, Shanghai, 200433, China.
Shiyong Fan *National Engineering Research Center for the Emergency Drug, Beijing Institute of Pharmacology and Toxicology, 27 Taiping Road, Haidian District, Beijing, 100850, China.
Aijing XuDepartment of Infectious Diseases, First Hospital of Navy Military Medical University, 168 Changhai Road, Shanghai, 200433, China.
Xinyu WangDepartment of Infectious Diseases, First Hospital of Navy Military Medical University, 168 Changhai Road, Shanghai, 200433, China.
Xu DongDepartment of Infectious Diseases, First Hospital of Navy Military Medical University, 168 Changhai Road, Shanghai, 200433, China.
Mingxiao XuDepartment of Infectious Diseases, First Hospital of Navy Military Medical University, 168 Changhai Road, Shanghai, 200433, China.
Wenhan FanDepartment of Infectious Diseases, First Hospital of Navy Military Medical University, 168 Changhai Road, Shanghai, 200433, China.
Wu ZhongNational Engineering Research Center for the Emergency Drug, Beijing Institute of Pharmacology and Toxicology, 27 Taiping Road, Haidian District, Beijing, 100850, China. zhongwu@bmi.ac.cn.
Xuesong LiangDepartment of Infectious Diseases, First Hospital of Navy Military Medical University, 168 Changhai Road, Shanghai, 200433, China. liangxuesong2000@163.com.

Funding

Key research project of COVID-19 by Changhai hospital of Naval Medical University COVID-ZD-006Key research project of COVID-19 by Changhai hospital of Naval Medical University COVID-ZD-011the National Key Research and Development Project 2021YFC2300704
6 · The paper itself

Abstract

introductionThe efficacy of molnupiravir (MLN) on Omicron sublineages is limited. We investigated the effectiveness of MLN in older adults diagnosed with Omicron BA.2.

methodsData of elderly COVID-19 patients (over 60 years) admitted to Chinghai Hospital (Shanghai, China) from 26 March to 31 May 2022 were reviewed. Study outcomes were a composite of undetectable viral load (VL) and disease progression [all-cause mortality, initiation of oxygen supply through high-flow device or invasive mechanical ventilation (IMV), or intensive care unit (ICU) admission] and their individual outcomes.

resultsA total of 42 elderly patients were enrolled: 26 of them received MLN, 17 (40.5%) were males, the median age was 84 years, and 12 were fully vaccinated (31.0%). Among these elderly COVID-19 patients, five (11.90%) experienced obvious dyspnea or were transferred to ICU [three MLN users (11.5%) versus two non-MLN users (12.5%)]. Compared with no MLN use, MLN use was associated with rapid undetectable VL. At day 10, MLN users achieved significantly greater undetectable VL than non-MLN users. Adjusted analysis showed that elderly patients who received MLN were 7.584 times more likely to achieve undetectable VL at day 10 than non-MLN users. Overall, elderly patients experienced a median hospital stay of 13 days. Compared with patients receiving standard care (SC), the median hospital stay of MLN users was reduced by 2.5 days.

conclusionEarly initiation of MLN in elderly COVID-19 was associated with fast undetectable VL and short hospital stay.

Indexed as

AntimicrobialAntiviralCovid-19Elderly patientExacerbationMolnupiravirSARS-CoV-2

Identifiers

PMID36310337
PMCPMC9618302

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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.