Evidence map›Paper›PMID 36505954›Full record

ArticleCureus2022

Efficacy and Safety of Inhalation of Nebulized Ethanol in COVID-19 Treatment: A Randomized Clinical Trial.

Ali Amoushahi, Elham Moazam, Amin Reza Tabatabaei, Golnaz Ghasimi, Ian Grant-Whyte, Pietro Salvatori, Ahmed Ragab Ezz

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  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

7 authors at 4 institutions in 4 countries.

Ali AmoushahiAnesthesiology and Intensive Care Unit, Isfahan University of Medical Sciences, Isfahan, IRN.
Elham MoazamCancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, IRN.
Amin Reza TabatabaeiInternal Medicine, Isabn-e-Maryam Hospital, Isfahan University of Medical Sciences, Isfahan, IRN.
Golnaz GhasimiInternal Medicine, Isabn-e-Maryam Hospital, Isfahan University of Medical Sciences, Isfahan, IRN.
Ian Grant-WhyteFamily Medicine, Retired, Pointe-Claire, CAN.
Pietro SalvatoriOtolaryngology, Humanitas San Pio X, Milano, ITA.
Ahmed Ragab EzzAnesthesiology, Mansoura University, Mansoura, EGY.
Humanitas University · ITIsfahan University of Medical Sciences · IRMansoura University · EGPoint University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) is a pandemic caused by the SARS-CoV-2 virus. Many efforts have been made and are currently being made to prevent and treat this global disease.

objectivesThis study was designed to evaluate the efficacy and safety of nebulized ethanol (EtOH) in treating COVID-19.

methodsA randomized clinical trial (RCT) of 99 symptomatic and real-time polymerase chain reaction (RT-PCR)-positive patients admitted to a hospital receiving remdesivir-dexamethasone was conducted. They were randomly assigned to receive distilled water spray (control group (CG)) or 35% EtOH spray (intervention group (IG)). Both groups inhaled three puffs of spray (nebulizer) every six hours for a week. The primary outcome included Global Symptomatic Score (GSS) between the two groups at the first visit and on days three, seven, and 14. Secondary outcomes included the Clinical Status Scale (CSS; a seven-point ordinal scale ranging from death to complete recovery) and readmission rate.

resultsA total of 44 and 55 patients were enrolled in the IG and CG, respectively. Although there was no difference at admission, the GSS and CSS improved significantly in the IG (p = 0.016 and p = 0.001, respectively). The IG readmission rate was considerably lower (0% vs. 10.9%; p = 0.02).

conclusionsInhaled-nebulized EtOH is effective in rapidly improving the clinical status and reducing further treatment. Due to its low cost, availability, and absent/tolerable adverse events, it could be recommended as an adjunctive treatment for moderate COVID-19. Further research on curative effects in more serious cases and in prevention is advisable.

Indexed as

coronavirus diseasecoronavirus disease 2019covid-19ethanolinhalationnebulized ethanolnebulizersars-cov-2

Identifiers

PMID36505954
PMCPMC9728981
OpenAlexW4311286899

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.