Evidence map›Paper›PMID 36707494›Full record

Observational studyInflammopharmacology2023

High-dose intravenous anakinra treatment is safe and effective in severe and critical COVID-19 patients: a propensity score-matched study in a single center.

Murat Bektaş, Servet Yüce, Mustafa Ay, Muhammed Hamdi Uyar, Mustafa Erkut Önder, Muhammed İkbal Kılıç

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Inflammopharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. 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

6 authors at 2 institutions in 1 country.

Murat BektaşDivision of Rheumatology, Department of Internal Medicine, Aksaray Training and Research Hospital, Yeni Sanayi Mahallesi, 68200, Merkez/Aksaray, Turkey. bektas.murat1988@gmail.com.ORCID http://orcid.org/0000-0002-1788-3837
Servet YüceDepartment of Public Health and Biostatistics, Istanbul Faculty of Medicine, Çapa, Şehremini, Istanbul, Turkey.
Mustafa AyDepartment of Emergency Medicine, Aksaray Training and Research Hospital, 68200, Merkez/Aksaray, Turkey.
Muhammed Hamdi UyarDepartment of Emergency Medicine, Aksaray Training and Research Hospital, 68200, Merkez/Aksaray, Turkey.
Mustafa Erkut ÖnderDivision of Rheumatology, Department of Physical Therapy and Rehabilitation, Aksaray Training and Research Hospital, Yeni Sanayi Mahallesi, 68200, Merkez/Aksaray, Turkey.ORCID http://orcid.org/0000-0001-9349-9530
Muhammed İkbal KılıçDepartment of Internal Medicine, Aksaray Training and Research Hospital, Yeni Sanayi Mahallesi, 68200, Merkez/Aksaray, Turkey.
Aksaray University · TRIstanbul University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn COVID-19, severe disease course such as need of intensive care unit (ICU) as well as development of mortality is mainly due to cytokine storm. In this study, we aimed to evaluate the high-dose intravenous anakinra treatment response and outcome in patients with severe and critically ill COVID-19 compared to standard of care.

methodsThis retrospective observational study was carried out at a tertiary referral center. The study population consisted of two groups as follows: the patients receiving high-dose intravenous anakinra (anakinra group) between 01.09.2021 and 01.02.2022 and the patients treated with standard of care (SoC, control group) as historical control group who were hospitalized between 01.07.2021 and 01.09.2021.

resultsAfter the propensity score 1:1 matching, 79 patients in anakinra and 79 patients in SoC matched and were included into the analysis. Mean ± SD patient age was 67.4 ± 16.7 and 67.1 ± 16.3 years in anakinra and SoC groups, respectively (p = 0.9). Male gender was 38 (48.7%) in anakinra and 36 (46.2%) in SoC (p = 0.8). Overall, ICU admission was in 14.1% (n = 11) and 30.8% (n = 24) (p = 0.013; OR 6.2), intubation in 12.8% (n = 10) and 16.7% (n = 13) patients (p = 0.5), and 14.1% (n = 11) and 32.1% (n = 25) patients died in anakinra and control groups, respectively (p = 0.008; OR 7.1).

conclusionIn our study, mortality was lower in patients receiving anakinra compared to SoC. Intravenous high-dose anakinra is safe and effective treatment in patients with severe and critical COVID-19.

Indexed as

COVID-19AgedAged, 80 and overHumansInterleukin 1 Receptor Antagonist ProteinMaleMiddle AgedPropensity ScoreRetrospective StudiesSARS-CoV-2Interleukin 1 Receptor Antagonist ProteinAnakinraCOVID-19Cytokine stormHyperinflammationPropensity score

Identifiers

PMID36707494
PMCPMC9882740
OpenAlexW4318262680

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.