Evidence map›Paper›PMID 36817306›Full record

ArticleJournal of community hospital internal medicine perspectives2023

Infectious Complications After Tocilizumab in Patients with COVID: A Real-World Experience.

Hongli Liu, Chengu Niu, Ahmed Elkhapery, Kaiwen Zhu, Lakshmi G Nair, Zauraiz Anjum, Charoo Iyer, Hafsa Faisal, Ming Chow

Open access · goldAbstract read
In one paragraph

Article in Journal of community hospital internal medicine perspectives, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Observational
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

9 authors at 1 institution in 1 country.

Hongli LiuInternal Medicine, Rochester General Hospital, USA.
Chengu NiuInternal Medicine, Rochester General Hospital, USA.
Ahmed ElkhaperyInternal Medicine, Rochester General Hospital, USA.
Kaiwen ZhuInternal Medicine, Rochester General Hospital, USA.
Lakshmi G NairInternal Medicine, Rochester General Hospital, USA.
Zauraiz AnjumInternal Medicine, Rochester General Hospital, USA.
Charoo IyerInternal Medicine, Rochester General Hospital, USA.
Hafsa FaisalInternal Medicine, Rochester General Hospital, USA.
Ming ChowPulmonary and Critical Care, Rochester General Hospital, USA.
Rochester General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Controversies remain regarding the safety of tocilizumab in the treatment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In this study, we seek to describe the infectious complications after tocilizumab in COVID patients and determine the related risk factors. Methods: A single-center retrospective observational study was conducted among adult patients with SARS-CoV-2 infection admitted between 06/01/2020 and 12/31/2021 who received tocilizumab at our institution. Baseline demographics and laboratory values are obtained through reviewing electronic medical records. Risk factors of infectious complications after tocilizumab are identified through regression analysis. Statistics are performed using SPSS. P-value <0.05 is considered statistically significant. Results: Out of the 52 patients identified, infectious complications after tocilizumab were documented in 30 patients (57.7%). The most common infections include pneumonia, urinary tract infections, and bacteremia of unknown sources. Overall mortality was 42.3%. Through multivariate regression analysis, age more than 65, hyperglycemia on admission, and tocilizumab administration more than 2 days after hospital admission are independent risk factors associated with developing infections. Conclusions: In real-world experience, infectious complications are not uncommon in COVID patients who receive tocilizumab. Early use of tocilizumab may be of benefit. More rigorous patient selection and monitoring should be explored in future studies.

Indexed as

Complications of treatmentCOVID-19Interleukin-6 antagonistSecondary infectionTocilizumab

Identifiers

PMID36817306
PMCPMC9924625
OpenAlexW4313824359

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.