Evidence map›Paper›PMID 37182918›Full record

ArticleSaudi medical journal2023

Comparing oxygen demand in critical covid-19 patients using single versus double doses of tocilizumab.

Abdullah U Althemery, Marzoog A Albadi, Ahmad F Allaf, Shekhah S Almoqren, Amal H Alnajjar, Faisal K Alkholifi

Abstract read
In one paragraph

Article in Saudi medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Abdullah U AlthemeryFrom the Department of Clinical Pharmacy (Abdullah, Fisal), College of Pharmacy, Prince Sattam bin Abdulaziz University, Al-Kharj; from the Internal Medicine Department (Marzoog, Ahmad) and Pharmacy Department (Amal), Security Forces Hospital; and from Pharmaceutical Care Services (Shekhah), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Marzoog A AlbadiFrom the Department of Clinical Pharmacy (Abdullah, Fisal), College of Pharmacy, Prince Sattam bin Abdulaziz University, Al-Kharj; from the Internal Medicine Department (Marzoog, Ahmad) and Pharmacy Department (Amal), Security Forces Hospital; and from Pharmaceutical Care Services (Shekhah), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Ahmad F AllafFrom the Department of Clinical Pharmacy (Abdullah, Fisal), College of Pharmacy, Prince Sattam bin Abdulaziz University, Al-Kharj; from the Internal Medicine Department (Marzoog, Ahmad) and Pharmacy Department (Amal), Security Forces Hospital; and from Pharmaceutical Care Services (Shekhah), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Shekhah S AlmoqrenFrom the Department of Clinical Pharmacy (Abdullah, Fisal), College of Pharmacy, Prince Sattam bin Abdulaziz University, Al-Kharj; from the Internal Medicine Department (Marzoog, Ahmad) and Pharmacy Department (Amal), Security Forces Hospital; and from Pharmaceutical Care Services (Shekhah), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Amal H AlnajjarFrom the Department of Clinical Pharmacy (Abdullah, Fisal), College of Pharmacy, Prince Sattam bin Abdulaziz University, Al-Kharj; from the Internal Medicine Department (Marzoog, Ahmad) and Pharmacy Department (Amal), Security Forces Hospital; and from Pharmaceutical Care Services (Shekhah), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Faisal K AlkholifiFrom the Department of Clinical Pharmacy (Abdullah, Fisal), College of Pharmacy, Prince Sattam bin Abdulaziz University, Al-Kharj; from the Internal Medicine Department (Marzoog, Ahmad) and Pharmacy Department (Amal), Security Forces Hospital; and from Pharmaceutical Care Services (Shekhah), King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the outcomes of single versus double doses of tocilizumab in patients with severe COVID-19, especially on different types of oxygenation requirements.

methodsThis cross-sectional study was carried out from January 2020 to March 2020. Patients diagnosed with COVID-19, who received at least one dose of tocilizumab, were included. The dependent variable was tocilizumab dose (single versus double). The primary outcome variable was oxygen demand on the first and last day of hospitalization. A series of comparisons between patients administered one dose of tocilizumab versus 2 doses were conducted.

resultsHerein, 80 patients with severe COVID-19 infection were included, of whom 68.8% received one dose of tocilizumab, while 31.3% received a double dose. Two-thirds of the patients were male, with an overall average age of 58 years. In patients receiving 2 doses, oxygen demand tended to worsen by the seventh day, while in those who received one dose. The group that received 2 doses had a longer length of hospital stay.

conclusionThis study could not capture the additional value of the second dose for different health outcomes. However, the results can inform clinician from experience when facing uncertainty due to new virus or variant.

Indexed as

COVID-19Antibodies, Monoclonal, HumanizedCOVID-19 Drug TreatmentCross-Sectional StudiesFemaleHumansMaleMiddle AgedOxygenSARS-CoV-2Treatment OutcomeAntibodies, Monoclonal, HumanizedOxygentocilizumabantiviralCOVID-19double doseoxygen demandSaudi Arabiatocilizumab

Identifiers

PMID37182918
PMCPMC10187733

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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.