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ArticleCentral European journal of public health2024

Analysis of COVID-19 patient outcomes with molnupiravir treatment and the role of risk factors: a single-centre retrospective descriptive study.

Ondrej Zahornacký, Štefan Porubčin, Alena Rovňáková, Pavol Jarčuška, Dária Semenovová, Paulína Kubalcová, Erik Dorko, Kvetoslava Rimárová

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Article in Central European journal of public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Ondrej ZahornackýDepartment of Infectology and Travel Medicine, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic.
Štefan PorubčinDepartment of Infectology and Travel Medicine, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic.
Alena RovňákováDepartment of Infectology and Travel Medicine, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic.
Pavol JarčuškaDepartment of Infectology and Travel Medicine, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic.
Dária SemenovováDepartment of Infectology and Travel Medicine, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic.
Paulína KubalcováDepartment of Radiology, AGEL Hospital, Levoca, Slovak Republic.
Erik DorkoDepartment of Public Health and Hygiene, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic.
Kvetoslava RimárováDepartment of Public Health and Hygiene, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to describe the outcomes of COVID-19 patients treated with molnupiravir and to explore the associations with various risk factors.

methodsWe conducted a single-centre, descriptive, retrospective study without a comparison group.

resultsOut of 141 patients, 70 (49.7%) required follow-up outpatient care. In the subgroup of 66 (46.8%) hospitalized patients, 28 (19.9%) developed interstitial viral pneumonia, with 6 (4.3%) deaths. Unvaccinated patients had a higher incidence of pneumonia (p = 0.020), and obesity was a significant risk factor for both pneumonia (p = 0.001) and mortality (p = 0.011). Patients over 60 years (p = 0.040) and those with cardiovascular diseases (p = 0.026) also had increased pneumonia risk. Male sex was associated with a higher risk of death (p = 0.020).

conclusionMolnupiravir treatment was linked to reduced risks of hospitalization and death, particularly in high-risk patients. Vaccination provided additional protection, and obesity obstructive pulmonary disease and autoimmune diseases were significant risk factors for severe outcomes.

Indexed as

Antiviral AgentsCOVID-19 Drug TreatmentCytidineHydroxylaminesAdultAgedAged, 80 and overCOVID-19FemaleHospitalizationHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSARS-CoV-2Antiviral AgentsCytidineHydroxylaminesmolnupiravircentreCOVID-19molnupiravirrisk factorssingleSlovakiastudytreatment

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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.