Evidence map›Paper›PMID 40881807›Full record

ArticleGMS hygiene and infection control2025

Combination therapy with methylprednisolone and rivaroxaban for mild COVID-19 in Vietnam: laboratory and clinical insights.

Le Thi Anh Thu, Phong Hoang, Tuan Nguyen, Nguyen Phan Hoang, Ngan La Thi Thanh, Thanh Nguyen Thi Hai, Hiep Nguyen Van, Thanh Pham Tuan, Lan Tran Thi Tuyet, Nuong Nguyen Thi My and 4 more

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Article in GMS hygiene and infection control, 2025. 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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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Le Thi Anh ThuHoan My Academy, Ho Chi Minh City, Vietnam.
Phong HoangHoan My Academy, Ho Chi Minh City, Vietnam.
Tuan NguyenHoan My Thu Duc Hospital, Ho Chi Minh City, Vietnam.
Nguyen Phan HoangHoan My Thu Duc Hospital, Ho Chi Minh City, Vietnam.
Ngan La Thi ThanhHoan My Thu Duc Hospital, Ho Chi Minh City, Vietnam.
Thanh Nguyen Thi HaiHoan My Thu Duc Hospital, Ho Chi Minh City, Vietnam.
Hiep Nguyen VanHoan My Thu Duc Hospital, Ho Chi Minh City, Vietnam.
Thanh Pham TuanVan Phuc 2 Hospital, Binh Duong, Vietnam.
Lan Tran Thi TuyetVan Phuc 2 Hospital, Binh Duong, Vietnam.
Nuong Nguyen Thi MyVan Phuc 2 Hospital, Binh Duong, Vietnam.
Truc Lai Thi ThuVan Phuc 2 Hospital, Binh Duong, Vietnam.
Toan Vi VanVan Phuc 2 Hospital, Binh Duong, Vietnam.
Phuong Nguyen ThiVan Phuc 2 Hospital, Binh Duong, Vietnam.
Minh Nguyen ThienUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess the efficacy and safety of methylprednisolone combined with rivaroxaban versus rivaroxaban monotherapy in mild cases of COVID-19. Methods: This quasi-experimental study was conducted at three hospitals in Ho Chi Minh City, Vietnam, from September 2021 to March 2022. Patients received either rivaroxaban 10 mg/day (Regimen 1) or methylprednisolone 16 mg/day plus rivaroxaban 10 mg/day (Regimen 2) for 7 days. Outcomes included progression to severe disease, adverse events, and changes in clinical and laboratory parameters. Statistical analysis employed Fisher's exact test and Generalized Estimating Equations (GEE). Results: Among 108 patients, no progression to severe disease or deaths occurred. Regimen 2 significantly improved laboratory markers, including white blood cell counts (+0.290; p<0.001), platelet counts (+0.102; p=0.032), aspartate aminotransferase (+0.335; p=0.013), alanine aminotransferase (+0.397; p=0.006) and CD4 cells (+0.458; p<0.001), and reduced activated partial thromboplastin time (-0.083; p=0.003) compared to Regimen 1. No significant differences in clinical symptoms were observed. Adverse events were rare, with one non-serious event reported in Regimen 1. Conclusion: Combination therapy with methylprednisolone and rivaroxaban enhanced immune and coagulation parameters without increasing adverse events. These findings suggest potential benefits of early intervention in mild COVID-19, warranting further research.

Indexed as

combination therapyCOVID-19Methylprednisolonemild diseaseRivaroxaban

Identifiers

PMID40881807
PMCPMC12381865

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