1. Treatment for COVID-19—a cohort study from Northern Italy
- Author
-
Guglielmetti, Lorenzo, Aschieri, Daniela, Kontsevaya, Irina, Calabrese, Francesco, Donisi, Alessandra, Faggi, Alberto, Ferrante, Patrizia, Fronti, Elisa, Gerna, Laura, Leoni, Maria Cristina, Paolillo, Franco, Ratti, Giovanna, Ruggieri, Alessandro, Sacchini, Daria, Scotti, Marta, Valdatta, Caterina, Stabile, Marco, Taliani, Gloria, Codeluppi, Mauro, Centre d'Immunologie et des Maladies Infectieuses (CIMI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Piacenza Hospital, Centre National de Référence des Mycobactéries et de la Résistance aux Antituberculeux [CHU Pitié-Salpêtrière] (CNR-MyRMA), CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Forschungszentrum Borstel - Research Center Borstel, Lübeck University of Applied Sciences, Campus Universitat Illes Balears, Università degli Studi di Roma 'La Sapienza' = Sapienza University [Rome] (UNIROMA), HAL-SU, Gestionnaire, Centre d'Immunologie et de Maladies Infectieuses (CIMI), Centre National de Référence des Mycobactéries et de la Résistance aux Antituberculeux [CHU Pitié-Salpêtrière], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Università degli Studi di Roma 'La Sapienza' = Sapienza University [Rome], and Società Italiana di Malattie Infettive e Tropicali
- Subjects
Male ,Epidemiology ,Science ,Azithromycin ,Antibodies, Monoclonal, Humanized ,Antiviral Agents ,Article ,Patient Admission ,Adrenal Cortex Hormones ,Humans ,Hospital Mortality ,Aged ,Probability ,Proportional Hazards Models ,Retrospective Studies ,[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology ,Heparin ,SARS-CoV-2 ,COVID-19 ,Middle Aged ,COVID-19 Drug Treatment ,Hospitalization ,Treatment Outcome ,Italy ,Viral infection ,Medicine ,Female ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
Multicentre, retrospective cohort study with multivariable Cox proportional-hazards modelling and survival-time inverse-probability-weighting, evaluating the impact of different treatments on survival of proven COVID-19 patients admitted to two Hospitals in the province of Piacenza, Italy. Use of tocilizumab and of high doses of low molecular weight heparin, but not of antivirals (either alone or in combination), azithromycin, and any corticosteroid, was independently associated with lower mortality. Our results support further clinical evaluation of high doses of low molecular weight heparin and tocilizumab as COVID-19 therapeutics., The work of the corresponding author (LG) in the Hospital of Piacenza was supported by the Italian Society of Infectious and Tropical Diseases (SIMIT).
- Published
- 2021