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Clinical characteristics and outcomes of COVID-19 patients in a tertiary hospital in Baguio City, Philippines

Cortez et al., Western Pacific Surveillance and Response Journal, doi:10.5365/wpsar.2021.12.4.852
Nov 2021  
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Mortality 15% Improvement Relative Risk HCQ for COVID-19  Cortez et al.  LATE TREATMENT Is late treatment with HCQ beneficial for COVID-19? Retrospective 280 patients in Philippines (March - October 2020) Study underpowered to detect differences c19hcq.org Cortez et al., Western Pacific Surveil.., Nov 2021 FavorsHCQ Favorscontrol 0 0.5 1 1.5 2+
HCQ for COVID-19
1st treatment shown to reduce risk in March 2020, now with p < 0.00000000001 from 419 studies, recognized in 46 countries.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 109 treatments. c19hcq.org
Retrospective 280 hospitalized patients in the Philippines, 25 treated with HCQ, not showing any significant differences in unadjusted results.
This study is excluded in the after exclusion results of meta analysis: unadjusted results with no group details.
risk of death, 15.0% lower, RR 0.85, p = 1.00, treatment 1 of 25 (4.0%), control 12 of 255 (4.7%), NNT 142.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Cortez et al., 11 Nov 2021, retrospective, Philippines, peer-reviewed, 29 authors, study period March 2020 - October 2020.
This PaperHCQAll
Clinical characteristics and outcomes of COVID-19 patients in a tertiary hospital in Baguio City, Philippines
Karen Joyce Cortez, Bernard A Demot, Samantha S Bartolo, Dexter D Feliciano, Verna Moila Ciriaco, Imari Irish Labi, Denzelle Diane Viray, Jenna Charise Casuga, Karol Anne Camonayan-Flor, Precious Mae Gomez, Marie Ellaine Velasquez, Thea Pamela Cajulao, Jovy E Nigos, Maria Lowella De Leon, Domingo P Solimen, Angelita G Go, Francis M Pizarro, Larry C Haya Jr, Ray P Aswat, Virginia B Mangati, Caesar Noel Palaganas, Mylene N Genuino, Kimberley M Cutiyog-Ubando, Karen C Tadeo, Marinelle Longid, Nowell Benedict Catbagan, Joel B Bongotan, Beverly Anne Dominguez-Villar, Joeffrey B Dalao
Western Pacific Surveillance and Response Journal, doi:10.5365/wpsar.2021.12.4.852
oronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), primarily targets the respiratory system. In December 2019, an epidemiological alert was released in China following a rise in cases of pneumonia of unknown cause. The Philippines announced its first confirmed case on 31 January 2020. 1,2 The World Health Organization (WHO) officially declared a global pandemic on 11 March 2020, by which time the Philippines already had 49 confirmed cases, largely in the National Capital Region. 2 Baguio City is located north of Manila, within the Cordillera Central mountain range in northern Luzon. The estimated population is 345 000, with adults (aged 19-60 years) and those aged over 60 years comprising 52% and 6.6% of the population, respectively. 3 Leading causes of morbidity include hypertension, diabetes, bronchitis and asthma. 4 The first confirmed case in Baguio City was recorded on the city's ninth day of quarantine during March 2020, with local sustained transmission declared six months later. 5 Worldwide, by the end of October 2020, there were 43 623 111 confirmed cases and 1 161 311 deaths. At that time in the Philippines, cases had risen
Conflicts of interest The authors declare no conflicts of interest. Ethics approval This study has been approved by the Ethics Review Board of Baguio General Hospital and Medical Center, Baguio City, Philippines.
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Clinical ' 'characteristics and outcomes (frequency and type of complication, recovery rate and ' 'mortality) were evaluated. Multiple logistic regression was used to analyse factors ' 'associated with mortality. Results: The mean age of COVID-19 patients was 48.4 years and the ' 'female-to-male ratio was 1.8:1. Hypertension, cardiovascular disease (CVD) and diabetes were ' 'the most frequent comorbidities reported. Common presenting symptoms were respiratory and ' 'constitutional, with 41% of patients not reporting symptoms on admission. Patients with ' 'moderate, severe and critical disease comprised 45%, 8% and 4%, respectively. A total of 15% ' 'had complications, health care-associated pneumonia being the most frequent complication. The ' 'recovery rate was 95%; 5% of patients died, with multiorgan failure being the most common ' 'cause. The presence of CVD, chronic kidney disease, prolonged prothrombin time and elevated ' 'lactate dehydrogenase (LDH) were associated with mortality. Discussion: Most COVID-19 ' 'patients in our population had asymptomatic to moderate disease on admission. Mortality from ' 'COVID-19 was associated with having CVD, chronic kidney disease, elevated LDH and prolonged ' 'prothrombin time. 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Late treatment
is less effective
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