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Outcome of Different Therapeutic Interventions in Mild COVID-19 Patients in a Single OPD Clinic of West Bengal: A Retrospective study

Roy et al., medRxiv, doi:10.1101/2021.03.08.21252883
Mar 2021  
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Time to clinical response.. 2% primary Improvement Relative Risk HCQ for COVID-19  Roy et al.  EARLY TREATMENT Is early treatment with HCQ beneficial for COVID-19? Retrospective 29 patients in India No significant difference in recovery c19hcq.org Roy et al., medRxiv, March 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 112 treatments. c19hcq.org
Retrospective database analysis of 56 mild COVID-19 patients, all treated with vitamin C, vitamin D, and zinc, comparing ivermectin + doxycycline (n=14), AZ (n=13), HCQ (n=14), and SOC (n=15), finding that all groups recover quickly, and there was no significant difference between the groups.
This study is excluded in the after exclusion results of meta analysis: no serious outcomes reported and fast recovery in treatment and control groups, there is little room for a treatment to improve results.
Study covers HCQ and ivermectin.
relative time to clinical response of wellbeing, 2.4% lower, relative time 0.98, p = 0.96, treatment 14, control 15, primary outcome.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Roy et al., 12 Mar 2021, retrospective, database analysis, India, preprint, 5 authors, dosage not specified.
This PaperHCQAll
Outcome of Different Therapeutic Interventions in Mild COVID-19 Patients in a Single OPD Clinic of West Bengal: A Retrospective study
Dr Sayak Roy, Shambo Samrat Samajdar, Santanu K Tripathi, Shatavisa Mukherjee, Kingshuk Bhattacharjee
doi:10.1101/2021.03.08.21252883
Introduction: With over 87,273,380 cases being reported and 1,899,440 deaths worldwide as of 9th January 2021, Coronavirus disease 2019 (COVID-19) has become the worst-hit pandemic till date. Every day clinicians are bombarded with many new treatment options that claim to be better than the others.
References
Ahmed, Karim, Ross, A five-day course of ivermectin for the treatment of COVID-19 may reduce the duration of illness, Int J Infect Dis
Ciccullo, Borghetti, Dal Verme, Neutrophil-to-lymphocyte ratio and clinical outcome in COVID-19: a report from the Italian front line, Int J Antimicrob Agents
Healthworld, COVID-19: Health Ministry issues revised home isolation guidelines
Janowitz, Gablenz, Pattinson, Famotidine use and quantitative symptom tracking for COVID-19 in non-hospitalised patients: a case series, Gut
Liu, Cao, Xu, Hydroxychloroquine, a less toxic derivative of chloroquine, is effective in inhibiting SARS-CoV-2 infection in vitro, Cell Discov
Ncid, None
Oldenburg, Doan, Azithromycin for severe COVID-19, Lancet
Roy, Journey So Far With COVID 19 -A Comprehensive Review, European Journal Of Clinical And Experimental Medicine
Roy, Mainakmukhopadhyay, Ventricular arrhythmia risk based on ethnicity in COVID-19 patients on hydroxychloroquine and azithromycin combination: Viewpoint, SN Compr Clin Med
Ruan, Yang, Wang, Jiang, Song, Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China, Intensive Care Med
Summary, Therapeutic management of patients with COVID-19
Velavan, Meyer, Mild versus severe COVID-19: Laboratory markers, Int J Infect Dis
Who, None
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Zamanian, Pollack, Jr, Gentile, Outpatient inhaled nitric oxide in a patient with vasoreactive idiopathic pulmonary arterial hypertension and COVID-19 infection, Am J Respir Crit Care Med
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Every day ' 'clinicians are bombarded with many new treatment options that claim to be better than the ' 'others.</jats:p></jats:sec><jats:sec><jats:title>Materials and ' 'methods</jats:title><jats:p>After screening the electronic database of COVID-19 patients ' 'retrospectively, 56 patients with mild COVID-19 infection matched the inclusion criteria and ' 'were divided into the four following groups - group having used Hydroxychloroquine (HCQ), ' 'group using doxycycline (DOX) + Ivermectin (IVR) combination, group receiving only ' 'azithromycin (AZ) and, group receiving only symptomatic treatment. The study’s primary ' 'objective was to see Clinical response of well-being (CRWB) reporting time after initiating ' 'treatment onset between the four different treatment ' 'arms.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>CRWB did not ' 'differ between the four groups receiving four different managements (p-value 0.846). There ' 'was significant correlation between blood levels of LDH (p-value 0.001), CRP (p-value 0.03) ' 'and D-dimer (p-value 0.04) with CRWB in IVR+DOX group and, between LDH (p-value 0.001), CRP ' '(p-value 0.01) and age (p-value 0.035) with CRWB in the symptomatic management ' 'group.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Mild COVID-19 ' 'infection in patients having low-risk to progress can be managed symptomatically without any ' 'specific drug intervention.</jats:p></jats:sec>', 'DOI': '10.1101/2021.03.08.21252883', 'type': 'posted-content', 'created': {'date-parts': [[2021, 3, 12]], 'date-time': '2021-03-12T14:40:23Z', 'timestamp': 1615560023000}, 'source': 'Crossref', 'is-referenced-by-count': 1, 'title': 'Outcome of Different Therapeutic Interventions in Mild COVID-19 Patients in a Single OPD Clinic ' 'of West Bengal: A Retrospective study', 'prefix': '10.1101', 'author': [ { 'ORCID': 'http://orcid.org/0000-0002-6185-9375', 'authenticated-orcid': False, 'given': 'Sayak', 'family': 'Roy', 'sequence': 'first', 'affiliation': []}, {'given': 'Shambo Samrat', 'family': 'Samajdar', 'sequence': 'additional', 'affiliation': []}, {'given': 'Santanu K', 'family': 'Tripathi', 'sequence': 'additional', 'affiliation': []}, { 'ORCID': 'http://orcid.org/0000-0001-9524-1525', 'authenticated-orcid': False, 'given': 'Shatavisa', 'family': 'Mukherjee', 'sequence': 'additional', 'affiliation': []}, {'given': 'Kingshuk', 'family': 'Bhattacharjee', 'sequence': 'additional', 'affiliation': []}], 'member': '246', 'reference': [ { 'key': '2021032410001188000_2021.03.08.21252883v2.1', 'unstructured': 'Who.int. 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