Inflammation characteristics and anti-inflammation treatment with tocilizumab of severe/critical COVID-19 patients: A retrospective cohort study Article Swipe
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· 2021
· Open Access
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· DOI: https://doi.org/10.7150/ijbs.56952
The efficacy of tocilizumab on the prognosis of severe/critical COVID-19 patients is still controversial so far. We aimed to delineate the inflammation characteristics of severe/critical COVID-19 patients and determine the impact of tocilizumab on hospital mortality. Here, we performed a retrospective cohort study which enrolled 727 severe or critical inpatients (≥18 years old) with laboratory-confirmed COVID-19 from Huoshenshan Hospital (Wuhan, China), among which 50 patients received tocilizumab. This study confirmed that most recovered patients manifested relatively normal inflammation levels at admission, whereas most of the deceased cases presented visibly severe inflammation at admission and even progressed into extremely aggravated inflammation before their deaths, proved by some extremely high concentrations of interleukin-6, procalcitonin, C-reactive protein and neutrophil count. Moreover, based on the Cox proportional-hazards models before or after propensity score matching, we demonstrated that tocilizumab treatment could lessen mortality by gradually alleviating excessive inflammation and meanwhile continuously enhancing the levels of lymphocytes within 14 days for severe/critical COVID-19 patients, indicating potential effectiveness for treating COVID-19.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.7150/ijbs.56952
- https://www.ijbs.com/v17p2124.pdf
- OA Status
- gold
- Cited By
- 4
- References
- 30
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3171559254
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3171559254Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.7150/ijbs.56952Digital Object Identifier
- Title
-
Inflammation characteristics and anti-inflammation treatment with tocilizumab of severe/critical COVID-19 patients: A retrospective cohort studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-01-01Full publication date if available
- Authors
-
Qin Hu, Yu Xu, Ying Xiang, Bin Wang, Zhiquan Yuan, Yifan Shan, Wenjing Zhang, Na Wu, Tingting Xia, Chengying Li, Weijia Xie, Xiaoyue Jia, Zubin Yu, Li Bai, Yafei LiList of authors in order
- Landing page
-
https://doi.org/10.7150/ijbs.56952Publisher landing page
- PDF URL
-
https://www.ijbs.com/v17p2124.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.ijbs.com/v17p2124.pdfDirect OA link when available
- Concepts
-
Tocilizumab, Procalcitonin, Medicine, Retrospective cohort study, Internal medicine, Propensity score matching, Inflammation, Coronavirus disease 2019 (COVID-19), Cohort, Systemic inflammation, Sepsis, Rheumatoid arthritis, Disease, Infectious disease (medical specialty)Top concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2024: 1, 2023: 1, 2022: 1, 2021: 1Per-year citation counts (last 5 years)
- References (count)
-
30Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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