Evidence map›Paper›PMID 34834586›Full record

ArticleJournal of personalized medicine2021

Intensive Care Patients from the First COVID-19 Wave: One-Year Survival after Tocilizumab Treatment.

Gabriele Melegari, Enrico Giuliani, Chiara Dallai, Lucia Veronesi, Elisabetta Bertellini, Suela Osmenaj, Alberto Barbieri

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Gabriele MelegariDepartment of Anaesthesia and Intensive Care, Azienda Ospedaliero-Universitaria di Modena, 41121 Modena, Italy.ORCID 0000-0003-4512-4835
Enrico GiulianiDepartment of Medical, Surgical, Maternal-Child and Adult Sciences, University of Modena and Reggio Emilia, 41121 Modena, Italy.
Chiara DallaiDepartment of Anaesthesia and Intensive Care, Azienda Ospedaliero-Universitaria di Modena, 41121 Modena, Italy.ORCID 0000-0002-8282-6193
Lucia VeronesiSchool of General Surgery, University of Modena and Reggio Emilia, 41121 Modena, Italy.
Elisabetta BertelliniDepartment of Anaesthesia and Intensive Care, Azienda Ospedaliero-Universitaria di Modena, 41121 Modena, Italy.
Suela OsmenajSchool of Anaesthesia and Intensive Care, University of Modena and Reggio Emilia, 41121 Modena, Italy.
Alberto BarbieriSchool of Anaesthesia and Intensive Care, University of Modena and Reggio Emilia, 41121 Modena, Italy.
University of Modena and Reggio Emilia · ITAzienda Ospedaliero-Universitaria di Modena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn infection by COVID-19 triggers a dangerous cytokine storm, so tocilizumab has been introduced in Italy as an agent blocking the cytokine storm. This paper aims to describe the one-year survival of ICU patients treated with tocilizumab.

methodsThis observational study enrolled all patients confirmed to be infected by COVID-19 who were admitted to the ICU in our center. We offered tocilizumab to all non-septic patients if they did not present any contraindications.

resultsWe enrolled 68 ICU patients in our center on 72 occasions during the enrollment period; we excluded four patients due to study criteria. The one-year mortality hazard ratio of treated patients was 0.64, with a confidence interval of 0.31 to 1.19, with

conclusionsOur observational data follow the most relevant largest trial. Patients treated with tocilizumab had lower rates of new-onset symptoms later COVID-19 ICU hospitalizations. As reported by recent medical literature, the presence of these symptoms suggests that a follow-up program for these types of patients could be useful.

Indexed as

COVID-19COVID-19 post-infection symptomscytokine storm medication

Identifiers

PMID34834586
PMCPMC8622280
OpenAlexW3217730192

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.