Evidence map›Paper›PMID 36698540›Full record

Observational studyDrug design, development and therapy2023

The Benefits of Molnupiravir Treatment in Healthcare Facilities Patients with COVID-19.

Shih-Lung Cheng, Ping-Huai Wang, Cheng-Yu Chang, Hsu-Hui Wang, Chung-Jen Wang, Kuan-Ming Chiu

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Drug design, development and therapy, 2023. 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
0.8field-weighted citation impact, top 32% 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, 4 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

6 authors at 1 institution in 1 country.

Shih-Lung ChengDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, 220, Taiwan.
Ping-Huai WangDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, 220, Taiwan.ORCID 0000-0002-0304-4258
Cheng-Yu ChangDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, 220, Taiwan.
Hsu-Hui WangDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, 220, Taiwan.
Chung-Jen WangDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, 220, Taiwan.
Kuan-Ming ChiuThe Graduate Institute of Medicine, Yuan-Ze University, Taoyuan City, Taiwan.
Far Eastern Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Molnupiravir (MOL) is an oral antiviral medication that has recently been treated for COVID-19. Objectively: We perform a prospective and observational study to elucidate the efficacy and safety of MOL in healthcare patients with COVID-19. Materials and Methods: A observational, non-randomized study of patients diagnosed with COVID-19 in 46 healthcare facilities and treated with MOL started within 5 days after the onset of signs or symptoms. We recorded data for all patients, including demographic data, clinical features, and symptoms. Treatment response was classified into cure, stable, hospitalization and death. Multivariate analysis was performed with stepwise logistic regression for hospitalization and death risk factors. Results: In total, 856 patients were diagnosed as having COVID-19 and treated with MOL during the study period. Of those, 496 patients (57.9%) were cured, 256 patients (29.9%) in stable condition, 104 patients (12.2%) hospitalized, and 22 patients (2.6%) died, respectively. There was significant effectiveness (87.8%) in COVID-19 patients using MOL. Multivariate analysis was performed to confirm the risk factors for hospitalization and death and included elder age (>80 years old) (odds ratio (OR) 2.2, 95% confidence interval (CI): 1.1-6.9), old cerebrovascular accident (CVA) (OR=4.1, 95% CI: 1.3-9.9), the presence of diabetes mellitus (DM) (OR=2.6, 95% CI: 1.2-9.1) and chronic respiratory diseases (OR=2.4, 95% (CI): 1.3-8.1). Limitations: This is an observational study, neither randomized study nor control group study. Conclusion: Initial treatment with MOL has the treatment benefits and is well tolerated for patients with COVID-19 in healthcare facilities. Older age, old CVA, DM, and chronic respiratory diseases were independent risk factors for hospitalization and mortality. The results demonstrate there are important clinical benefits of MOL beyond the reduction in hospitalization or death for these patients with more comorbidities in Taiwan.

Indexed as

COVID-19Diabetes MellitusAgedAged, 80 and overComorbidityCytidineDelivery of Health CareHospitalizationHumansHydroxylaminesProspective StudiesRetrospective StudiesSARS-CoV-2CytidineHydroxylaminesmolnupiravirclinical benefitcomorbidityCOVID-19healthcare facilityhospitalizationmolnupiravir

Identifiers

PMID36698540
PMCPMC9869894
OpenAlexW4317401500

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.