Journal of Multidisciplinary Healthcare,
Journal Year:
2023,
Volume and Issue:
Volume 16, P. 4193 - 4209
Published: Dec. 1, 2023
The
outbreak
of
COVID-19
has
led
to
a
global
pandemic
with
millions
cases
and
deaths.
Many
randomized
controlled
trials
(RCTs)
were
conducted
establish
effective
therapies.
However,
the
methodological
quality
these
is
paramount,
as
it
directly
impacts
reliability
results.
This
systematic
review
bibliometric
analysis
aim
assess
approach,
execution
diversity,
trends,
distribution
treatment
RCTs
post-outbreak,
covering
period
from
second
wave
onward
up
present.We
utilize
articles
three
electronic
databases
published
September
1,
2020,
April
2023.
Inclusion
exclusion
criteria
applied
identify
relevant
RCTs.
Data
extraction
involved
collection
various
study
details.
Risk
Bias
(RoB)
2
tool
assessed
quality,
while
implementation
variability
was
evaluated
against
registration
information.
Bibliometric
analysis,
including
keyword
co-occurrence
country
distribution,
used
VOSviewer
Tableau
software.Initially,
501
studies
identified,
but
only
22
met
inclusion
criteria,
which
19
had
assessment
revealed
deficiencies
in
five
main
domains:
randomization
process
(36%),
deviations
intended
interventions
(9%),
missing
outcome
data
(4%),
measurement
(18%),
selection
reported
results
(4%).
An
alignment
between
research
protocols
common
eight
critical
aspects.
findings
showcased
collaboration
RCTs,
Iran
Brazil
prominently
contributing,
illuminated
prominent
trends
terms
titles
abstracts.This
offers
valuable
insights
into
evaluation
scarcity
high-quality
highlights
importance
enhancing
trial
rigor
transparency
health
emergencies.
BMC Infectious Diseases,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Aug. 1, 2024
Abstract
Purpose
In
this
study,
we
aim
to
explore
the
efficacy
of
paxlovid
on
reducing
mortality
COVID-19
patients
in
clinical
setting,
especially
whether
modifies
risk
death
these
severe
and
critical
patients.
Methods
Our
retrospective
cohort
study
was
conducted
medical
records
patients,
consecutively
admitted
for
five
hospitals
Chongqing,
China
from
Dec
8,
2022
Jan
20,
2023.
Based
received
during
their
hospitalization,
were
grouped
as
group
non-paxlovid
group.
We
used
1:1
ratio
propensity
score
matching
(PSM)
our
adjust
confounding
factors
differences
between
groups.
Statistical
analysis
performed
by
SPSS
23.0.
The
28-day
two
groups
its
influencing
main
results
focused
on.
Results
There
1018
included
cohort.
With
PSM,
each
237
showed
that
using
have
a
lower
overall
population
either
before
PSM
(OR
0.594,
95%
CI
0.385–0.917,
p
=
0.019)
or
after
0.458,
0.272–0.774,
0.003)
with
multivariable
adjusted
logistic
regression
models.
Meanwhile,
subgroup,
it
similar
findings.With
treatment,
significantly
subgroup
both
(28%
vs.41%,
0.008)
(19%
vs.32%,
0.007).
Conclusion
Paxlovid
can
reduce
patients.This
distinguished
who
benefit
more
treatment.
PubMed,
Journal Year:
2023,
Volume and Issue:
14(3), P. 543 - 552
Published: Jan. 1, 2023
Whilst
over
two
years
have
passed
since
the
COVID-19
pandemic's
emergence,
proper
management
of
disease
remains
challenging.
N-acetylcysteine
(NAC)
as
a
potentially
effective
therapeutic
option
has
been
suggested
by
studies,
while
exact
clinical
role
this
agent
is
yet
to
be
evaluated.This
prospective
case-control
study
was
conducted
in
major
referral
respiratory
center
Tehran,
Iran.
We
enrolled
217
patients
treated
with
an
intravenous
daily
dose
1500
mg
NAC
case
group;
and
245
control
who
did
not
receive
NAC.
Two
groups
were
matched
based
on
other
treatments,
socio-demographics,
medical
history,
comorbidities.After
ten
days
adjuvant
therapy
NAC,
group
had
median
room-air
SpO2
91%
88%,
respectively
(P=0.02).
Also,
FiO2
ratio
463
421
groups,
(P=0.01).
Furthermore,
group's
hospitalization
period
three
shorter
(P=0.002).
Further,
cough,
dyspnea,
decreased
appetite
reported
significantly
lower
incidence
(P=0.03,
0.001,
0.008).We
showed
that
hospitalized
could
shorten
hospital
stay
improve
some
symptoms;
however,
it
does
remarkably
risk
ICU
admission
28
in-hospital
mortality
rate.
Journal of Multidisciplinary Healthcare,
Journal Year:
2023,
Volume and Issue:
Volume 16, P. 4193 - 4209
Published: Dec. 1, 2023
The
outbreak
of
COVID-19
has
led
to
a
global
pandemic
with
millions
cases
and
deaths.
Many
randomized
controlled
trials
(RCTs)
were
conducted
establish
effective
therapies.
However,
the
methodological
quality
these
is
paramount,
as
it
directly
impacts
reliability
results.
This
systematic
review
bibliometric
analysis
aim
assess
approach,
execution
diversity,
trends,
distribution
treatment
RCTs
post-outbreak,
covering
period
from
second
wave
onward
up
present.We
utilize
articles
three
electronic
databases
published
September
1,
2020,
April
2023.
Inclusion
exclusion
criteria
applied
identify
relevant
RCTs.
Data
extraction
involved
collection
various
study
details.
Risk
Bias
(RoB)
2
tool
assessed
quality,
while
implementation
variability
was
evaluated
against
registration
information.
Bibliometric
analysis,
including
keyword
co-occurrence
country
distribution,
used
VOSviewer
Tableau
software.Initially,
501
studies
identified,
but
only
22
met
inclusion
criteria,
which
19
had
assessment
revealed
deficiencies
in
five
main
domains:
randomization
process
(36%),
deviations
intended
interventions
(9%),
missing
outcome
data
(4%),
measurement
(18%),
selection
reported
results
(4%).
An
alignment
between
research
protocols
common
eight
critical
aspects.
findings
showcased
collaboration
RCTs,
Iran
Brazil
prominently
contributing,
illuminated
prominent
trends
terms
titles
abstracts.This
offers
valuable
insights
into
evaluation
scarcity
high-quality
highlights
importance
enhancing
trial
rigor
transparency
health
emergencies.