Baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe COVID-19 pneumonia: A retrospective analysis

Objective: We aimed to analyze clinical outcomes from patients with severe COVID-19 pneumonia that received either baricitinib plus dexamethasone or dexamethasone monotherapy. Methodology: We performed a retrospective comparative study. Data from hospitalized patients with severe COVID-19 pneumon...

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Autores principales: Pérez Alba, Eduardo, Nuzzolo Shihadeh, Laura Marina, Aguirre García, Gloria Mayela, Espinosa Mora, Jaime Eugenio, Lecona García, Juan Diego, Flores Pérez, Rómulo Omar, Mendoza Garza, Marisela, Camacho Ortiz, Adrián
Formato: Artículo
Lenguaje:Spanish / Castilian
Publicado: Scientific Communications International 2021
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Acceso en línea:http://eprints.uanl.mx/22454/1/22454.pdf
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author Pérez Alba, Eduardo
Nuzzolo Shihadeh, Laura Marina
Aguirre García, Gloria Mayela
Espinosa Mora, Jaime Eugenio
Lecona García, Juan Diego
Flores Pérez, Rómulo Omar
Mendoza Garza, Marisela
Camacho Ortiz, Adrián
author_facet Pérez Alba, Eduardo
Nuzzolo Shihadeh, Laura Marina
Aguirre García, Gloria Mayela
Espinosa Mora, Jaime Eugenio
Lecona García, Juan Diego
Flores Pérez, Rómulo Omar
Mendoza Garza, Marisela
Camacho Ortiz, Adrián
author_sort Pérez Alba, Eduardo
collection Repositorio Institucional
description Objective: We aimed to analyze clinical outcomes from patients with severe COVID-19 pneumonia that received either baricitinib plus dexamethasone or dexamethasone monotherapy. Methodology: We performed a retrospective comparative study. Data from hospitalized patients with severe COVID-19 pneumonia (saturation <93%, bilateral pulmonary infiltrates) thatwere treated with baricitinib plus dexamethasone or dexamethasone were collected. Our primary objective was to compare overall mortality and secondly to compare progression to mechanical ventilation and over infection rates. Results: A total of 793 patients were assessed for inclusion criteria, 596 were excluded and 197 were analyzed for primary outcome: 123 in the baricitinib plus dexamethasone group and 74 in the dexamethasone monotherapy group. The mean age was 59.9 years (SD � 14.5) and 62.1% (123/197) were male. 42.9% (85/197) of the cases required ICU admission and 25.8% (51/197) underwent invasive mechanical ventilation (IMV). Overall thirty-day mortality was 27.9% (55/ 197); Mortality was significantly lower in the baricitinib plus dexamethasone group compared to the dexamethasone monotherapy group (20.3% vs 40.5%, P Z <.05). There was no difference in hospital acquired infections between both groups.
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spelling eprints-224542024-03-04T17:28:49Z http://eprints.uanl.mx/22454/ Baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe COVID-19 pneumonia: A retrospective analysis Pérez Alba, Eduardo Nuzzolo Shihadeh, Laura Marina Aguirre García, Gloria Mayela Espinosa Mora, Jaime Eugenio Lecona García, Juan Diego Flores Pérez, Rómulo Omar Mendoza Garza, Marisela Camacho Ortiz, Adrián QR Microbiología Objective: We aimed to analyze clinical outcomes from patients with severe COVID-19 pneumonia that received either baricitinib plus dexamethasone or dexamethasone monotherapy. Methodology: We performed a retrospective comparative study. Data from hospitalized patients with severe COVID-19 pneumonia (saturation <93%, bilateral pulmonary infiltrates) thatwere treated with baricitinib plus dexamethasone or dexamethasone were collected. Our primary objective was to compare overall mortality and secondly to compare progression to mechanical ventilation and over infection rates. Results: A total of 793 patients were assessed for inclusion criteria, 596 were excluded and 197 were analyzed for primary outcome: 123 in the baricitinib plus dexamethasone group and 74 in the dexamethasone monotherapy group. The mean age was 59.9 years (SD � 14.5) and 62.1% (123/197) were male. 42.9% (85/197) of the cases required ICU admission and 25.8% (51/197) underwent invasive mechanical ventilation (IMV). Overall thirty-day mortality was 27.9% (55/ 197); Mortality was significantly lower in the baricitinib plus dexamethasone group compared to the dexamethasone monotherapy group (20.3% vs 40.5%, P Z <.05). There was no difference in hospital acquired infections between both groups. Scientific Communications International 2021 Article PeerReviewed text es cc_by_nc_nd http://eprints.uanl.mx/22454/1/22454.pdf http://eprints.uanl.mx/22454/1.haspreviewThumbnailVersion/22454.pdf Pérez Alba, Eduardo y Nuzzolo Shihadeh, Laura Marina y Aguirre García, Gloria Mayela y Espinosa Mora, Jaime Eugenio y Lecona García, Juan Diego y Flores Pérez, Rómulo Omar y Mendoza Garza, Marisela y Camacho Ortiz, Adrián (2021) Baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe COVID-19 pneumonia: A retrospective analysis. Journal of Microbiology, Immunology and Infection, 54 (5). pp. 787-793. ISSN 16841182 http://doi.org/10.1016/j.jmii.2021.05.009 doi:10.1016/j.jmii.2021.05.009
spellingShingle QR Microbiología
Pérez Alba, Eduardo
Nuzzolo Shihadeh, Laura Marina
Aguirre García, Gloria Mayela
Espinosa Mora, Jaime Eugenio
Lecona García, Juan Diego
Flores Pérez, Rómulo Omar
Mendoza Garza, Marisela
Camacho Ortiz, Adrián
Baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe COVID-19 pneumonia: A retrospective analysis
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe COVID-19 pneumonia: A retrospective analysis
title_full Baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe COVID-19 pneumonia: A retrospective analysis
title_fullStr Baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe COVID-19 pneumonia: A retrospective analysis
title_full_unstemmed Baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe COVID-19 pneumonia: A retrospective analysis
title_short Baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe COVID-19 pneumonia: A retrospective analysis
title_sort baricitinib plus dexamethasone compared to dexamethasone for the treatment of severe covid 19 pneumonia a retrospective analysis
topic QR Microbiología
url http://eprints.uanl.mx/22454/1/22454.pdf
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