Tocilizumab for Severe and Critical COVID-19 Pneumonia in Queens, NYC

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New York City was hard hit by COVID-19. Elmhurst Hospital is a public hospital in Queens where more than 1500 patients were hospitalized with COVID. During the pandemic, various treatments were used with hopes of reducing the need for mechanical ventilation and death.

METHODS: We retrospectively reviewed charts of patients admitted from March 25 to April 3 with severe or critical COVID-19 pneumonia who received tocilizumab compared with a similar cohort who did not. Analyses were performed to determine differences in outcomes.

RESULTS: There was no observed difference in need for mechanical ventilation, length of stay, or mortality rate. In the tocilizumab-treated group, mechanical ventilation rate was 55%, and 49% of patients died. In the control group, 54% required mechanical ventilation and 46% died. Tocilizumab was overall well tolerated, although alanine aminotransferase elevation was more common in the tocilizumab-treated group.

CONCLUSIONS: Tocilizumab failed to show short-term benefits in clinical outcomes in patients with hypoxic COVID pneumonia at our institution.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Infectious diseases in clinical practice (Baltimore, Md.) - 29(2021), 4 vom: 14. Juli, Seite e215-e220

Sprache:

Englisch

Beteiligte Personen:

Salama, Carlos [VerfasserIn]
Kaplan-Lewis, Emma [VerfasserIn]
Durrance, Richard [VerfasserIn]
Wong, Linda [VerfasserIn]
Arumugam, Vasanthi [VerfasserIn]
Fabbri, Marilyn [VerfasserIn]

Links:

Volltext

Themen:

COVID pneumonia
COVID-19
Cytokine release syndrome
Journal Article
Tocilizumab

Anmerkungen:

Date Revised 24.04.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1097/IPC.0000000000000988

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM328215287