The effect of ivermectin on non-severe and severe COVID-19 disease and gender-based difference of its effectiveness
Zubair et al.,
The effect of ivermectin on non-severe and severe COVID-19 disease and gender-based difference of its..,
Monaldi Archives for Chest Disease, doi:10.4081/monaldi.2022.2062
Retrospective 188 hospitalized patients in Pakistan, 90 treated with ivermectin, showing no significant differences with treatment. The ivermectin group had more severe disease (66% vs 58%, with 6x higher risk for severe disease patients), and more male patients (70% vs. 65%). Higher use of remdesivir and steroids in the ivermectin group also suggests that ivermectin was more likely to be given to patients in more severe condition. There were no side effects seen with ivermectin. Authors note that significantly improved ferritin levels were seen with treatment. Authors state that ivermectin patients received 2 12mg doses, 24 hours apart, but later state that the dosage was not standardized.
This study is excluded in the after exclusion results of meta
analysis:
substantial unadjusted
confounding by indication likely; unadjusted results with no group details.
risk of death, 9.0% higher, RR 1.09, p = 1.00, treatment 5 of 90 (5.6%), control 5 of 98 (5.1%), unadjusted.
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hospitalization time, 8.0% higher, relative time 1.08, p = 0.40, treatment 90, control 98, unadjusted, Table 3, mean number of days.
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Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
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Zubair et al., 18 Jan 2022, retrospective, Pakistan, peer-reviewed, 8 authors, study period October 2020 - February 2021, dosage 12mg single dose.
Contact:
muhammad.irfan@aku.edu.
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To cite this Article:
Zubair SM, Chaudhry MW, Zubairi ABS, et al. The effect of ivermectin on non-severe
and severe COVID-19 disease and gender-based difference of its effectiveness.
Monaldi Arch Chest Dis
doi: 10.4081/monaldi.2022.2062
© the Author(s), 2022
Licensee PAGEPress, Italy
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The effect of ivermectin on non-severe and severe COVID-19 disease and gender-based
difference of its effectiveness
Syed Muhammad Zubair, Muhammad Waleed Chaudhry, Ali Bin Sarwar Zubairi,
Talha Shahzad, Aqusa Zahid, Ibrahim Ali Khan, Javaid Ahmed Khan, Muhammad Irfan
Section of Pulmonary Medicine, Department of Medicine Aga Khan University Hospital,
Karachi, Pakistan
Corresponding Author: Muhammad Irfan, Professor, Section of Pulmonary Medicine,
Department of Medicine Aga Khan University Hospital, Karachi, Pakistan. Address: Faculty
Office Building, National Stadium Road, Aga Khan University Hospital, Karachi, Karachi City,
Sindh 74800. Phone: 02134864664 - Cell phone: +923002111459
Email: muhammad.irfan@aku.edu
Acknowledgments: None
i) Authors Contribution:
1) Syed Muhammad Zubair: Data Collection, statistical analysis, literature review,
manuscript writing.
2) Muhammad Waleed Chaudhry: Data Collection, statistical analysis, literature review,
manuscript writing.
3) Ali Bin Sarwar Zubairi: Wrote, reviewed and edited the manuscript.
4) Talha Shahzad: Reviewed and edited the manuscript.
5) Aqusa Zahid: Data Collection, reviewed and edited the manuscript.
6) Ibrahim Ali Khan: Reviewed and edited the manuscript.
7) Javaid Ahmed Khan: Reviewed and edited the manuscript.
8) Muhammad Irfan: Conceived the idea, wrote, reviewed and edited the manuscript.
Ethics approval: The study protocol was approved by the Ethics Review Committee (ERC) of the
Aga Khan University Hospital (Application no: 2021-5902-16610).
ii) There is no conflict of interests.
iii) There is no funding for this article. The abstract of this article has been scheduled to be
presented at the following forum:
1) Abstract title: Role of ivermectin in hospitalized patients with mild to moderate
COVID-19. To be presented as an ‘e-poster’ at virtual European Respiratory
Society Congress 2021 on 07-09-2021.
Abstract
The COVID-19 pandemic has led to mortality and morbidity since December 2019. Many possible
treatment options have been advised till date. The role of ivermectin in the treatment of COVID19 disease remains controversial. The aim of our study was to evaluate the effect of ivermectin in
hospitalized patients with non-severe and severe..
Late treatment
is less effective
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