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Modrák M, Bürkner PC, Sieger T, Slisz T, Vašáková M, Mesežnikov G, Casas-Mendez LF, Vajter J, Táborský J, Kubricht V, Suk D, Horejsek J, Jedlička M, Mifková A, Jaroš A, Kubiska M, Váchalová J, Šín R, Veverková M, Pospíšil Z, Vohryzková J, Pokrievková R, Hrušák K, Christozova K, Leos-Barajas V, Fišer K, Hyánek T. Disease progression of 213 patients hospitalized with Covid-19 in the Czech Republic in March-October 2020: An exploratory analysis. PLoS One 2021; 16:e0245103. [PMID: 34613965 PMCID: PMC8494367 DOI: 10.1371/journal.pone.0245103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Accepted: 07/15/2021] [Indexed: 12/23/2022] Open
Abstract
We collected a multi-centric retrospective dataset of patients (N = 213) who were admitted to ten hospitals in Czech Republic and tested positive for SARS-CoV-2 during the early phases of the pandemic in March-October 2020. The dataset contains baseline patient characteristics, breathing support required, pharmacological treatment received and multiple markers on daily resolution. Patients in the dataset were treated with hydroxychloroquine (N = 108), azithromycin (N = 72), favipiravir (N = 9), convalescent plasma (N = 7), dexamethasone (N = 4) and remdesivir (N = 3), often in combination. To explore association between treatments and patient outcomes we performed multiverse analysis, observing how the conclusions change between defensible choices of statistical model, predictors included in the model and other analytical degrees of freedom. Weak evidence to constrain the potential efficacy of azithromycin and favipiravir can be extracted from the data. Additionally, we performed external validation of several proposed prognostic models for Covid-19 severity showing that they mostly perform unsatisfactorily on our dataset.
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Affiliation(s)
- Martin Modrák
- Bioinformatics Core Facility, Institute of Microbiology of the Czech Academy of Sciences, Prague, Czech Republic
| | | | - Tomáš Sieger
- Dept. of Cybernetics, Faculty of Electrical Engineering, Czech Technical University in Prague, Prague, Czech Republic
| | - Tomáš Slisz
- Department of Respiratory Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
- Thomayer University Hospital, Prague, Czech Republic
| | - Martina Vašáková
- Department of Respiratory Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
- Thomayer University Hospital, Prague, Czech Republic
| | | | | | | | - Jan Táborský
- AGEL Hospital Nový Jičín, Nový Jičín, Czech Republic
| | - Viktor Kubricht
- Kralovské Vinohrady University Hospital, Prague, Czech Republic
| | - Daniel Suk
- General University Hospital in Prague, Prague, Czech Republic
| | - Jan Horejsek
- General University Hospital in Prague, Prague, Czech Republic
| | | | | | - Adam Jaroš
- Na Homolce Hospital, Prague, Czech Republic
| | - Miroslav Kubiska
- Department of Infectious Diseases and Travel Medicine, Faculty of Medicine in Pilsen, Charles University, University Hospital in Pilsen, Pilsen, Czech Republic
| | - Jana Váchalová
- Department of Infectious Diseases and Travel Medicine, Faculty of Medicine in Pilsen, Charles University, University Hospital in Pilsen, Pilsen, Czech Republic
| | - Robin Šín
- Department of Infectious Diseases and Travel Medicine, Faculty of Medicine in Pilsen, Charles University, University Hospital in Pilsen, Pilsen, Czech Republic
| | | | | | - Julie Vohryzková
- 2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
| | - Rebeka Pokrievková
- 3rd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
| | - Kristián Hrušák
- 2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
| | | | | | - Karel Fišer
- Department of Bioinformatics, 2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
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Felker GM, Butler J, Januzzi JL, Desai AS, McMurray JJV, Solomon SD. Probabilistic Readjudication of Heart Failure Hospitalization Events in the PARAGON-HF Study. Circulation 2021; 143:2316-2318. [PMID: 34097449 DOI: 10.1161/circulationaha.121.054496] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
| | | | | | - Akshay S Desai
- Brigham and Women's Hospital, Boston, MA (A.S.D., S.D.S.)
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