Disease progression of 213 patients hospitalized with Covid-19 in the Czech Republic in March-October 2020: An exploratory analysis.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2021
Historique:
received: 24 12 2020
accepted: 15 07 2021
entrez: 6 10 2021
pubmed: 7 10 2021
medline: 14 10 2021
Statut: epublish

Résumé

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.

Identifiants

pubmed: 34613965
doi: 10.1371/journal.pone.0245103
pii: PONE-D-20-40463
pmc: PMC8494367
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0245103

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Martin Modrák (M)

Bioinformatics Core Facility, Institute of Microbiology of the Czech Academy of Sciences, Prague, Czech Republic.

Paul-Christian Bürkner (PC)

Cluster of Excellence SimTech, University of Stuttgart, Stuttgart, Deutschland, Germany.

Tomáš Sieger (T)

Dept. of Cybernetics, Faculty of Electrical Engineering, Czech Technical University in Prague, Prague, Czech Republic.

Tomáš Slisz (T)

Department of Respiratory Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Thomayer University Hospital, Prague, Czech Republic.

Martina Vašáková (M)

Department of Respiratory Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Thomayer University Hospital, Prague, Czech Republic.

Grigorij Mesežnikov (G)

Motol University Hospital, Prague, Czech Republic.

Luis Fernando Casas-Mendez (LF)

Motol University Hospital, Prague, Czech Republic.

Jaromír Vajter (J)

Motol University Hospital, Prague, Czech Republic.

Jan Táborský (J)

AGEL Hospital Nový Jičín, Nový Jičín, Czech Republic.

Viktor Kubricht (V)

Kralovské Vinohrady University Hospital, Prague, Czech Republic.

Daniel Suk (D)

General University Hospital in Prague, Prague, Czech Republic.

Jan Horejsek (J)

General University Hospital in Prague, Prague, Czech Republic.

Martin Jedlička (M)

Military Hospital Olomouc, Olomouc, Czech Republic.

Adriana Mifková (A)

Military Hospital Olomouc, Olomouc, Czech Republic.

Adam Jaroš (A)

Na Homolce Hospital, Prague, Czech Republic.

Miroslav Kubiska (M)

Department of Infectious Diseases and Travel Medicine, Faculty of Medicine in Pilsen, Charles University, University Hospital in Pilsen, Pilsen, Czech Republic.

Jana Váchalová (J)

Department of Infectious Diseases and Travel Medicine, Faculty of Medicine in Pilsen, Charles University, University Hospital in Pilsen, Pilsen, Czech Republic.

Robin Šín (R)

Department of Infectious Diseases and Travel Medicine, Faculty of Medicine in Pilsen, Charles University, University Hospital in Pilsen, Pilsen, Czech Republic.

Markéta Veverková (M)

Hořovice Hospital, Hořovice, Czech Republic.

Zbyšek Pospíšil (Z)

Třebíč Hospital, Třebíč, Czech Republic.

Julie Vohryzková (J)

2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.

Rebeka Pokrievková (R)

3rd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.

Kristián Hrušák (K)

2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.

Kristína Christozova (K)

2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.

Vianey Leos-Barajas (V)

Department of Statistical Sciences, University of Toronto, Toronto, Canada.

Karel Fišer (K)

Department of Bioinformatics, 2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.

Tomáš Hyánek (T)

Na Homolce Hospital, Prague, Czech Republic.

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