These differences were both statistically significant.CONCLUSION: The addition of favipiravir to the national COVID-19 treatment protocol may explain this rapid decrease in the rate of ICU admissions and intubation.
📌 3 Maddede Bu Makale
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Amaç & Hipotez:OBJECTIVE: The objective of this study was to understand the observational relationship between adoption of favipiravir into the national COVID-19 treatment protocol and intensive care unit (ICU) admission rates in Istanbul due to COVID-19.METHODS: Data were harvested from the “Public Health Management System-HSYS,” which collate centrally the records of all known cases of COVID-19.
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Temel Bulgular & Veri:The total number of cases, numbers admitted to ICU, and number undergoing intubation were compared between 2 time periods: 11th of March, the date on which the first case in Turkey was confirmed, to 30th of March; and March 30, to 10th of April, 5 days after Favipiravir was introduced into the treatment algorithm when, the records were examined.RESULTS: The percentage of patients requiring ICU admission diminished from 24% to 12%, whilst the percentage intubated fell from 77% to 66%.
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Sonuç & Katkı:These differences were both statistically significant.CONCLUSION: The addition of favipiravir to the national COVID-19 treatment protocol may explain this rapid decrease in the rate of ICU admissions and intubation.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri
Abstract
OBJECTIVE: The objective of this study was to understand the observational relationship between adoption of favipiravir into the national COVID-19 treatment protocol and intensive care unit (ICU) admission rates in Istanbul due to COVID-19.METHODS: Data were harvested from the “Public Health Management System-HSYS,” which collate centrally the records of all known cases of COVID-19. The total number of cases, numbers admitted to ICU, and number undergoing intubation were compared between 2 time periods: 11th of March, the date on which the first case in Turkey was confirmed, to 30th of March; and March 30, to 10th of April, 5 days after Favipiravir was introduced into the treatment algorithm when, the records were examined.RESULTS: The percentage of patients requiring ICU admission diminished from 24% to 12%, whilst the percentage intubated fell from 77% to 66%. These differences were both statistically significant.CONCLUSION: The addition of favipiravir to the national COVID-19 treatment protocol may explain this rapid decrease in the rate of ICU admissions and intubation.
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Bu Makaleye Atıf Yap
MEMİSOGLU, K., YILMAZ, H., GÜNER, A. E., SÜRMELİ, A., KURAL, K., KOCAYİĞİT, E., SAHİN, E., ALKAN, P., KAZEZOĞLU, C., ZELYURT, S., MARAL, I. (2022). ICU admission rates in Istanbul following theaddition of favipiravir to the national COVID-19treatment protocol. İstanbul Kuzey Klinikleri, Cilt: 8 - Sayı: 2, 119–123. https://ajindex.com/articles/551246
Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al; China Medical Treatment Expert Group for Covid-19. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020;382:1708–20
Coronavirus Update (Live): 6,513,890 cases and 384,642 deaths from COVID-19 virus pandemic - Worldometer (Internet). Available at: https://www.worldometers.info/coronavirus/. Accessed Jun 3, 2020
COVID-19 - Yeni koronavirüs hastalığı (new coronavirus disease) (Internet). Available at: https://covid19bilgi.saglik.gov.tr/tr. Accessed Jun 2, 2020
Pandemik influenza ulusal hazırlık planı (National pandemic influenza preparedness plan). Ankara: Ministry of Health of Turkey, Public Health Directorate; 2019. Available at: https://hsgm.saglik.gov.tr/tr/ bulasicihastaliklar-haberler/ulusal-pandemi-hazirlik-plani.html. Accessed May 25, 2020
Algoritmalar C. COVID-19 Algoritmalar (COVID-19 Treatment Protocol- Version 1). Available at: https://covid19bilgi.saglik.gov.tr/ tr/algoritmalar. Accessed Jan 30, 2020
Furuta Y, Komeno T, Nakamura T. Favipiravir (T-705), a broad spectrum inhibitor of viral RNA polymerase. Proc Jpn Acad Ser B Phys Biol Sci 2017;93:449–63
Lu CC, Chen MY, Lee WS, Chang YL. Potential therapeutic agents against COVID-19: What we know so far. J Chin Med Assoc 2020;83:534–6
Dong L, Hu S, Gao J. Discovering drugs to treat coronavirus disease 2019 (COVID-19). Drug Discov Ther 2020;14:58–60
Algoritmalar C. COVID-19 Algoritmalar (COVID-19 Treatment Protocol- Version 6). Available at: https://covid19bilgi.saglik.gov.tr/ tr/algoritmalar. Accessed Mar 25, 2020
IBM Corp. IBM SPSS Statistics for Windows (Internet). Armonk, NY: IBM Corp; 2017. Available at: https://hadoop.apache.org. Accessed Feb 24, 2021
Cai Q, Yang M, Liu D, Chen J, Shu D, Xia J, et al. Experimental treatment with favipiravir for COVID-19: an open-label control study. Engineering (Beijing) 2020;6:1192–8
Grasselli G, Zangrillo A, Zanella A, Antonelli M, Cabrini L, Castelli A, et al; COVID-19 Lombardy ICU Network. Baseline characteristics and outcomes of 1591 patients infe