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Tocilizumab in severe COVID-19 pneumonia: A retrospective case-control study from eastern India

T. Mouli, R. Patnaik, S. Mishra

Indian Journal of Anaesthesia, 2023

1 citation

Abstract

Coronavirus disease 2019 (COVID-19) is associated with a dysregulated immune response leading to a hyperinflammatory state, termed cytokine storm.[1-3] The disease severity depends on macrophage activation, which releases proinflammatory cytokines, subsequently causing an exaggerated host immune response leading to organ dysfunction.[4,5] Administering interleukin-6 (IL-6) receptor antagonists may reduce the progression of disease severity associated with COVID-19 pneumonia.[6] Recent trials have shown equivocal results in the drug’s efficacy concerning patient outcomes.[2,3,6] This prompted us to conduct a retrospective case–control study to evaluate the impact of tocilizumab on patients suffering from COVID-19. We present the following research in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting checklist.

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Evidence Hub reads this as a case-control, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.

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