Corpus overview


Overview

MeSH Disease

COVID-19 (1)


HGNC Genes

There are no HGNC terms in the subcorpus


Transmission

There are no transmission terms in the subcorpus


Seroprevalence

There are no seroprevalence terms in the subcorpus

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    Suspected Serious Adverse Drug Reactions in Hospitalized COVID-19 MESHD Patients

    Authors: Elena Ramírez; Mikel Urroz; Amelia Rodríguez Mariblanca; Alberto Martín-Vega; Yuri Villán; Enrique Seco; Jaime Monserrat; Jesús Frías; Antonio J. Carcas; Alberto M. Borobia

    id:10.20944/preprints202008.0283.v1 Date: 2020-08-12 Source: Preprints.org

    BACKGROUND: From March to April 2020, Spain was the center of the SARS-CoV-2 pandemic, particularly Madrid with approximately 30% of the cases in Spain. The aim of this study is to report the suspected serious adverse drug reactions (SADRs) in COVID-19 MESHD patients versus non- COVID-19 MESHD patients detected by the prospective pharmacovigilance program based on automatic laboratory signals (ALSs) in the hospital (PPLSH) during that period. We also compared the results with the suspected SADRs detected during the same period for 2019. METHODS: All ALSs that reflected potential SADRs (including neutropenia HP, pancytopenia HP, thrombocytopenia HP, anemia HP, eosinophilia HP, leukocytes in cerebrospinal fluid, hepatitis HP, pancreatitis, acute HP kidney injury, rhabdomyolysis HP and hyponatremia HP were prospectively monitored in hospitalized patients during the study periods. We analyzed the incidence and the distribution of causative drugs for the COVID-19 MESHD patients. RESULTS: The incidence rate of SADRs detected in the COVID-19 MESHD patients was 760.63 (95% CI 707.89–816.01) per 10,000 patients, 4.75-fold higher than the SADR rate for non- COVID-19 MESHD patients (160.15 per 10,000 patients,95% CI 137.09–186.80), and 5.84-fold higher than the SADR rate detected for the same period in 2019 (130.19 per 10,000 patients, 95% CI 109.53–154.36). The most frequently related drugs were tocilizumab (59.84%), dexketoprofen (13.93%), azithromycin (8.43%), lopinavir-ritonavir (7.35%), dexamethasone (7.62%), and chloroquine/hydroxychloroquine (6.91%). CONCLUSIONS: The incidence rate of SADRs detected by the PPSLH in patients with COVID-19 MESHD was 4.75-fold higher than that of the non- COVID-19 MESHD patients. Caution is recommended when using medications for COVID-19 MESHD patients, especially drugs that are hepatotoxic, myotoxic, and those that induce thromboembolic events.

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MeSH Disease
HGNC Genes
Transmission
Seroprevalence


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