Toribio Polanco Fidel José, García Delgado Annette Giselle, Reyes Cruz Cinthia Yamel, Cabrera Castellanos Osvaldo de Jesús, Alejo Ramos Paola Gissel, Khoury Vianna, García Natalia
Departamento de Medicina Interna, Clínica Universitaria Unión Médica del Norte, Santiago de los Caballeros, República Dominicana.
Escuela de Medicina, Facultad de Ciencias de la Salud, Pontificia Universidad Católica Madre y Maestra, Santiago de los Caballeros, República Dominicana.
Rev Colomb Reumatol. 2022 Jun;29:S1-S6. doi: 10.1016/j.rcreu.2022.03.002. Epub 2022 Apr 22.
The main purpose of this study is to characterize and compare the population that received tofacitinib with those that were not treated with the drug for COVID-19 at the Clínica Unión Médica del Norte, in 2020.
An observational, retrospective, cross-sectional, exploratory, and secondary source study was conducted. A comparison was made between clinical and sociodemographic characteristics, laboratory results and their treatment option.
Five hundred and seven patients admitted to the COVID-19 unit of the Clínica Unión Médica del Norte were included. It was determined that lower death rates were registered in the group that received tofacitinib (6.45%) compared to the group that did not use the drug. Likewise, those receiving this therapy required less mechanical ventilation, however, a higher proportion of these patients were admitted to the Intensive Care Unit. In addition, a greater reduction in glycaemia was identified in the patients receiving tofacitinib, but they had higher levels of ferritin and D-dimer.
Tofacitinib may be beneficial in terms of mortality rates and reduction in the use of mechanical ventilation. Furthermore, it is promising with respect to positive patient progression. However, our research is not conclusive. Future confirmatory research is needed on the efficacy of tofacitinib therapy for COVID-19 patients.
本研究的主要目的是对2020年在北联合医学诊所接受托法替布治疗的新冠肺炎患者群体与未接受该药物治疗的患者群体进行特征描述和比较。
开展了一项观察性、回顾性、横断面、探索性的二次来源研究。对临床和社会人口学特征、实验室检查结果及其治疗方案进行了比较。
纳入了北联合医学诊所新冠肺炎病房的507例患者。结果显示,接受托法替布治疗的组死亡率(6.45%)低于未使用该药物的组。同样,接受该治疗的患者需要机械通气的次数较少,然而,这些患者入住重症监护病房的比例较高。此外,接受托法替布治疗的患者血糖下降幅度更大,但铁蛋白和D-二聚体水平较高。
托法替布在死亡率和减少机械通气使用方面可能有益。此外,在患者积极进展方面也很有前景。然而,我们的研究尚无定论。未来需要对托法替布治疗新冠肺炎患者的疗效进行验证性研究。