Review Article

Development of Evidence-Based COVID-19 Management Guidelines for Local Context: The Methodological Challenges

Table 3

Description of study characteristics: case-control studies.

S. no.Author, countryTitleStudy duration in daysIntervention groupControl groupConcomitant interventionOutcome measuresOutcome measures applicable to this review

1Klopfenstein et al., FranceImpact of tocilizumab on mortality and/or invasive mechanical ventilation requirement in a cohort of 206 COVID-19 patients72Tocilizumab 8 mg/kg per dose, 1 or 2 doses(i) Standard treatment
(ii) Hydroxychloroquine
(iii) Lopinavir-ritonavir therapy
(iv) Antibiotics
(v) Corticosteroids
(i) Hydroxychloroquine
(ii) Lopinavir-ritonavir therapy
(iii) Antibiotics
(iv) Corticosteroids
(i) Mortality
(ii) Intensive mechanical ventilation
(iii) Duration to hospitalization
(i) Mortality
(ii) Intensive mechanical ventilation
(iii) Duration to hospitalization
2Klopfenstein et al., FranceTocilizumab therapy reduced intensive care unit admissions and/or mortality in COVID-19 patients24Tocilizumab 8 mg/kg per dose, 1 or 2 doses(i) Standard treatment
(ii) Hydroxychloroquine
(iii) Lopinavir-ritonavir therapy
(iv) Antibiotics
(v) Corticosteroids
(i) Hydroxychloroquine
(ii) Lopinavir-ritonavir therapy
(iii) Antibiotics
(iv) Corticosteroids
(i) Death
(ii) ICU admission
(iii) Invasive mechanical ventilation
(iv) Duration of hospitalization
(i) Death
(ii) ICU admission
(iii) Invasive mechanical ventilation
(iv) Duration of hospitalization
3Sean et al., the United StatesConvalescent plasma treatment of severe COVID-19: a propensity score-matched control study16Convalescent plasma therapy(i) Azithromycin
(ii) Hydroxychloroquine
(iii) Broad-spectrum antibiotics
(iv) Therapeutic dose anticoagulation
(v) Corticosteroids
(vi) Remdesivir
(vii) Mesenchymal stem cells and interleukin (IL)-1 and IL-6 inhibitors
(i) Survival
(ii) Oxygen requirement
(i) Survival
(ii) Oxygen requirement
4Abolghasemi et al., IranClinical efficacy of convalescent plasma for treatment of COVID-19 infections: results of a multicenter clinical study61Convalescent plasma 500 cc (one unit)No convalescent plasma(i) Lopinavir/ritonavir
(ii) Hydroxychloroquine
(i) Mortality
(ii) Intubation
(iii) Length of stay
(iv) Improvements in clinical symptoms
(v) Adverse events from treatment
(i) Mortality
(ii) Intubation
(iii) Length of stay
(iv) Improvements in clinical symptoms
(iv) Adverse events from treatment
5Rossotti et al., ItalySafety and efficacy of anti-IL-6 receptor tocilizumab use in severe and critical patients affected by coronavirus disease 2019: A comparative analysisTocilizumab(i) Hydroxychloroquine plus lopinavir/ritonavir
(ii) Remdesivir
(i) Survival
(ii) Length of stay
(i) Survival
(ii) Length of stay
6Matthieu et al., FranceClinical efficacy of hydroxychloroquine in patients with COVID-19 pneumonia who require oxygen: observational comparative study using routine care data43HydroxychloroquineNo hydroxychloroquine(i) Azithromycin
(ii) Amoxicillin
(iii) Tocilizumab
(iv) Lopinavir-ritonavir
(v) Remdesivir
(i) Survival
(ii) Weaning from oxygen
(i) Survival
(ii) Weaning from oxygen
7Perrone et al., ItalyTocilizumab for patients with COVID-19 pneumonia: The single-arm TOCIVID-19 prospective trial34Tocilizumab 8 mg/kg up to a maximum of 800 mg per dose(i) Antiretroviral
(ii) Hydroxy chloroquine
(iii) Antibiotics
(iv) Steroids
(v) Low-molecular-weight heparin
Lethality rateLethality rate
8G. Rojas-Marte et al., the United StatesOutcomes in patients with severe COVID-19 disease treated with tocilizumab: a case-controlled study49Tocilizumab(i) Hydroxychloroquine
(ii) Azithromycin
(iii) Corticosteroids
(iv) Anticoagulation
(v) Remdesivir
(vi) Antibiotics
(vii) Vasopressors
(i) Hydroxychloroquine
(ii) Azithromycin
(iii) Corticosteroids
(iv) Anticoagulation
(v) Remdesivir
(vi) Antibiotics
(vii) Vasopressors
(i) Overall mortality rate
(ii) Mortality in nonintubated patients only
(iii) Mortality in intubated patients
(iv) Length of stay
(i) Overall mortality rate.
(ii) Mortality in nonintubated patients only
(iii) Mortality in intubated patients
(iv) Length of stay
9Scarsi et al., ItalyAssociation between treatment with colchicine and improved survival in a single-center cohort of adult hospitalized patients with COVID-19 pneumonia and acute respiratory distress syndrome32(i) Colchicine 1 mg/day
(ii) Standard of care (hydroxychloroquine, lopinavir/ritonavir, and intravenous dexamethasone)
Standard of care (hydroxychloroquine, lopinavir/ritonavir, and intravenous dexamethasone)Survival rateSurvival rate
10Keller et al., The BronxEffect of systemic glucocorticoids on mortality or mechanical ventilation in patients with COVID-1934Early glucocorticoid first 48 hoursNo glucocorticoid(i) In-hospital mortality
(ii) In-hospital mechanical ventilation.
(iii) Mortality in mechanical ventilation
(i) In-hospital mortality
(ii) In-hospital mechanical ventilation.
(iii) Mortality in mechanical ventilation
11Yu et al., ChinaLopinavir/ritonavir is associated with pneumonia resolution in COVID-19 patients with influenza coinfection: A retrospective matched-pair cohort study30Lopinavir/ritonavir treatmentNo lopinavir/ritonavir treatment(i) Glucocorticoid treatment
(ii) Ribavirin treatment
(iii) Lopinavir/ritonavir treatment
(iv) Oseltamivir
(v) Arbidol
(i) Dead or deteriorated
(ii) Cured
(i) Dead or deteriorated
(i) Cured
12Qu et al., not mentionedComparative effectiveness of lopinavir/ritonavir-based regimens in COVID-19(i) Lopinavir/ritonavir (LPV/r) alone
(ii) Lopinavir/ritonavir (LPV/r) + Novaferon
(iii) Lopinavir/ritonavir (LPV/r) + interferon
(iv) Lopinavir/ritonavir (LPV/r) + interferon + Novaferon
(v) Lopinavir/ritonavir (LPV/r) + interferon + Arbidol (LPV/r: PO 500 mg (400 mg lopinavir + 100 mg ritonavir) BID; Novaferon: aerosol 20 microgram BID; Arbidol: PO 0.2 g TID; interferon: aerosol 500 × 104 IU·BID)
(i) Time of negative nucleic acid conversion.
(ii) Length of hospitalization
(iii) The rate of adverse reaction
(iv) Transferring to ICU and clinical mechanical therapy
(i) Time of negative nucleic acid conversion.
(ii) Length of hospitalization.
(iii) The rate of adverse reaction
(iii) Transferring to ICU and clinical mechanical therapy