Effects of Interferon Beta-۱ and Dexamethasone on the Treatment of Hospitalized COVID-۱۹ Patients

سال انتشار: 1404
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 55

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شناسه ملی سند علمی:

JR_CCS-6-2_013

تاریخ نمایه سازی: 26 مهر 1404

چکیده مقاله:

Aims: Despite the urgent need to treat the COVID-۱۹ pandemic, no effective treatment has been identified to date. The present study aimed to compare the effects of interferon Beta-۱ and dexamethasone on the treatment of hospitalized COVID-۱۹ patients. Materials & Methods: This phase ۲, open-label, randomized trial examined adult patients who were admitted to hospitals in Yasuj, Iran, from October ۲۰۲۱ to May ۲۰۲۲ due to COVID-۱۹. Patients were randomly assigned to intervention group ۱ (۸۸ patients), which included remdesivir, interferon beta-۱, and dexamethasone, and intervention group ۲ (۸۸ patients), which included remdesivir and dexamethasone, in a ratio of ۱:۱. The mean arterial blood O۲ saturation and length of hospitalization for both groups were compared. Findings: The two groups did not show a significant difference in terms of demographic characteristics and disease-related parameters at baseline (p>۰.۰۵). The mean O۲ saturation at the time of discharge for group ۱ (۹۰.۱۴±۱۰.۷۲) and group ۲ (۹۲.۵۴±۳.۱۹) demonstrated a significant difference (p<۰.۰۵). The mean length of hospitalization for group ۱ (۷.۰۲±۲.۵۶) and group ۲ (۵.۷۳±۲.۰۴) was significantly different (p<۰.۰۱). There was a significant difference between the number of deaths in group ۱ (۷ patients) and group ۲ (۰ patients; p<۰.۰۱). Conclusion: The administration of remdesivir and dexamethasone, compared to remdesivir, dexamethasone, and interferon, results in a decreased length of hospitalization, reduced mortality, and improved O۲ saturation.

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نویسندگان

M.A. Fazeli

Department of Infectious Disease, Faculty of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran

M. Malekzadeh

Social Determinant of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran

H. Bayatmanesh

“Imam Sajad Hospital” and “Department of Nursing, Faculty of Nursing & Midwifery”, Yasuj University of Medical Sciences, Yasuj, Iran

P. Neysarian

“Shahid Jalil Hospital” and “Department of Midwifery, Faculty of Nursing & Midwifery”, Yasuj University of Medical Sciences, Yasuj, Iran

N. Arefkhah

Department of Infectious Disease, Faculty of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran

M. Sedaghattalab

Department of Internal Medicine, Faculty of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran

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