Early use of tocilizumab in the prevention of adult respiratory failure in SARS-CoV-2 infections and the utilization of interleukin-6 levels in the management

Early use of tocilizumab in the prevention of adult respiratory failure in SARS-CoV-2 infections and the utilization of interleukin-6 levels in the management
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DOI:
10.1002/jmv.26288
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发表时间:
2020-07-15
影响因子:
12.7
通讯作者:
Prakash, Bharat, V
Prakash, Bharat, V
中科院分区:
医学3区
文献类型:
--
作者:
Antony, Suresh J.;Davis, Michelle A.;Prakash, Bharat, V

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严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)感染的呼吸衰竭似乎与细胞因子释放综合征有关,后者通常导致机械通气(MV)。我们研究了托珠单抗(TCZ)对SARS-CoV-2患者白细胞介素-6(IL-6)趋势和MV的作用。在这项纵向观察性研究中,于2020年2月1日至5月31日对112例患者进行了评估。氧需量>3L且肺炎严重指数评分>3L的患者先给予TCZ,然后给予甲基强的松龙
Respiratory failure in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection appears related to cytokine release syndrome that often results in mechanical ventilation (MV). We investigated the role of tocilizumab (TCZ) on interleukin-6 (IL-6) trends and MV in patients with SARS-CoV-2. In this longitudinal observational study, 112 patients were evaluated from 1 February to 31 May 2020. TCZ was administered followed by methylprednisolone to patients with >3L oxygen requirement and pneumonia severity index score