ARDS, COVID-19 Pneumonia
Conditions
Keywords
COVID-19 Pneumonia, Tocilizumab, Procalcitonin, C-Reactive Protein
Brief summary
This study aims to establish whether tocilizumab has any significant effect on procalcitonin levels on patients diagnosed with COVID-19 pneumonia requiring intensive care admission. The effects on other biochemical and clinical markers are also considered.
Detailed description
A retrospective study, involving the first fifty patients treated with tocilizumab for acute deterioration in COVID-19 pneumonia in the Intensive Care Unit (ICU) at Mater Dei Hospital in Malta. The following parameters will be collected from medical records: * procalcitonin levels, daily for twenty days or until discharge or death. * namely white cell count (WCC), neutrophils, lymphocytes, * C-reactive protein (CRP) * PaO2/FiO2 ratio (P/F ratio). This group will be compared to a control group was chosen from patients admitted to the ICU who were not eligible for tocilizumab treatment, matched to the study group for age, gender, mode of ventilation required and length of stay in ICU.
Interventions
Tocilizumab administered at a dose of 8mg/kg up to a maximum of 800mg
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed COVID-19 diagnosis * Admitted to ITU * Tocilizumab treatment
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procalcitonin | throughout study completion, daily for maximum of 20 days | effect of Tocilizumab on Procalcitonin levels |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| WCC | throughout study completion, daily for maximum of 20 days | effect of Tocilizumab on WCC levels |
| Neutrophils | throughout study completion, daily for maximum of 20 days | effect of Tocilizumab on Neutrophils levels |
| CRP | throughout study completion, daily for maximum of 20 days | effect of Tocilizumab on CRP levels |
| NLR | throughout study completion, daily for maximum of 20 days | effect of Tocilizumab on Neutrophil to Lymphocyte ratio |
| P/F ratio | throughout study completion, daily for maximum of 20 days | effect of Tocilizumab on P/F ratio |
| Lymphocytes | throughout study completion, daily for maximum of 20 days | effect of Tocilizumab on Lymphocytes levels |
Countries
Malta