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  1. Article ; Online: Etoposide for Cytokine Storm Because of Coronavirus Disease 2019.

    Delgado-López, Pedro David / Buzón-Martín, Luis / Montero-Baladia, Miguel / Astigarraga, Itziar

    Chest

    2021  Volume 159, Issue 4, Page(s) 1678–1679

    MeSH term(s) COVID-19 ; Cytokine Release Syndrome ; Cytokines ; Etoposide ; Humans ; SARS-CoV-2 ; Salvage Therapy
    Chemical Substances Cytokines ; Etoposide (6PLQ3CP4P3)
    Language English
    Publishing date 2021-04-06
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2020.10.090
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Corticosteroid Pulses for Hospitalized Patients with COVID-19: Effects on Mortality.

    Cusacovich, Ivan / Aparisi, Álvaro / Marcos, Miguel / Ybarra-Falcón, Cristina / Iglesias-Echevarria, Carolina / Lopez-Veloso, Maria / Barraza-Vengoechea, Julio / Dueñas, Carlos / Juarros Martínez, Santiago Antonio / Rodríguez-Alonso, Beatriz / Martín-Oterino, José-Ángel / Montero-Baladia, Miguel / Moralejo, Leticia / Andaluz-Ojeda, David / Gonzalez-Fuentes, Roberto

    Mediators of inflammation

    2021  Volume 2021, Page(s) 6637227

    Abstract: Objectives: To assess the influence of corticosteroid pulses on 60-day mortality in hospitalized patients with severe COVID-19.: Methods: We designed a multicenter retrospective cohort study in three teaching hospitals of Castilla y León, Spain (865, ... ...

    Abstract Objectives: To assess the influence of corticosteroid pulses on 60-day mortality in hospitalized patients with severe COVID-19.
    Methods: We designed a multicenter retrospective cohort study in three teaching hospitals of Castilla y León, Spain (865,096 people). We selected patients with confirmed COVID-19 and lung involvement with a pO2/FiO2<300, excluding those exposed to immunosuppressors before or during hospitalization, patients terminally ill at admission, or those who died in the first 24 hours. We performed a propensity score matching (PSM) adjusting covariates that modify the probability of being treated. Then, we used a Cox regression model in the PSM group to consider factors affecting mortality.
    Results: From 2933 patients, 257 fulfilled the inclusion and exclusion criteria. 124 patients were on corticosteroid pulses (250 mg of methylprednisolone for three days), and 133 were not. 30.3% (37/122) of patients died in the corticosteroid pulse group and 42.9% (57/133) in the nonexposed cohort. These differences (12.6%, 95% CI [8·54-16.65]) were statically significant (log-rank 4.72,
    Conclusions: This study provides evidence about treatment with corticosteroid pulses in severe COVID-19 that might significantly reduce mortality. Strict inclusion and exclusion criteria with that selection process set a reliable frame to compare mortality in both the exposed and nonexposed groups.
    MeSH term(s) Adrenal Cortex Hormones/therapeutic use ; Aged ; Aged, 80 and over ; COVID-19/drug therapy ; COVID-19/mortality ; Female ; Hospitalization ; Humans ; Immunosuppressive Agents/therapeutic use ; Inpatients ; Male ; Middle Aged ; Propensity Score ; Proportional Hazards Models ; Retrospective Studies ; Spain/epidemiology ; Treatment Outcome
    Chemical Substances Adrenal Cortex Hormones ; Immunosuppressive Agents
    Language English
    Publishing date 2021-03-12
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 1137605-3
    ISSN 1466-1861 ; 0962-9351
    ISSN (online) 1466-1861
    ISSN 0962-9351
    DOI 10.1155/2021/6637227
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Heart attack and something else: Caseous degeneration of mitral anullus.

    Arroyo Diez, M / Montero Baladía, M / Zabalegui Pérez, A

    Medicina intensiva

    2018  Volume 43, Issue 1, Page(s) 60

    Title translation Infarto agudo de miocardio y algo más: degeneración caseosa del anillo mitral.
    MeSH term(s) Aged ; Calcinosis/diagnostic imaging ; Diagnosis, Differential ; Echocardiography ; Heart Valve Diseases/diagnostic imaging ; Humans ; Male ; Mitral Valve/diagnostic imaging ; Myocardial Infarction/complications ; Myocardial Infarction/diagnostic imaging ; Tomography, X-Ray Computed
    Language Spanish
    Publishing date 2018-03-19
    Publishing country Spain
    Document type Case Reports
    ISSN 2173-5727
    ISSN (online) 2173-5727
    DOI 10.1016/j.medin.2018.01.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Etoposide treatment adjunctive to immunosuppressants for critically ill COVID-19 patients.

    M, Montero-Baladía / L, Buzón / I, Astigarraga / P, Delgado / E, Iglesias / F, Callejo / M, López-Veloso / J, Minguito / M, Fernández-Regueras / M, Ubeira / G, Hermida

    The Journal of infection

    2020  Volume 81, Issue 3, Page(s) 452–482

    MeSH term(s) Adult ; Aged ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/drug therapy ; Critical Illness ; Etoposide/therapeutic use ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/drug therapy ; SARS-CoV-2 ; Topoisomerase II Inhibitors/therapeutic use
    Chemical Substances Topoisomerase II Inhibitors ; Etoposide (6PLQ3CP4P3)
    Keywords covid19
    Language English
    Publishing date 2020-06-21
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 424417-5
    ISSN 1532-2742 ; 0163-4453
    ISSN (online) 1532-2742
    ISSN 0163-4453
    DOI 10.1016/j.jinf.2020.06.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: High dose subcutaneous Anakinra to treat acute respiratory distress syndrome secondary to cytokine storm syndrome among severely ill COVID-19 patients.

    Iglesias-Julián, Enrique / López-Veloso, María / de-la-Torre-Ferrera, Noelia / Barraza-Vengoechea, Julio Cesar / Delgado-López, Pedro David / Colazo-Burlato, María / Ubeira-Iglesias, Marta / Montero-Baladía, Miguel / Lorenzo-Martín, Andrés / Minguito-de-la-Iglesia, Javier / García-Muñoz, Juan Pablo / Sanllorente-Sebastián, Rodrigo / Vicente-González, Blanca / Alemán-Alemán, Ana / Buzón-Martín, Luis

    Journal of autoimmunity

    2020  Volume 115, Page(s) 102537

    Abstract: Objective: Severely ill COVID-19 patients may end in acute respiratory distress syndrome (ARDS) and multi-organ failure. Some of them develop a systemic hyperinflammatory state produced by the massive release of inflammatory agents, known as cytokine ... ...

    Abstract Objective: Severely ill COVID-19 patients may end in acute respiratory distress syndrome (ARDS) and multi-organ failure. Some of them develop a systemic hyperinflammatory state produced by the massive release of inflammatory agents, known as cytokine storm syndrome (CSS). Inhibition of IL-1 by Anakinra (ANK) is a potential life-saving therapy for severe CSS cases. We propose a rationale for the use of subcutaneous ANK and review our initial experience in a small cohort of severe COVID-19 CSS patients.
    Methods: Retrospective cohort study of COVID-19 patients developing ARDS (PaO2/FiO2 <300) and exhibiting signs of hyperinflammation (ferritin >1000 ng/mL and/or d-dimers > 1.5 μg/mL, plus IL-6 < 40 mg/mL) that received ANK. For comparison, a propensity score matched historical cohort of patients treated with IL-6 inhibitor Tocilizumab (TCZ) was used. Patients had previously received combinations of azithromycin, hydroxy-chloroquine, and methyl-prednisolone. Laboratory findings, respiratory function and adverse effects were monitored. Resolution of ARDS within the first 7 days of treatment was considered a favorable outcome.
    Results: Subcutaneous ANK (100 mg every 6 h) was given to 9 COVID-19 ARDS CSS patients (77.8% males). Median age was 62 years (range, 42 to 87). A TCZ cohort of 18 patients was selected by propensity score matching and treated with intravenous single dose of 600 mg for patients weighing >75 Kg, or 400 mg if < 75 Kg. Prior to treatment, median PaO2/FiO2 ratio of the ANK and TCZ cohorts were 193 and 249, respectively (p = 0.131). After 7 days of treatment, PaO2/FiO2 ratio improved in both groups to 279 (104-335) and 331 (140-476, p = 0.099) respectively. On day 7, there was significant reduction of ferritin (p = 0.046), CRP (p = 0.043), and IL-6 (p = 0.043) levels in the ANK cohort but only of CRP (p = 0.001) in the TCZ group. Favorable outcome was achieved in 55.6% and 88.9% of the ANK and TCZ cohorts, respectively (p = 0.281). Two patients that failed to respond to TCZ improved after ANK treatment. Aminotransferase levels significantly increased between day 1 and day 7 (p = 0.004) in the TCZ group. Mortality was the same in both groups (11%). There were not any opportunistic infection in the groups nor other adverse effects attributable to treatment.
    Conclusion: Overall, 55.6% of COVID-19 ARDS CSS patients treated with ANK exhibited favorable outcome, not inferior to a TCZ treated matched cohort. ANK may be a potential alternative to TCZ for patients with elevated aminotransferases, and may be useful in non-responders to TCZ.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Antibodies, Monoclonal, Humanized/therapeutic use ; Antirheumatic Agents/therapeutic use ; Cohort Studies ; Cytokine Release Syndrome/drug therapy ; Disease Progression ; Female ; Humans ; Injections, Subcutaneous ; Interleukin 1 Receptor Antagonist Protein/therapeutic use ; Interleukin-1/antagonists & inhibitors ; Interleukin-6/antagonists & inhibitors ; Male ; Middle Aged ; Respiratory Distress Syndrome/drug therapy ; SARS-CoV-2/physiology ; Spain ; COVID-19 Drug Treatment
    Chemical Substances Antibodies, Monoclonal, Humanized ; Antirheumatic Agents ; Interleukin 1 Receptor Antagonist Protein ; Interleukin-1 ; Interleukin-6 ; tocilizumab (I031V2H011)
    Keywords covid19
    Language English
    Publishing date 2020-08-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 639452-8
    ISSN 1095-9157 ; 0896-8411
    ISSN (online) 1095-9157
    ISSN 0896-8411
    DOI 10.1016/j.jaut.2020.102537
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Basic sign in lung echography. Liquid and air bronchogram: Differentiation.

    Montero Baladía, M / Arroyo Diez, M / Badallo Areválo, O

    Medicina intensiva

    2017  Volume 42, Issue 8, Page(s) e19

    Title translation Signos básicos en ecografía pulmonar. Broncograma líquido y broncograma aéreo: diferenciación.
    MeSH term(s) Air ; Body Fluids ; Humans ; Lung/diagnostic imaging ; Pleural Effusion/diagnostic imaging ; Pleural Effusion/etiology ; Pulmonary Atelectasis/diagnostic imaging ; Pulmonary Atelectasis/etiology ; Respiration, Artificial ; Respiratory Distress Syndrome/complications ; Respiratory Distress Syndrome/diagnostic imaging ; Respiratory Distress Syndrome/therapy ; Ultrasonography, Doppler
    Language Spanish
    Publishing date 2017-09-21
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ISSN 2173-5727
    ISSN (online) 2173-5727
    DOI 10.1016/j.medin.2017.06.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Corticosteroid Pulses for Hospitalized Patients with COVID-19

    Cusacovich, Ivan / aparisi, alvaro / Marcos, Miguel / Ybarra-Falcón, Cristina / Iglesias-Echevarria, Carolina / Lopez-Veloso, Maria / Barraza-Vengoechea, Julio / Dueñas, Carlos / Juarros Martínez, Santiago Antonio / Rodríguez-Alonso, Beatriz / Martín-Oterino, José-Ángel / Montero-Baladia, Miguel / Moralejo, Leticia / Andaluz-Ojeda, David / Gonzalez-Fuentes, Roberto

    SSRN Electronic Journal ; ISSN 1556-5068

    Effects on Mortality

    2020  

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.2139/ssrn.3706050
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: High dose subcutaneous Anakinra to treat acute respiratory distress syndrome secondary to cytokine storm syndrome among severely ill COVID-19 patients

    Iglesias-Julián, Enrique / López-Veloso, María / de-la-Torre-Ferrera, Noelia / Barraza-Vengoechea, Julio Cesar / Delgado-López, Pedro David / Colazo-Burlato, María / Ubeira-Iglesias, Marta / Montero-Baladía, Miguel / Lorenzo-Martín, Andrés / Minguito-de-la-Iglesia, Javier / García-Muñoz, Juan Pablo / Sanllorente-Sebastián, Rodrigo / Vicente-González, Blanca / Alemán-Alemán, Ana / Buzón-Martín, Luis

    Journal of Autoimmunity

    2020  , Page(s) 102537

    Keywords Immunology ; Immunology and Allergy ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 639452-8
    ISSN 0896-8411
    ISSN 0896-8411
    DOI 10.1016/j.jaut.2020.102537
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article: Etoposide treatment adjunctive to immunosuppressants for critically ill COVID-19 patients

    M, Montero-Baladía / L, Buzón / I, Astigarraga / P, Delgado / E, Iglesias / F, Callejo / M, López-Veloso / J, Minguito / M, Fernández-Regueras / M, Ubeira / G, Hermida

    J Infect

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #609141
    Database COVID19

    Kategorien

  10. Article ; Online: Etoposide treatment adjunctive to immunosuppressants for critically ill COVID-19 patients

    M, Montero-Baladía / L, Buzón / I, Astigarraga / P, Delgado / E, Iglesias / F, Callejo / M, López-Veloso / J, Minguito / M, Fernández-Regueras / M, Ubeira / G, Hermida

    Journal of Infection

    2020  Volume 81, Issue 3, Page(s) 452–482

    Keywords Microbiology (medical) ; Infectious Diseases ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 424417-5
    ISSN 1532-2742 ; 0163-4453
    ISSN (online) 1532-2742
    ISSN 0163-4453
    DOI 10.1016/j.jinf.2020.06.006
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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