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  1. Article ; Online: Favipiravir in the Treatment of Outpatient COVID-19: A Multicenter, Randomized, Triple-Blind, Placebo-Controlled Clinical Trial.

    Vaezi, Atefeh / Salmasi, Mehrzad / Soltaninejad, Forogh / Salahi, Mehrdad / Javanmard, Shaghayegh Haghjooy / Amra, Babak

    Advances in respiratory medicine

    2023  Volume 91, Issue 1, Page(s) 18–25

    Abstract: Background: Finding effective outpatient treatments to prevent COVID-19 progression and hospitalization is necessary and is helpful in managing limited hospital resources. Repurposing previously existing treatments is highly desirable. In this study, we ...

    Abstract Background: Finding effective outpatient treatments to prevent COVID-19 progression and hospitalization is necessary and is helpful in managing limited hospital resources. Repurposing previously existing treatments is highly desirable. In this study, we evaluate the efficacy of Favipiravir in the prevention of hospitalization in symptomatic COVID-19 patients who were not eligible for hospitalization.
    Methods: This study was a triple-blind randomized controlled trial conducted between 5 December 2020 and 31 March 2021 in three outpatient centers in Isfahan, Iran. Patients in the intervention group received Favipiravir 1600 mg daily for five days, and the control group received a placebo. Our primary outcome was the proportion of hospitalized participants from day 0 to day 28. The outcome was assessed on days 3, 7, 14, 21, and 28 through phone calls.
    Results: Seventy-seven patients were randomly allocated to Favipiravir and placebo groups. There was no significant difference between groups considering baseline characteristics. During the study period, 10.5% of patients in the Favipiravir group and 5.1% of patients in the placebo group were hospitalized, but there was no significant difference between them (
    Conclusions: Our study shows that Favipiravir did not reduce the hospitalization rate of mild to moderate COVID-19 patients in outpatient settings.
    MeSH term(s) Humans ; COVID-19 ; SARS-CoV-2 ; Outpatients ; Amides/adverse effects
    Chemical Substances favipiravir (EW5GL2X7E0) ; Amides
    Language English
    Publishing date 2023-01-28
    Publishing country Switzerland
    Document type Randomized Controlled Trial ; Multicenter Study ; Journal Article
    ZDB-ID 2893877-X
    ISSN 2543-6031 ; 2451-4934
    ISSN (online) 2543-6031
    ISSN 2451-4934
    DOI 10.3390/arm91010004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Steroid in the Treatment of Outpatient COVID-19: A Multicenter Randomized Controlled Trial.

    Amra, Babak / Vaezi, Atefeh / Soltaninejad, Forogh / Salahi, Mehrdad / Salmasi, Mehrzad / Haghjooy Javanmard, Shaghayegh

    Advanced biomedical research

    2023  Volume 12, Page(s) 122

    Abstract: Background: Early treatment of COVID-19 patients could reduce hospitalization and death. The effect of corticosteroids in the outpatient setting is still unknown. This study aimed to determine the effect of corticosteroids in the prevention of ... ...

    Abstract Background: Early treatment of COVID-19 patients could reduce hospitalization and death. The effect of corticosteroids in the outpatient setting is still unknown. This study aimed to determine the effect of corticosteroids in the prevention of hospitalization of nonsevere cases.
    Materials and methods: This study is a multicenter randomized controlled trial. Seventy five nonsevere COVID-19 patients presented between days 7 and 14 of their symptoms received either prednisolone or placebo. The primary outcome was hospitalization. The study protocol was registered in the Iranian Registry of Clinical Trials on December 2, 2020 (IRCT20171219037964N2).
    Results: Although the rate of hospitalization in the prednisolone group was higher than the placebo group (10.8% vs. 7.9%, respectively), it was not statistically significant (
    Conclusion: Considering the null effect of corticosteroids in the prevention of hospitalization in outpatient settings, it is suggested not to consider corticosteroids for outpatient treatment.
    Language English
    Publishing date 2023-05-15
    Publishing country India
    Document type Journal Article
    ZDB-ID 2672524-1
    ISSN 2277-9175
    ISSN 2277-9175
    DOI 10.4103/abr.abr_72_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Efficacy of Hydroxychloroquine in Pre-exposure Severe Acute Respiratory Syndrome Coronavirus 2 Prophylaxis among High-Risk HealthCare Workers: A Multicenter Study.

    Nasri, Elahe / Fakhim, Hamed / Salahi, Mehrdad / Ghafel, Safiyeh / Pourajam, Samane / Darakhshandeh, Ali / Kassaian, Nazila / Sadeghi, Somayeh / Ataei, Behrooz / Javanmard, Shaghayegh Haghjooy / Vaezi, Afsane

    Advanced biomedical research

    2023  Volume 12, Page(s) 3

    Abstract: Background: Prophylaxis could be an established strategy to potentially prevent and control infectious diseases and should be considered in the coronavirus disease 2019 (COVID-19) pandemic. The present study aimed to assess the effectiveness of ... ...

    Abstract Background: Prophylaxis could be an established strategy to potentially prevent and control infectious diseases and should be considered in the coronavirus disease 2019 (COVID-19) pandemic. The present study aimed to assess the effectiveness of hydroxychloroquine as a prophylaxis treatment strategy in the reduction of the risk of COVID-19 among health professionals.
    Materials and methods: The health professionals were randomly assigned (1:1) to the control group without receiving any hydroxychloroquine as prophylaxis and the hydroxychloroquine group receiving a weekly hydroxychloroquine dose of 400 mg up to 12 weeks.
    Results: A total of 146 health professionals were randomly enrolled in this study between August 11 and November 11 in 2020. Among the screened health professionals, 21 (14.6%) were infected with COVID-19 during the 12 weeks, and 14 (66.6%) out of the 21 health professionals were in the control group. Most participants with COVID-19 had mild symptoms (62%). In addition, 9.5% (
    Conclusion: This study addressed the effect and benefit of hydroxychloroquine administration for the prevention of COVID-19 among health professionals. The improved perception of prophylaxis might highlight its important role in future COVID-19 outbreaks to prevent hospital transmission, which is a major route of spread.
    Language English
    Publishing date 2023-01-27
    Publishing country India
    Document type Journal Article
    ZDB-ID 2672524-1
    ISSN 2277-9175
    ISSN 2277-9175
    DOI 10.4103/abr.abr_104_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Is Chronic Kidney Disease, a Predictor of In-Hospital Mortality in Coronavirus Disease 2019 (COVID-19) Patients?

    Moeinzadeh, Firouzeh / Raeisi, Vahideh / Babahajiani, Media / Mortazavi, Mojgan / Pourajam, Samaneh / Seirafian, Shiva / Shirzadi, Mohammad / Taheri, Shahram / Salahi, Mehrdad / Mansourian, Marjan / Toghyani, Arash / Zamani, Zahra

    Advanced biomedical research

    2023  Volume 12, Page(s) 39

    Abstract: Background: Chronic kidney disease (CKD) is an important comorbidity in Coronavirus Disease 2019 (COVID-19) patients considering its high prevalence. We aimed to figure out the relationship between CKD and COVID-19 mortality in this study.: Materials ... ...

    Abstract Background: Chronic kidney disease (CKD) is an important comorbidity in Coronavirus Disease 2019 (COVID-19) patients considering its high prevalence. We aimed to figure out the relationship between CKD and COVID-19 mortality in this study.
    Materials and methods: In total, 116 CKD patients (estimated glomerular filtration rate [eGFR] lower than 60 mL/min/1.73 m
    Results: Mortality rate was significantly higher in CKD than non-CKD (30.17 vs 4.76,
    Conclusion: This study suggested an independent association between CKD and in-hospital mortality in COVID-19 patients. Therefore, more intensive surveillance of COVID-19 patients with CKD is to be warranted.
    Language English
    Publishing date 2023-02-25
    Publishing country India
    Document type Journal Article
    ZDB-ID 2672524-1
    ISSN 2277-9175
    ISSN 2277-9175
    DOI 10.4103/abr.abr_352_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Efficacy of Persian medicine herbal formulations (capsules and decoction) compared to standard care in patients with COVID-19, a multicenter open-labeled, randomized, controlled clinical trial.

    Karimi, Mehrdad / Zarei, Azadeh / Soleymani, Samaneh / Jamalimoghadamsiahkali, Saeidreza / Asadi, Asmaa / Shati, Mohsen / Jafari, Mohieddin / Rezadoost, Hassan / Kordafshar, Gholamreza / Naghizadeh, Ayeh / Mardi, Raefeh / Namiranian, Parva / Khamechi, Seyed Peyman / Ansari, Narges / Adel Mehraban, Mohammad Sadegh / Aliakbarzadeh, Hananeh / Khanavi, Mahnaz / Esmaealzadeh, Niusha / Moravveji, Alireza /
    Salahi, Mehrdad / Khoi, Maryam / Razzaghi, Reza / Banafshe, Hamid Reza / Alizadeh, Mostafa / Akhbari, Marzieh / Atharizadeh, Mina / Izadikhah, Akram / Elsagh, Mahin / Hossein Zade Ghahnavieh, Mahdi / Eghbalian, Fatemeh / Vanai, Azam / Izadi, Hossein / Moravej, Seyed Ali Al-Hadi / Jazayeri, Seyede Ferdos / Bayat, Houman / Emadi Koochak, Hamid / Zargaran, Arman

    Phytotherapy research : PTR

    2021  Volume 35, Issue 11, Page(s) 6295–6309

    Abstract: Persian medicine has recommended clinical experiences and proper herbal remedies for prevention and treatment of microbial infections and respiratory diseases. An open-label, randomized, controlled, multicenter trial was conducted at five hospitals in ... ...

    Abstract Persian medicine has recommended clinical experiences and proper herbal remedies for prevention and treatment of microbial infections and respiratory diseases. An open-label, randomized, controlled, multicenter trial was conducted at five hospitals in Tehran and Isfahan provinces of Iran on 358 hospitalized adult patients. A total of 174 patients received standard care and 184 received herbal remedies (polyherbal decoction every 8 hr and two herbal capsules every 12 hr) plus standard care for 7 days. The primary clinical endpoint was the duration of hospital stay, and secondary outcomes were clinical improvement of symptoms based on self-assessment questionnaire. Results demonstrated that these natural decoction and capsules treatment plus routine care significantly decreased duration of hospital dyspnea (3.291 day vs. 6.468 days), accelerated clinical improvement, and decreased symptoms such as dry cough, dyspnea, muscle pain, headache, fatigue, anorexia, chills, runny nose, sputum cough, and vertigo in the treatment group compared with standard-care group. Significant effects of these polyherbal formulations on improving the symptoms of COVID-19 could be incredibly promising for managing this pandemic with acceptable tolerability.
    MeSH term(s) Adult ; COVID-19 ; Capsules ; Humans ; Iran ; SARS-CoV-2 ; Treatment Outcome
    Chemical Substances Capsules
    Language English
    Publishing date 2021-10-04
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Randomized Controlled Trial
    ZDB-ID 639136-9
    ISSN 1099-1573 ; 0951-418X
    ISSN (online) 1099-1573
    ISSN 0951-418X
    DOI 10.1002/ptr.7277
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Efficacy of Persian medicine herbal formulations (capsules and decoction) compared to standard care in patients with COVID‐19, a multicenter open‐labeled, randomized, controlled clinical trial

    Karimi, Mehrdad / Zarei, Azadeh / Soleymani, Samaneh / Jamalimoghadamsiahkali, Saeidreza / Asadi, Asmaa / Shati, Mohsen / Jafari, Mohieddin / Rezadoost, Hassan / Kordafshar, Gholamreza / Naghizadeh, Ayeh / Mardi, Raefeh / Namiranian, Parva / Khamechi, Seyed Peyman / Ansari, Narges / Adel Mehraban, Mohammad Sadegh / Aliakbarzadeh, Hananeh / Khanavi, Mahnaz / Esmaealzadeh, Niusha / Moravveji, Alireza /
    Salahi, Mehrdad / Khoi, Maryam / Razzaghi, Reza / Banafshe, Hamid Reza / Alizadeh, Mostafa / Akhbari, Marzieh / Atharizadeh, Mina / Izadikhah, Akram / Elsagh, Mahin / Hossein Zade Ghahnavieh, Mahdi / Eghbalian, Fatemeh / Vanai, Azam / Izadi, Hossein / Moravej, Seyed Ali Al‐hadi / Jazayeri, Seyede Ferdos / Bayat, Houman / Emadi Koochak, Hamid / Zargaran, Arman

    Phytotherapy research. 2021 Nov., v. 35, no. 11

    2021  

    Abstract: Persian medicine has recommended clinical experiences and proper herbal remedies for prevention and treatment of microbial infections and respiratory diseases. An open‐label, randomized, controlled, multicenter trial was conducted at five hospitals in ... ...

    Abstract Persian medicine has recommended clinical experiences and proper herbal remedies for prevention and treatment of microbial infections and respiratory diseases. An open‐label, randomized, controlled, multicenter trial was conducted at five hospitals in Tehran and Isfahan provinces of Iran on 358 hospitalized adult patients. A total of 174 patients received standard care and 184 received herbal remedies (polyherbal decoction every 8 hr and two herbal capsules every 12 hr) plus standard care for 7 days. The primary clinical endpoint was the duration of hospital stay, and secondary outcomes were clinical improvement of symptoms based on self‐assessment questionnaire. Results demonstrated that these natural decoction and capsules treatment plus routine care significantly decreased duration of hospital dyspnea (3.291 day vs. 6.468 days), accelerated clinical improvement, and decreased symptoms such as dry cough, dyspnea, muscle pain, headache, fatigue, anorexia, chills, runny nose, sputum cough, and vertigo in the treatment group compared with standard‐care group. Significant effects of these polyherbal formulations on improving the symptoms of COVID‐19 could be incredibly promising for managing this pandemic with acceptable tolerability.
    Keywords COVID-19 infection ; adults ; anorexia ; clinical trials ; cough ; dyspnea ; headache ; hospitals ; muscles ; nose ; pandemic ; phytotherapy ; questionnaires ; research ; Iran
    Language English
    Dates of publication 2021-11
    Size p. 6295-6309.
    Publishing place John Wiley & Sons, Ltd.
    Document type Article
    Note JOURNAL ARTICLE
    ZDB-ID 639136-9
    ISSN 1099-1573 ; 0951-418X
    ISSN (online) 1099-1573
    ISSN 0951-418X
    DOI 10.1002/ptr.7277
    Database NAL-Catalogue (AGRICOLA)

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