Volume 75, Issue 7 e14167
ORIGINAL PAPER

Investigation of the disease process and drug combinations in patients with suspected/confirmed COVID-19 using favipiravir

Muhammet Ali Oruç

Muhammet Ali Oruç

Department of Family Medicine, Faculty of Medicine, Ahi Evran University, Kirsehir, Turkey

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Hatice Öz

Hatice Öz

Public Health, Samsun Provincial Health Directorate, Samsun, Turkey

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Onur Öztürk

Corresponding Author

Onur Öztürk

Department of Family Medicine, SBU Samsun Education and Research Hospital, Samsun, Turkey

Correspondence

Onur Öztürk, Department of Family Medicine, SBU Samsun Education and Research Hospital, Samsun, 55260, Turkey.

Email: [email protected]

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First published: 20 March 2021

Abstract

Aims

It is aimed to investigate the disease processes and drug combinations in patients who received favipiravir treatment.

Methods

This cross-sectional, analytical and retrospective study included all patients aged ≥18 years (n = 502) who were hospitalised in Samsun, Turkey, for COVID-19 and were given favipiravir from the date between 25 March 2020 and 3 June 2020.

Results

In total, 58.6% (n = 294) of the patients were male and 24.5% (n = 123) were between the ages of 71 and 80 years. During the first case process, the mortality rate was 19.9%, whereas the rate of those who were discharged as is/followed up at home for 14 days was 37.3%. During the second case process, the mortality rate was 6.2%, and the rate of those who was discharged as is/followed up at home for 14 days was 65.6%. The mean length of hospital stay was 10.61 ± 8.17 days for the first and 7.97 ± 4.16 days for the second hospitalisation; this difference was significant. Mortality risk of those who used Tocilizumab or vitamin C beside Favipiravir was higher than those who did not. The length of hospital stay was higher in patients using tocilizumab than in those who did not (P < .001).

Conclusion

Administration of favipiravir later in the course of the disease makes it difficult to achieve the true efficacy expected from the drug and also makes it difficult for other combination drugs to contribute to survival. Favipiravir may also be effective in case of recurrence.

DISCLOSURES

The authors declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

DATA AVAILABILITY STATEMENT

Data sharing is not applicable to this article as no datasets were generated or analysed during the current study.

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