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. 2020 Apr 17;2(3):100061. doi: 10.1016/j.infpip.2020.100061

Table III.

Data extracted from included papers

Author/title/DOI Sample size Mean age (years) Gender Type of study Therapeutic treatment Type: N (%) Outcomes (recovery/mortality) Adverse events Quality assessment (applicable/inapplicable)
1 Cao et al. A trial of lopinavir–ritonavir in adults hospitalized with severe COVID-19. N Engl J Med 2020. https://doi.org/10.1056/NEJMoa2001282 199 58 120 M
79 F
Randomized clinical trial Lopinavir and ritonavir Lopinavir and ritonavir: 50%Standard care: 50% In hospitalized adult patients with severe COVID-19, no benefit was observed with lopinavir–ritonavir treatment beyond standard careNineteen deaths among patients who received the intervention 14% of patients who received lopinavir–ritonavir developed gastrointestinal adverse events, including anorexia, nausea, abdominal discomfort or diarrhoea, as well as two serious adverse events (both acute gastritis)Two recipients had self-limited skin eruptions The study addressed a focused issue
Randomization with intention-to-treat analysis
The population who entered the study were accounted for properly in the conclusion
Not blinded
The two groups who entered the study were similar and treated equally
The primary outcome was specified clearly
2 Cao et al. Clinical features and short-term outcomes of 18 patients with coronavirus disease 2019 in intensive care unit. Intensive Care Med 2020.https://doi.org/10.1007/s00134-020-05987-7 41 49 30 M
11 F
Prospective Antibiotics and oseltamivir (orally 75 mg twice daily)Corticosteroid was given as a combined regimen if severe community-acquired pneumonia was diagnosed by physicians at the designated hospital All patients received empirical antibiotic treatmentAntiviral (oseltamivir): 38 (93%)Systemic corticosteroid: 9 (22%) Antiviral: 12 ICU admissions (92%)
Antibiotic: 13 ICU admissions (100%)
Corticosteroid: six ICU admissions (46%)
Not reported Adverse events not reported
Treatment given not specified
Types of antibiotics given not mentioned
3 Chen et al. Favipiravir versus arbidol for COVID-19: a randomized clinical trial. medRxiv 2020. https://doi.org/10.1101/2020.03.17.200 236 56 (25–86) Favipiravir group:59 M
57 FArbidol group:51 M
69 F
Randomized controlled trial Favipiravir
Arbidol
Antiviral: 116
Antiviral: 120
71 patients recovered Abnormal liver function tests, raised serum uric acid, psychiatric symptom reactions and digestive tract reactions No effective antiviral drug was reported, and the drugs mentioned were based on the sixth edition of the guidelines of Chinese diagnosis and treatment plan of COVID-19 patients
4 Chen et al. Thalidomide combined with low-dose glucocorticoid in the treatment of COVID-19 pneumonia 2020. Preprints 2020; 2020020395. https://www.preprints.org/manuscript/202002.0395/v1 1 45 F Case report Thalidomide and low-dose glucocorticoid. The patient was first treated with oral ofloxacin and oseltamivir, but her condition deteriorated. The patient was subsequently treated with lopinavir/ritonavir Thalidomide inhibits the cytokine surge and regulates immune functions. In addition, it can be used to calm patients down in order to reduce oxygen consumption and relieve digestive symptoms Not reported Randomized controlled trials are needed
5 Chen et al. Clinical study of mesenchymal stem cell treating acute respiratory distress syndrome induced by epidemic influenza A (H7N9) infection, a hint for COVID-19 treatment. Engineering 2020. https://doi.org/10.1016/j.eng.2020.02.006 61 62 Not mentioned Open labelled clinical trial Oseltamivir or peramivir (according to standard therapy) and antibiotics were given based on positive blood test results Not mentioned 17.6% of patients in the experimental group and 54.5% of patients in the control group died Not reported With only 17 patients using mesenchymal stem cells, it cannot be guaranteed that every step was perfect during the phase with a single clinical trialSome patients refused to attend and some did not complete follow-up. Thus, there is still concern about the long-term safety of mesenchymal stem cell transplantation for the treatment of H7N9-induced ARDS, despite the lack of side-effects observed in this clinical trial This study was undertaken on patients with H7N9 not COVID-19
6 Chen et al. Retrospective analysis of clinical features in 101 death cases with COVID-19. medRxiv 2020. https://doi.org/10.1101/2020.03.09.20033068 101 65.46 64 M
37 F
Single centre and observational study (retrospective) Antiviral drugs, including oseltamivir, ribavirin, lopinavir, ritonavir, ganciclovir and interferon
Glucocorticoids, IV immunoglobulins and thymosin preparations

Antibiotic treatment, including cephalosporins, quinolones, carbapenems, linezolid and tigecycline
Antiviral: 61 (60.4%) Glucocorticoid: 59 (58.42%)IV immunoglobulin: 63.37%
Thymosin: 44.55%Antibiotic: 101 (100%)Restricted antibiotic: 63 (62.38%)Antifungal: 23 (22.78%)
101 patients died Not reported Only the critical death patients are included No comparison was made between the improvement groups
7 Chen et al. Clinical progression of patients with COVID-19 in Shanghai, China. J Infect 2020. https://doi.org/10.1016/j.jinf.2020.03.004 249 51 126 M
123 F
Retrospective, single-centre study Antiviral drugs (e.g. lopinavir/ritonavir, arbidol) were used in a small proportion of patients Corticosteroids were not used unless considered necessary by an expert panel (e.g. ARDS) Not mentioned Two patients died (0.8%)
22 patients were admitted to ICU (8.8%)
Eight patients developed ARDS (3.2%)
215 patients were discharged (86.3%)
Not reported A small proportion the patients were still hospitalized at the time of manuscript submission. Therefore, clinical outcomes in these patients were not available and continued observations are needed SARS-CoV-2 was not tested daily for all patients. Hence, the actual time to viral clearance should be shorter than the estimated value
8 Chen et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395:507–13. 99 55.5 67 M
32 F
Retrospective, single-centre descriptive study Antibiotic: cephalo-sporins, quinolones, carbapenems, tigecycline against meticillin-resistant Staphylococcus aureus, linezolid
Antifungal
Antiviral: oseltamivir, ganciclovir and lopinavir/ritonavir
Glucocorticoid: methylprednisolone sodium succinate, methylprednisolone and dexamethasone-
Immunoglobulin
Antibiotic: 70 (71%)
Antifungal: 15 (15%)
Antiviral: 75 (76%), including oseltamivir (75 mg every 12 h, orally), ganciclovir (0.25 g every 12 h, intravenously), and lopinavir/ritonavir (500 mg twice daily, orally). The duration of antiviral treatment was 3–14 days
Glucocorticoid: 19 (19%)

IV immunoglobulin: 27 (27%)
11 (11%) patients died Not reported or NA Suspected but undiagnosed cases were ruled out in the analyses More detailed patient information, particularly regarding clinical outcomes, was unavailable at the time of analysis
9 Chen et al. Epidemiological and clinical features of 291 cases with coronavirus disease 2019 in areas adjacent to Hubei, China: a double-center observational study. medRxiv 2020. https://doi.org/10.1101/2020.03.03.20030353 291 46 145 M
146 F
Double-centre observational study Antiviral including lopinavir and ritonavir Recombinant human interferon-α2b Recombinant cytokine gene-derived protein Arbidol hydrochloride Chinese medicine Antiviral: 285 (97.9%)Lopinavir/ritonavir: 75.9% Recombinant human interferon-α2b: 45.4% Recombinant cytokine gene-derived protein: 18.9%

Arbidol hydrochloride: 17.2%

Chinese medicine: 281 (96.6%)
Two (0.7%) patients died Not reported Due to limitations of the retrospective study, laboratory examinations were performed according to the clinical care needs of the patients; as such, some laboratory examinations were not completed Given the short observation period, nearly half of the patients were still receiving treatment in hospital at the end of the follow-up period, and it was not possible to determine mortality and prognosis of the whole case series
10 Cui et al. A 55-day-old female infant infected with COVID 19: presenting with pneumonia, liver injury, and heart damage. J Infect Dis 2020. https://doi.org/10.1093/infdis/jiaa113 1 55 days F Case report Inhaled interferon-α1b (15 μg, bid); amoxicillin potassium clavulanate (30 mg/kg, Q8H, ivgtt) NA NA NA Case report for infant patient
Adverse events and outcomes not reported
11 Du et al. Clinical features of 85 fatal cases of COVID-19 from Wuhan: a retrospective observational study. SSRN 2020. https://ssrn.com/abstract=3546088 191 56 119 M
72 F
Retrospective, multi-centre cohort study Antibiotic
Antiviral (lopinavir and ritonavir)
Corticosteroid


IV immunoglobulin
Antibiotic: 181 (95%)
Antiviral (lopinavir and ritonavir): 41 (21%)
Corticosteroid: 57 (30%)


IV immunoglobulin: 46 (24%)
181 (95%) patients received antibiotics: 53 (98%) died, 128 (93%) survived (P=0.15)
41 (21%) patients received antivirals: 12 (22%) died, 29 (21%) survived (P=0.87)
57 (30%) patients received corticosteroid: 26 (48%) died, 31 (23%) survived (P=0.0005)
46 (24%) patients received IV immunoglobulin: 36 (67%) died, 10 (7%) survived (P<0.0001)
54 patients died in hospital
Not reported Lack of effective antivirals, inadequate adherence to standard supportive therapy, and high-dose corticosteroid use may also have contributed to the poor clinical outcomes in some patients
12 Gautret et al. Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial. Int J Antimicrob Agents 2020:105949. https://doi.org/10.1016/j.ijantimicag.2020.105949 Treated: 20
Control: 16
Total: 36
45.1 15 M
21 other
Open label non- randomized clinical trial Hydroxychloroquine and azithromycin Hydroxychloroquine sulfate 200 mg, three times per day for 10 days On day 6 post inclusion, 100% of patients treated with a combination of hydroxychloroquine and azithromycin were virologicaly cured, compared with 57.1% of patients treated with hydroxychloroquine alone and 12.5% of patients in the control group One patient stopped treatment on day 3 post inclusion due to nausea Clinical follow-up and occurrence of side-effects were not discussed
13 Guan et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020. https://doi.org/10.1056/NEJMoa2002032 1099 47.9 41.1% F Retrospective observational study IV antibiotic
Oseltamivir
Antifungal
Systemic glucocorticoid
Antibiotic: 637 (58%)
Oseltamivir: 393 (35.8%)
Antifungal: 31 (2.8%)
Glucocorticoid: 204 (18.6%)
5.0% of patients were admitted to the ICU, 2.3% underwent invasive mechanical ventilation and 1.4% died among the 173 patients with severe disease Not reported Drug dose, frequency and duration were not included
14 Holshue et al. First case of 2019 novel coronavirus in the United States. N Engl J Med 2020. https://doi.org/10.1056/NEJMoa2001191 1 35 M Case report Antipyretic consisting of guaifenesin 650 mg
600 mg
Discharged with no symptoms Not reported This was only a single case study and does not represent the whole population
As this was a case report, it is not certain that the positive impact on the patient's health was due to the medication taken
Randomized controlled trials are needed
15 Huang et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395:497–506. 41 49 30 M (73%)
11 F (27%)
Prospective collection and analysed data for patients with pneumonia Antiviral: 38 (93%)
Antibiotic: 41 (100%)
Corticosteroid: 9 (22%)
Not mentioned One patient was admitted to ICU
Six patients died
Not reported As the causative pathogen has just been identified, kinetics of viral load and antibody titres were not available at the time of the study
16 Huang et al. Early and critical care in severe patients with COVID-19 in Jiangsu Province, China: a descriptive study. 2020. https://doi.org/10.21203/rs.3.rs-17397/v1 60 57 58.3% M
42.8% other
Multi-centre retrospective cohort study was conducted to extract and analyse epidemiological, clinical and laboratory data and treatment of 60 severe cases Antiviral: 60 (100%)
Abidor: 50 (83.3)
Lopinavir/ritonavir: 41 (68.3)
Interferon: 12 (20.0)
Ribavirin: 7 (11.7)
Oseltamivir: 2 (3.3)
Fluoroquinolone: (61.7%)
34 patients (56.7%) received IV glucocorticoids at doses ranging from 40 to 80 mg/day
28 patients (46.7%) received immunoglobulin (IgG enriched) injections for 5–9 days of immunoregulation
50 patients improved significantly
Two patients were discharged
Eight patients remained in a serious condition
Four patients who developed secondary infections received glucocorticoids Most drug doses, frequencies and durations were not included
The effect of glucocorticoids was not significant
17 Huang et al. Clinical characteristics of 36 non-survivors with COVID-19 in Wuhan, China. medRxiv 2020. https://doi.org/10.1101/2020.02.27.20029009 36 69.22 25 M (69.44%)
11 F (30.56%)
Retrospective, single-centre study Antibiotic: 36 (100%)
Antiviral: 35 (97.22%)
Glucocorticoid: 25 (69.44%)
Not mentioned All patients died All patients died Drug dose, frequency and duration were not included
18 Jian-ya G. Clinical characteristics of 51 patients discharged from hospital with COVID-19 in Chongqing, China. medRxiv 2020. https://doi.org/10.1101/2020.02.20.20025536 51 45 32 M (62.7%)
19 F (37.3%)
Retrospective, single-centre case series Oseltamivir (oral): 7 (13.7%)
Interferon (oral): 51 (100%)
Kaletra (oral): 51 (100%)
Thymopentin (IM): 48 (94.1%)
Traditional Chinese medicine decoction (oral): 28 (54.9%)
Reduling (IV): 30 (58.8%)
Xuebijing (IV): 2 (3.9%)
Not mentioned One patient died with shock complications Six patients had an obvious decline in appetite
.
Drug dose, frequency and duration were not included
19 Liang et al. Clinical characteristics of 457 cases with coronavirus disease 2019. Available at SSRN. 2020. https://doi.org/10.2139/ssrn.3543581 457 Varies 267 M (58%)
9 pregnant women (2%)
Systematic review Antiviral: 352 (77%)
Antibacterial:
258 (56%)
Glucocorticoid:
130 (28%)
Not mentioned 195 patients improved and were discharged 35 patients died Drug dose, frequency and duration were not included
20 Liao et al. Epidemiological and clinical characteristics of COVID-19 in adolescents and young adults. medRxiv 2020. https://doi.org/10.1101/2020.03.10.20032136 46 Not mentioned because they were two groups 17 M (53.1)
15 F (46.9)
Retrospective case series data Antiviral: 46 (100.0%)
Antifungal: 5 (10.9%)
Glucocorticoid
Not mentioned 78.3% of patients were discharged Three patients developed acute kidney injury during treatment At the end of this study, nearly 20% of the patients were still hospitalized
21 Lim et al. Case of the index patient who caused tertiary transmission of coronavirus disease 2019 in Korea: the application of lopinavir/ritonavir for the treatment of COVID-19 pneumonia monitored by quantitative RT-PCR. J Korean Med Sci 2020; 35. https://doi.org/10.3346/jkms.2020.35.e79 1 54 M Case report Lopinavir/ritonavir 200 mg
50 mg
(two tablets bid)
Reduced viral load and improved clinical symptoms The patient also complained of psychiatric symptoms such as depression, insomnia and suicidal thoughts after isolation This was a single case and does not represent the whole population
Randomized controlled trials are needed
22 Liu et al. Patients of COVID-19 may benefit from sustained lopinavir-combined regimen and the increase of eosinophil may predict the outcome of COVID-19 progression. Int J Infect Dis 2020. https://doi.org/10.1016/j.ijid.2020.03.013 10 42 6 F
4 other
Retrospective observational single-centre study Lopinavir,
Interferon-α2b atomization inhalation
400 mg every
twelve hours
Oeosinophil counts presented potential as predictor of the development of COVID-19
Seven patients were discharged
Three patients stopped lopinavir: two deteriorated and one was hospitalized for longer than other patients who continued taking lopinavir
Digestive adverse effect and hypokalaemia Small sample size
23 Liu et al. Epidemiological, clinical characteristics and outcome of medical staff infected with COVID-19 in Wuhan, China: a retrospective case series analysis. medRxiv 2020. https://doi.org/10.1101/2020.03.09.20033118 64 35 (29–43) 23 M
41 F
Single centre- retrospective-observational study Immunoglobulin Thymosin Corticosteroid Antibody: 23 Hormone: 33 Steroid hormone: 7 34 patients were discharged
30 patients were still hospitalized
Not reported Preliminary insight into epidemiological features and clinical outcomes Single centre
24 Liu et al. Detection of COVID-19 in children in early January 2020 in Wuhan, China. N Engl J Med 2020. https://doi.org/10.1056/NEJMc2003717 Six 3 (1–7) 2 M
4 F
Retrospective case series analysis Ribavirin
Oseltamivir
Glucocorticoid
IV immunoglobulin
Antiviral: 2
Antiviral: 6
Steroid hormone: 4
Antibody: 1
Six patients recovered Not reported Small sample size
25 Liu et al. Clinical features and progression of acute respiratory distress syndrome in coronavirus disease 2019. medRxiv 2020. https://doi.org/10.1101/2020.02.17.20024166 109 55 59 M
50 F
Retrospective case series analysis Glucocorticoid IV immunoglobulin Steroid hormone: 43

Antibody: 32
Antibiotic: 105
Antiviral: 105
31 patients died Not reported This study did not mention the names of the therapeutic treatment used among patients with ARDS
26 Lo et al. Evaluation of SARS-CoV-2 RNA shedding in clinical specimens and clinical characteristics of 10 patients with COVID-19 in Macau. Int J Biol Sci 2020; 16:1698–707. https://doi.org/10.7150/ijbs.45357 10 54 (27–64) 3 M
1 teenager
6 other
Retrospective case series analysis Lopinavir
Ritonavir
Antiviral: 10 Five patients were discharged
Five patients were still hospitalized
Not reported Small sample size, so difficult to draw a definite conclusion Single centre Half of the enrolled patients were still hospitalized at the time of submission of this paper. Therefore, there may have been bias regarding the prognosis of the patients
27 Mo et al. Clinical characteristics of refractory COVID-19 pneumonia in Wuhan, China. Clin Infect Dis 2020. https://doi.org/10.1093/cid/ciaa270 155 54 (42–66) 86 M
69 other
Single-centre, retrospective case series analysis Arbidol
Lopinavir and ritonavir
Interferon inhalation
Immune enhancer
Antiviral: 31
Antiviral: 27


Antiviral: 30

Immune enhancer: 14
22 patients died Not reported Selection bias may have occurred, and a large-scale nationwide study is needed
28 Wang et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020. https://doi.org/10.1001/jama.2020.1585 138 56 (42–68) 75 M
63 F
Retrospective, single-centre case series Oseltamivir
Moxifloxcain
Ceftriaxone
Azithromycin
Glucocorticoid
Antiviral: 124
Antibacterial: 89
Antibacterial: 34
Antibacterial: 25
Glucocorticoid: 62
47 patients were discharged
Six patients died
85 patients were still hospitalized
Not reported Most patients were still hospitalized at the time of manuscript submission. Therefore, there may have been bias regarding the prognosis of the patients.
29 Wang et al. Clinical features of 69 cases with coronavirus disease 2019 in Wuhan, China. Clin Infect Dis 2020. https://doi.org/10.1093/cid/ciaa272 69 42 (35–62) 32 M
37 F
Retrospective case series - Antiviral: 66
Antibiotic: 66
Antifungal: 8
Corticosteroid: 10
Arbidol: 36
44 patients were still hospitalized
18 patients were discharged
Five patients died
Not reported Drug dose, frequency and duration were not included
30 Wu et al. Heart injury signs are associated with higher and earlier mortality in coronavirus disease 2019 (COVID-19). medRxiv 2020. https://doi.org/10.1101/2020.02.26.20028589 188 52 119 M
69 other
Retrospective cohort study - Antibiotic: 185
Antiviral: 158
Corticosteroid: 59
43 patients died
145 patients were discharged
12 patients were still hospitalized
Not reported Drug dose, frequency and duration were not included
31 Wu F et al. A new coronavirus associated with human respiratory disease in China. Nature 2020; 579:265–9. 1 41 M Epidemiological investigations Antiviral
Antibiotic
Glucocorticoid
Oxygen
Oseltamivir
Cefoselis
Not mentioned
Mechanical ventilation
Recovered Not reported Applicable
32 Xu et al. Clinical characteristics of SARS-CoV-2 pneumonia compared to controls in Chinese Han population. medRxiv 2020. https://doi.org/10.1101/2020.03.08.20031658 Patients: 69
Controls: 14,117
57 50.7% M
49.3% F
Retrospective, multi-centre case series Antiviral
Antibiotic
Oxygen
Oseltamivir: 38 (55.1%)
Moxifloxacin, ceftriaxone, azithromycin, tigecycline or linezolid:
31 (44.9%)
Mechanical ventilation: 2
Invasive ventilator: 2
Three patients were discharged
One patient recovered
One patient died
Six patients with a significant increase in IL6 were also treated with methylprednisolone Applicable
33 Xu et al. Clinical findings in critical ill patients infected with SARS-CoV-2 in Guangdong Province, China: a multi-center, retrospective, observational study. medRxiv 2020. https://doi.org/10.1101/2020.03.03.20030668 45 56.7 29 M (64.4%)
16 F (35.6%)
Multi-centre, retrospective, observational study Antiviral: 45 (100) patients
Antibacterial: 45 (100)
Antifungal: 19 (42.2)
Convalescent plasma: 6 (13.3)
Glucocorticoid: 21 (46.7)
Immunoglobulin: 28 (62.2)
Albumin: 35 (77.8)
Osehamivir ribavirin
Not mentioned
Not mentioned
Not mentioned
Not mentioned
Not mentioned
Not mentioned
23 (51.1%) patients were discharged from the ICU
11 (24.2%) patients were discharged
One (2.2%) patient died
37 (82.2%) patients developed ARDS and 13 (28.9%) patients developed septic shock
20 (44.4%) patients required intubation and nine (20%) patients required extracorporeal membrane oxygenation
At the time of study submission, half of the patients had not been discharged from the ICU; as such, it was difficult to estimate ICU stay, ventilation-free days, case fatality rate and the predictors of fatality
Drug dose, frequency and duration were not included
34 Xu et al. Clinical findings in a group of patients infected with the 2019 novel coronavirus (SARS-Cov-2) outside of Wuhan, China: retrospective case series. BMJ 2020; 368:m606. 62 41 35 M (56%)
27 F (44%)
Retrospective study Antiviral: 55 (89%)
Antibiotic
Corticosteroid and gamma globulin
Interferon-α inhalation: 8 (13%)
Lopinavir/ritonavir: 4 (6%)
Arbidol + interferon-α inhalation: 1 (2%)
Lopinavir/ritonavir + interferon-α inhalation: 21 (34%)
Arbidol + lopinavir/ritonavir: 17 (28%)
Arbidol + lopinavir/ritonavir + interferon-α inhalation: 4 (6%)
28 (45%)
16 (26%)
No deaths Not reported At the time of study submission, most patients had not been discharged, so it was difficult to estimate the case fatality rate or the predictors of fatality
35 Xu et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med 2020. https://doi.org/10.1016/S2213-2600(20)30076-X 1 50 M Postmortem biopsies Antiviral
Antibiotic
Corticosteroid
Interferon-α2b atomization
Lopinavir + ritonavir
Moxifloxacin
Methylprednisolone
Died due to cardiac arrest Chest x-ray showed progressive infiltrate and diffuse gridding shadow in both lungs. Hypoxaemia and shortness of breath worsened and patient had sudden cardiac arrest This was a single case study and does not represent the whole population
The patient refused ventilator support in the ICU repeatedly because he suffered from claustrophobia; therefore, he received high-flow nasal cannula
There is a need for randomized controlled trials
36 Yang et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med 2020. https://doi.org/10.1016/S2213-2600(20)30079-5 52 59.7 35 M (67%)
17 F (33%)
Single-centre retrospective, observational study Vasoconstrictor
Antiviral:
23 (44%)

Antibacterial
Glucocorticoid
Immunoglobulin
18 (35%)
Oseltamivir: 18 (35%)
Ganciclovir: 14 (27%)
Lopinavir: 7 (13.5%).
49 (94%)
30 (58%)
28 (54%)
32 (61.5%) patients died Not reported Due to the exploratory nature of the study, which was not driven by formal hypotheses, the sample size calculation was waived
The researchers acknowledged that some specific information from the ICU was missing, such as mechanical ventilation settings
Drug dose, frequency and duration were not included
37 Young et al. Epidemiologic features and clinical course of patients infected with SARS-CoV-2 in Singapore. JAMA 2020. https://doi.org/10.1001/jama.2020.3204 18 47 9 M (50%)
9 F (50%)
Descriptive case series Antiretroviral
Antiviral
Antibiotic
Lopinavir/ritonavir
Oseltamivir
Not reported
No deaths Not reported Small sample size
Drug dose, frequency and duration were not included
38 Zhang et al. Clinical characteristics of 82 death cases with COVID-19. medRxiv 2020. https://doi.org/10.1101/2020.02.26.20028191 82 72.5 65.9% M Death cases Antiviral
Antibiotic
Corticosteroid
82 (100%)
82 (100%)
29 (35.3%)
Not reported The study was performed in one setting. No information was given about the hospital's capabilities in terms of personnel or equipment because the mortality rate from this centre was a little higher than other centres
Traditional Chinese medicine was given
Drug dose, frequency and duration were not included
39 Zhang et al. Clinical features and outcomes of 221 patients with COVID-19 in Wuhan, China. medRxiv 2020. https://doi.org/10.1101/2020.03.02.20030452 221 55 108 M (48.9%)
113 F (51.1%)
Retrospective case study Antiviral:
196 (88.7%)
Antibiotic
Corticosteroid: 115 (52.0%)
Oseltamivir
Arbidol hydrochloride
Interferon-α atomization inhalation
Lopinavir/ritonavir
Moxifloxacin hydrochloride
Piperacillin sodium tazobactam sodium
Cefoperazone sulbactam
Glucocorticoid: 64 (49.6%)
12 (5.4%) patients died Not reported The dose and duration of IV glucocorticoid treatment showed no difference in symptomatic relief and death
Drug dose, frequency and duration were not included
40 Zhang et al. The potential role of IL-6 in monitoring coronavirus disease 2019. https://doi.org/10.1101/2020.03.01.20029769 80 53 46 F (57.5%)
34 M (42.5%)
Data collection (clinical data from patients with COVID-19 diagnosed by laboratory test in study institution)
Observation of clinical manifestation
Antibiotic: 73 (91.25%)
Oseltamivir: 20 (25%)
Ribavirin, ganciclovir or peramivir: 47 (58.75%)
Arbidol: 49 (61.25%)
Antifungal: 10 (12.5%)
IV immunoglobin: 36 (45%)
Corticosteroid: 29 (36·25%)
Not mentioned IL-6 may be used as a biomarker for disease monitoring in severe cases of COVID-19 Not reported Drug dose, frequency and duration were not included
IL-6 and the pathogenesis of COVID-19 remains elusive
41 Zhou et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020. https://doi.org/10.1016/S0140-6736(20)30566-3 191 56 119 M (62%)
72 F (38%)
Retrospective cohort study Antibiotic: 181 (95%)
Antiviral:
41 (21%)
Corticosteroid: 57 (30%)
IV immunoglobin:
46 (24%)
Lopinavir/ritonavir 137 patients were discharged
54 patients died
191 patients There was no observation of a shortening of the duration of viral shedding after lopinavir/ritonavir treatment
Drug dose, frequency and duration were not included

COVID-19, coronavirus disease 2019; SARS-CoV-2, severe acute respiratory syndrome coronavirus-2; ICU, intensive care unit; ARDS, acute respiratory distress syndrome; IL-6, interleukin-6; NA, not applicable; IV, intravenous; IM, intramuscular.