[Enoxaparin dose associated with decreased risk of death in COVID-19]

Baltazar Joanico-Morales1, Alma Delia Gaspar-Chamu1, María de Los Ángeles Salgado-Jiménez2

  • 1Instituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada Estatal Guerrero, Hospital General Regional No. 1 "Vicente Guerrero", Coordinación Clínica de Educación e Investigación en Salud. Acapulco, Guerrero, México.

Insights

High mortality was observed in hospitalized COVID-19 patients. Enoxaparin 60 mg, unlike 40 mg, reduced death risk, while other drugs and older age increased it.

Area of Science:

  • Infectious Diseases
  • Pharmacology
  • Critical Care Medicine

Background:

  • The COVID-19 pandemic, originating in December 2019, has led to significant global mortality.
  • Despite extensive research, effective pharmacological treatments for COVID-19 remain elusive.

Purpose of the Study:

  • To analyze the clinical characteristics and pharmacological interventions in hospitalized COVID-19 patients.
  • To investigate the relationship between specific treatments and patient outcomes, including mortality.

Main Methods:

  • An observational study was conducted on 200 patients hospitalized with COVID-19 between March and July 2020.
  • Data on patient demographics, comorbidities, pharmacological treatments, and clinical evolution were collected.
  • Statistical analyses, including univariate, bivariate, and multivariate approaches, were employed.

Main Results:

  • The study population comprised 60% males, with 83% having at least one comorbidity; overall mortality was 56%.
  • Enoxaparin use, particularly a 60 mg dose, was associated with a reduced risk of death compared to a 40 mg dose.
  • Hydroxychloroquine, methylprednisolone, moxifloxacin, and age over 60 were linked to an increased risk of mortality.

Conclusions:

  • Hospitalized COVID-19 patients experienced high mortality rates.
  • A 60 mg dose of enoxaparin demonstrated a potential survival benefit in this patient cohort.
Abstract

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