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🚨In an observational study of 1,446 #COVID19 patients, #hydroxychloroquine treatment was NOT associated with either a greatly lowered or an increased risk of intubation or death.

Bottom line: NO BENEFIT seen. Randomized, placebo-controlled study needed.

nejm.org/doi/full/10.10…
Of the 1376 patients, 811 (58.9%) received #hydroxychloroquine (median duration of treatment, 5 days) and 565 (41.1%) did not. Among those who got #hydroxychloroquine, 45.8% got it in the 24 hours after presentation to the ER; 85.9% got it within 48 hours after presentation.
#Hydroxychloroquine-treated patients had lower Pao2:Fio2 at baseline than those who did not receive the drug (median 233 vs 360 mm Hg). Statistical analyses (multivariable regression) were used to see if this/other factors confounded results, but no benefit for the drug was seen.
"Clinical guidance at our medical center has been updated to remove the suggestion that patients with #COVID19 be treated with #hydroxychloroquine...the results do not support the use of #hydroxychloroquine at present, outside randomized clinical trials testing its efficacy."💥
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