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1. Self-reported symptom study of COVID-19 chemosensory dysfunction in Malaysia

Author

Shen-Han Lee, Zhi Xiang Yeoh, Ida Sadja’ah Sachlin, Norzi Gazali, Shahrul Aiman Soelar, Chee Yoong Foo, Lee Lee Low, Sharifah Baizura Syed Alwi, Tengku Mohamed Izam Tengku Kamalden, Jothi Shanmuganathan, Masliza Zaid, Chun Yiing Wong, Hock Hin Chua, Suhaimi Yusuf, Dzawani Muhamad, Philip Rajan Devesahayam, Hong Bee Ker, Zulkiflee Salahuddin, Mahiran Mustafa, Halimuddin Sawali, Heng Gee Lee, Sobani Din, Nor Arisah Misnan, Amran Mohamad, Mohd Noor Ismail, Chenthilnathan Periasamy, Ting Soo Chow, Elang Kumaran Krishnan, Chee Loon Leong, Linda Pei Fang Lim, Nor Zaila Zaidan, Mohd Zambri Ibrahim, Suhaila Abd Wahab, Siti Sabzah Mohd Hashim, and Malaysian COVID-19 Anosmia Research Group

Subjects
Medicine, Science
Abstract

Abstract Alterations in the three chemosensory modalities—smell, taste, and chemesthesis—have been implicated in Coronavirus Disease 2019 (COVID-19), yet emerging data suggest a wide geographic and ethnic variation in the prevalence of these symptoms. Studies on chemosensory disorders in COVID-19 have predominantly focused on Caucasian populations whereas Asians remain understudied. We conducted a nationwide, multicentre cross-sectional study using an online questionnaire on a cohort of RT-PCR-confirmed adult COVID-19 patients in Malaysia between 6 June and 30 November 2020. The aim of our study was to investigate their presenting symptoms and assess their chemosensory function using self-ratings of perceived smell, taste, chemesthesis, and nasal blockage. In this cohort of 498 patients, 41.4% reported smell and/or taste loss when diagnosed with COVID-19, which was the commonest symptom. Blocked nose, loss of appetite, and gastrointestinal disturbances were independent predictors of smell and/or taste loss on multivariate analysis. Self-ratings of chemosensory function revealed a reduction in smell, taste, and chemesthesis across the entire cohort of patients that was more profound among those reporting smell and/or taste loss as their presenting symptom. Perceived nasal obstruction accounted for only a small proportion of changes in smell and taste, but not for chemesthesis, supporting viral disruption of sensorineural mechanisms as the dominant aetiology of chemosensory dysfunction. Our study suggests that chemosensory dysfunction in COVID-19 is more widespread than previously reported among Asians and may be related to the infectivity of viral strains. Study Registration: NMRR-20-934-54803 and NCT04390165.

Published
2022
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2. Thrombotic and hemorrhagic complications of COVID-19 in adults hospitalized in high-income countries compared with those in adults hospitalized in low- and middle-income countries in an international registry

Author

Abdukahil, Sheryl Ann, Abdulkadir, Nurul Najmee, Abe, Ryuzo, Abel, Laurent, Abrous, Amal, Absil, Lara, Acker, Andrew, Adam, Elisabeth, Adrião, Diana, Al Ageel, Saleh, Ahmed, Shakeel, Ainscough, Kate, Aisa, Tharwat, Hssain, Ali Ait, Tamlihat, Younes Ait, Akimoto, Takako, Akmal, Ernita, Akwani, Chika, Al Qasim, Eman, Alalqam, Razi, Alberti, Angela, Al-dabbous, Tala, Alegesan, Senthilkumar, Alessi, Marta, Alex, Beatrice, Alexandre, Kévin, Al-Fares, Abdulrahman, Alfoudri, Huda, Ali, Imran, Alidjnou, Kazali Enagnon, Aliudin, Jeffrey, Alkhafajee, Qabas, Allavena, Clotilde, Allou, Nathalie, Alves, João, Alves, Rita, Alves, João Melo, Cabrita, Joana Alves, Amaral, Maria, Amira, Nur, Ampaw, Phoebe, Andini, Roberto, Andréjak, Claire, Angheben, Andrea, Angoulvant, François, Ansart, Séverine, Anthonidass, Sivanesen, Antonelli, Massimo, de Brito, Carlos Alexandre Antunes, Apriyana, Ardiyan, Arabi, Yaseen, Aragao, Irene, Arancibia, Francisco, Araujo, Carolline, Arcadipane, Antonio, Archambault, Patrick, Arenz, Lukas, Arlet, Jean-Benoît, Arnold-Day, Christel, Arora, Lovkesh, Arora, Rakesh, Artaud-Macari, Elise, Aryal, Diptesh, Asensio, Angel, Ashraf, Muhammad, Assie, Jean Baptiste, Asyraf, Amirul, Atif, Minahel, Atique, Anika, Auchabie, Johann, Aumaitre, Hugues, Auvet, Adrien, Azemar, Laurène, Azoulay, Cecile, Bach, Benjamin, Bachelet, Delphine, Badr, Claudine, Baig, Nadia, Baillie, J. Kenneth, Bak, Erica, Bakakos, Agamemnon, Bakar, Nazreen Abu, Bal, Andriy, Balakrishnan, Mohanaprasanth, Balan, Valeria, Bani-Sadr, Firouzé, Barbalho, Renata, Barbosa, Nicholas Yuri, Barclay, Wendy S., Barnett, Saef Umar, Barnikel, Michaela, Barrasa, Helena, Barrelet, Audrey, Barrigoto, Cleide, Bartoli, Marie, Baruch, Joaquín, Basmaci, Romain, Basri, Muhammad Fadhli Hassin, Battaglini, Denise, Bauer, Jules, Rincon, Diego Fernando Bautista, Beane, Abigail, Bedossa, Alexandra, Hong Bee, Ker, Begum, Husna, Behilill, Sylvie, Beishuizen, Albertus, Beljantsev, Aleksandr, Bellemare, David, Beltrame, Anna, Beltrão, Beatriz Amorim, Beluze, Marine, Benech, Nicolas, Benjiman, Lionel Eric, Benkerrou, Dehbia, Bennett, Suzanne, Benny, Binny, Bento, Luís, Berdal, Jan-Erik, Bergeaud, Delphine, Bergin, Hazel, Sobrino, José Luis Bernal, Bertoli, Giulia, Bertolino, Lorenzo, Bessis, Simon, Bevilcaqua, Sybille, Bezulier, Karine, Bhatt, Amar, Bhavsar, Krishna, Bianco, Claudia, Bidin, Farah Nadiah, Singh, Moirangthem Bikram, Humaid, Felwa Bin, Kamarudin, Mohd Nazlin Bin, Bisoffi, Zeno, Bissuel, François, Bitker, Laurent, Bitton, Jonathan, Blanco-Schweizer, Pablo, Blier, Catherine, Bloos, Frank, Blot, Mathieu, Blumberg, Lucille, Boccia, Filomena, Bodenes, Laetitia, Bogaert, Debby, Boivin, Anne-Hélène, Bolaños, Isabela, Bolze, Pierre-Adrien, Bompart, François, Borges, Diogo, Borie, Raphaël, Bosse, Hans Martin, Botelho-Nevers, Elisabeth, Bouadma, Lila, Bouchaud, Olivier, Bouchez, Sabelline, Bouhmani, Dounia, Bouhour, Damien, Bouiller, Kévin, Bouillet, Laurence, Bouisse, Camile, Boureau, Anne-Sophie, Bourke, John, Bouscambert, Maude, Bousquet, Aurore, Bouziotis, Jason, Boxma, Bianca, Boyer-Besseyre, Marielle, Boylan, Maria, Bozza, Fernando Augusto, Braconnier, Axelle, Braga, Cynthia, Brandenburger, Timo, Monteiro, Filipa Brás, Brazzi, Luca, Breen, Patrick, Breen, Dorothy, Brewster, David, Brickell, Kathy, Browne, Shaunagh, Browne, Alex, Brozzi, Nicolas, Brusse-Keizer, Marjolein, Bryda, Petra, Buchtele, Nina, Buisson, Marielle, Burhan, Erlina, Burrell, Aidan, Bustos, Ingrid G., Cabie, André, Cabral, Susana, Caceres, Eder, Cadoz, Cyril, Garcês, Rui Caetano, Calligy, Kate, Calvache, Jose Andres, Camões, João, Campana, Valentine, Campbell, Paul, Campisi, Josie, Canepa, Cecilia, Cantero, Mireia, Caraux-Paz, Pauline, Cárcel, Sheila, Cardellino, Chiara Simona, Cardoso, Sofia, Cardoso, Filipe, Cardoso, Filipa, Cardoso, Nelson, Carelli, Simone, Carlier, Nicolas, Carmoi, Thierry, Carney, Gayle, Carqueja, Inês, Carret, Marie-Christine, Carrier, François Martin, Carroll, Ida, Carson, Gail, Casanova, Maire-Laure, Cascão, Mariana, Casey, Siobhan, Casimiro, José, Cassandra, Bailey, Castañeda, Silvia, Castanheira, Nidyanara, Castor-Alexandre, Guylaine, Castro, Ivo, Catarino, Ana, Catherine, François-Xavier, Cattaneo, Paolo, Cavalin, Roberta, Cavayas, Alexandros, Cervantes-Gonzalez, Minerva, Chair, Anissa, Chakveatze, Catherine, Chan, Adrienne, Chand, Meera, Chantalat Auger, Christelle, Chapplain, Jean-Marc, Charpentier, Charlotte, Chas, Julie, Chávez Iñiguez, Jonathan Samuel, Chen, Anjellica, Chen, Yih-Sharng, Chenard, Léo, Cheng, Matthew Pellan, Cheret, Antoine, Chiarabini, Thibault, Chica, Julian, Chidambaram, Suresh Kumar, Chin Tho, Leong, Chirouze, Catherine, Chiumello, Davide, Cho, Sung-Min, Cholley, Bernard, Chopin, Marie-Charlotte, Chow, Ting Soo, Chua, Hiu Jian, Chua, Jonathan, Cidade, Jose Pedro, Cisneros Herreros, José Miguel, Citarella, Barbara Wanjiru, Ciullo, Anna, Clarke, Jennifer, Clarke, Emma, Claure-Del Granado, Rolando, Clohisey, Sara, Codan, Cassidy, Cody, Caitriona, Coelho, Alexandra, Coles, Megan, Coles, Jennifer, Colin, Gwenhaël, Collins, Michael, Colombo, Sebastiano Maria, Combs, Pamela, Connolly, Jennifer, Connor, Marie, Conrad, Anne, Conway, Elaine, Cooke, Graham S., Copland, Mary, Cordel, Hugues, Corley, Amanda, Cornelis, Sabine, Cornet, Alexander Daniel, Corpuz, Arianne Joy, Cortegiani, Andrea, Corvaisier, Grégory, Costigan, Emma, Couffignal, Camille, Couffin-Cadiergues, Sandrine, Courtois, Roxane, Cousse, Stéphanie, Cregan, Rachel, Cristella, Cosimo, Croonen, Sabine, Crowl, Gloria, Crump, Jonathan, Cruz, Claudina, Cruz Bermúdez, Juan Luis, Cruz Rojo, Jaime, Csete, Marc, Cullen, Ailbhe, Cummings, Matthew, Curley, Gerard, Curlier, Elodie, Curran, Colleen, Custodio, Paula, da Silva Filipe, Ana, Da Silveira, Charlene, Dabaliz, Al-Awwab, Dagens, Andrew, Dahly, Darren, Dalton, Heidi, Dalton, Jo, Daly, Seamus, Damas, Juliana, Daneman, Nick, Daniel, Corinne, Dankwa, Emmanuelle A., Dantas, Jorge, D'Aragon, Frédérick, de Jong, Menno, de Loughry, Gillian, De Montmollin, Etienne, de Oliveira França, Rafael Freitas, de Pinho Oliveira, Ana Isabel, De Rosa, Rosanna, de Silva, Thushan, de Vries, Peter, Dean, David, Debard, Alexa, DeBenedictis, Bianca, Debray, Marie-Pierre, DeCastro, Nathalie, Dechert, William, Deconninck, Lauren, Decours, Romain, Defous, Eve, Delacroix, Isabelle, Delaveuve, Eric, Delavigne, Karen, Delfos, Nathalie M., Deligiannis, Ionna, Dell'Amore, Andrea, Delmas, Christelle, Delobel, Pierre, Delsing, Corine, Demonchy, Elisa, Denis, Emmanuelle, Deplanque, Dominique, Depuydt, Pieter, Desai, Mehul, Descamps, Diane, Desvallées, Mathilde, Dewayanti, Santi, Dhanger, Pathik, Diallo, Alpha, Diamantis, Sylvain, Dias, André, Da Silva, Fernanda Dias, Diaz, Juan Jose, Diaz, Rodrigo, Diaz, Priscila, Didier, Kévin, Diehl, Jean-Luc, Dieperink, Wim, Dimet, Jérôme, Dinot, Vincent, Diop, Fara, Diouf, Alphonsine, Dishon, Yael, Djossou, Félix, Docherty, Annemarie B., Doherty, Helen, Donnelly, Maria, Donnelly, Christl A., Donohue, Sean, Donohue, Yoann, Donohue, Chloe, Doran, Peter, Dorival, Céline, D'Ortenzio, Eric, Douglas, James Joshua, Dournon, Nathalie, Downer, Triona, Downey, Joanne, Downing, Mark, Drake, Tom, Driscoll, Aoife, Dryden, Murray, Fonseca, Claudio Duarte, Dubee, Vincent, Dubos, François, Ducancelle, Alexandre, Duculan, Toni, Dudman, Susanne, Duggal, Abhijit, Dunand, Paul, Dunning, Jake, Duplaix, Mathilde, Durante-Mangoni, Emanuele, Durham, Lucian, III, Dussol, Bertrand, Duthoit, Juliette, Duval, Xavier, Dyrhol-Riise, Anne Margarita, Ean, Sim Choon, Echeverria-Villalobos, Marco, Egan, Siobhan, Eira, Carla, El Sanharawi, Mohammed, Elapavaluru, Subbarao, Elharrar, Brigitte, Ellerbroek, Jacobien, Eloy, Philippine, Elshazly, Tarek, Enderle, Isabelle, Endo, Tomoyuki, Eng, Chan Chee, Engelmann, Ilka, Enouf, Vincent, Epaulard, Olivier, Escher, Martina, Esperatti, Mariano, Esperou, Hélène, Santo, Catarina Espírito, Esposito-Farese, Marina, Estevão, João, Etienne, Manuel, Ettalhaoui, Nadia, Everding, Anna Greti, Evers, Mirjam, Fabre, Isabelle, Fabre, Marc, Faheem, Amna, Fahy, Arabella, Fairfield, Cameron J., Faria, Pedro, Fateena, Hanan, Fatoni, Arie Zainul, Faure, Karine, Favory, Raphaël, Fayed, Mohamed, Feely, Niamh, Feeney, Laura, Fernandes, Jorge, Fernandes, Marília Andreia, Fernandes, Susana, Ferrand, François-Xavier, Devouge, Eglantine Ferrand, Ferrão, Joana, Ferraz, Mário, Ferreira, Sílvia, Ferreira, Bernardo, Ferreira, Benigno, Ferreira, Isabel, Ferriere, Nicolas, Ficko, Céline, Figueiredo-Mello, Claudia, Fiorda, Juan, Flament, Thomas, Flateau, Clara, Fletcher, Tom, Florence, Aline-Marie, Florio, Letizia Lucia, Flynn, Deirdre, Foley, Claire, Foley, Jean, Fonseca, Tatiana, Forsyth, Simon, Foster, Denise, Foti, Giuseppe, Fourn, Erwan, Fowler, Robert A., Fraher, Marianne, Franch-Llasat, Diego, Fraser, John F., Fraser, Christophe, Freire, Marcela Vieira, Ribeiro, Ana Freitas, Fritz, Ricardo, Fry, Stéphanie, Fuentes, Nora, Fukuda, Masahiro, Gaborieau, Valérie, Gaci, Rostane, Gagliardi, Massimo, Gagnard, Jean-Charles, Gagneux-Brunon, Amandine, Gaião, Sérgio, Skeie, Linda Gail, Gallagher, Phil, Gamble, Carrol, Gani, Yasmin, Garan, Arthur, Garcia, Rebekha, Barrio, Noelia García, Garcia-Gallo, Esteban, Garot, Denis, Garrait, Valérie, Gault, Nathalie, Gavin, Aisling, Gavrylov, Anatoliy, Gaymard, Alexandre, Gebauer, Johannes, Geraud, Eva, Morlaes, Louis Gerbaud, Germano, Nuno, Ghosn, Jade, Giani, Marco, Gibson, Jess, Gigante, Tristan, Gilg, Morgane, Gilroy, Elaine, Giordano, Guillermo, Girvan, Michelle, Gissot, Valérie, Glikman, Daniel, Gnall, Eric, Goehringer, François, Goepel, Siri, Goffard, Jean-Christophe, Goh, Jin Yi, Golob, Jonathan, Gómez-Junyent, Joan, Gominet, Marie, Gonzalez, Alicia, Gordon, Patricia, Gorenne, Isabelle, Gormley, Conor, Goubert, Laure, Goujard, Cécile, Goulenok, Tiphaine, Grable, Margarite, Graf, Jeronimo, Grandin, Edward Wilson, Granier, Pascal, Grasselli, Giacomo, Green, Christopher A., Greene, Courtney, Greenhalf, William, Greffe, Segolène, Grieco, Domenico Luca, Griffee, Matthew, Griffiths, Fiona, Grigoras, Ioana, Groenendijk, Albert, Gruner, Heidi, Gu, Yusing, Guedj, Jérémie, Guego, Martin, Guellec, Dewi, Guerreiro, Daniela, Guery, Romain, Guillaumot, Anne, Guilleminault, Laurent, de Castro, Maisa Guimarães, Guimard, Thomas, Haalboom, Marieke, Haber, Daniel, Habraken, Hannah, Hachemi, Ali, Hadri, Nadir, Hakak, Sheeba, Hall, Adam, Hall, Matthew, Halpin, Sophie, Hamer, Ansley, Hamidfar, Rebecca, Hammond, Terese, Hammond, Naomi, Han, Lim Yuen, Haniffa, Rashan, Hao, Kok Wei, Hardwick, Hayley, Harrison, Ewen M., Harrison, Janet, Ekow Harrison, Samuel Bernard, Hartman, Alan, Hashmi, Junaid, Hayes, Ailbhe, Hays, Leanne, Heerman, Jan, Heggelund, Lars, Hendry, Ross, Hennessy, Martina, Henriquez-Trujillo, Aquiles, Hentzien, Maxime, Hernandez, Diana, Hernandez-Montfort, Jaime, Hershey, Andrew, Hesstvedt, Liv, Higgins, Eibhlin, Higgins, Dawn, Higgins, Rupert, Hinchion, Rita, Hinton, Samuel, Hiraiwa, Hiroaki, Hitoto, Hikombo, Ho, Antonia, Ho, Yi Bin, Hoctin, Alexandre, Hoffmann, Isabelle, Hoh, Wei Han, Hoiting, Oscar, Holt, Rebecca, Holter, Jan Cato, Horby, Peter, Horcajada, Juan Pablo, Hoshino, Koji, Houas, Ikram, Hough, Catherine L., Houltham, Stuart, Ming-Yang Hsu, Jimmy, Hulot, Jean-Sébastien, Hurd, Abby, Ijaz, Samreen, Ikram, M. Arfan, Illes, Hajnal-Gabriela, Imbert, Patrick, Inácio, Hugo, Infante Dominguez, Carmen, Ing, Yun Sii, Iosifidis, Elias, Ippolito, Mariachiara, Isgett, Sarah, Isidoro, Tiago, Ismail, Nadiah, Isnard, Margaux, Itai, Junji, Ivulich, Daniel, Jaafar, Danielle, Jaafoura, Salma, Jabot, Julien, Jackson, Clare, Janes, Victoria, Jaquet, Pierre, Jassat, Waasila, Jaud-Fischer, Coline, Jaureguiberry, Stéphane, Jaworsky, Denise, Jego, Florence, Jelani, Anilawati Mat, Jenum, Synne, Jimbo-Sotomayor, Ruth, Joe, Ong Yiaw, Jorge García, Ruth N., Joseph, Cédric, Joseph, Mark, Jourdain, Mercé, Jouvet, Philippe, Jung, Anna, Jung, Hanna, Juzar, Dafsah, Kafif, Ouifiya, Kaguelidou, Florentia, Kaisbain, Neerusha, Kaleesvran, Thavamany, Kali, Sabina, Kalomoiri, Smaragdi, Ayadi Kamaluddin, Muhammad Aisar, Che Kamaruddin, Zul Amali, Kamarudin, Nadiah, Kandamby, Darshana Hewa, Kandel, Chris, Kang, Kong Yeow, Karpayah, Pratap, Kartsonaki, Christiana, Kasugai, Daisuke, Kataria, Anant, Katz, Kevin, Kaur, Aasmine, Kay, Christy, Kayyali, Lamees, Keane, Hannah, Keating, Seán, Kelly, Claire, Kelly, Yvelynne, Kelly, Andrea, Kelly, Niamh, Kelly, Aoife, Kelly, Sadie, Kelsey, Maeve, Kennedy, Ryan, Kennon, Kalynn, Kernan, Maeve, Kerroumi, Younes, Keshav, Sharma, Khalid, Imrana, Khalil, Antoine, Khan, Coralie, Khan, Irfan, Kho, Michelle E., Khoo, Saye, Khoo, Ryan, Khoo, Denisa, Kiat, Khor How, Kida, Yuri, Kiiza, Peter, Granerud, Beathe Kiland, Kildal, Anders Benjamin, Kimmoun, Antoine, Kindgen-Milles, Detlef, King, Alexander, Kitamura, Nobuya, Klenerman, Paul, Klont, Rob, Bekken, Gry Kloumann, Knight, Stephen R., Vasconcelos, Malte Kohns, Komatsu, Mamoru, Kosgei, Caroline, Kpangon, Arsène, Krawczyk, Karolina, Krishnan, Sudhir, Krishnan, Vinothini, Kruglova, Oksana, Kumar, Deepali, Kumar, Ganesh, Vecham, Pavan Kumar, Kuriakose, Dinesh, Kurtzman, Ethan, Kutsogiannis, Demetrios, Kutsyna, Galyna, Kyriakoulis, Konstantinos, Lachatre, Marie, Lacoste, Marie, Laffey, John G., Lafhej, Nadhem, Lagrange, Marie, Laine, Fabrice, Lairez, Olivier, Lalueza, Antonio, Lambert, Marc, Lamontagne, François, Langelot-Richard, Marie, Langlois, Vincent, Lantang, Eka Yudha, Lanza, Marina, Laouénan, Cédric, Laribi, Samira, Lariviere, Delphine, Lasry, Stéphane, Launay, Odile, Laureillard, Didier, Lavie-Badie, Yoan, Law, Andy, Lawrence, Teresa, Lawrence, Cassie, Le, Minh, Le Bihan, Clément, Le Bris, Cyril, Le Falher, Georges, Le Fevre, Lucie, Le Hingrat, Quentin, Le Maréchal, Marion, Mestre, Soizic Le, Le Moal, Gwenaël, Le Moing, Vincent, Le Nagard, Hervé, LeTurnier, Paul, Leal, Ema, Santos, Marta Leal, Lee, Todd C., Lee, Su Hwan, Lee, James, Lee, Jennifer, Lee, Heng Gee, Lee, Biing Horng, Lee, Yi Lin, Leeming, Gary, Lefebvre, Bénédicte, Lefebvre, Laurent, Lefèvre, Benjamin, LeGac, Sylvie, Lelievre, Jean-Daniel, Lellouche, François, Lemaignen, Adrien, Lemee, Véronique, Lemeur, Anthony, Lemmink, Gretchen, Lene, Ha Sha, Lennon, Jenny, León, Rafael, Leone, Marc, Leone, Michela, Lepiller, Quentin, Lescure, François-Xavier, Lesens, Olivier, Lesouhaitier, Mathieu, Lester-Grant, Amy, Letrou, Sophie, Levy, Bruno, Levy, Yves, Levy-Marchal, Claire, Lewandowska, Katarzyna, L'Her, Erwan, Bassi, Gianluigi Li, Liegeon, Geoffrey, Lim, Wei Shen, Lim, Kah Chuan, Lima, Chantre, Lina, Bruno, Lina, Lim, Lind, Andreas, Lingas, Guillaume, Lion-Daolio, Sylvie, Lissauer, Samantha, Liu, Keibun, Livrozet, Marine, Lizotte, Patricia, Lolong, Navy, Loon, Leong Chee, Lopes, Diogo, Lopez-Colon, Dalia, Loschner, Anthony L., Loubet, Paul, Loufti, Bouchra, Louis, Guillame, Lourenco, Silvia, Lee Low, Lee, Lowik, Marije, Loy, Jia Shyi, Lucet, Jean-Christophe, Bermejo, Carlos Lumbreras, Luna, Carlos M., Lungu, Olguta, Luong, Liem, Luque, Nestor, Luton, Dominique, Lwin, Nilar, Lyons, Ruth, Maasikas, Olavi, Mabiala, Oryane, Machado, Moïse, Machado, Sara, Macheda, Gabriel, Madiha, Hashmi, de la Calle, Guillermo Maestro, Mahieu, Rafael, Mahy, Sophie, Maia, Ana Raquel, Maier, Lars S., Maillet, Mylène, Maitre, Thomas, Malfertheiner, Maximilian, Malik, Nadia, Mallon, Paddy, Maltez, Fernando, Malvy, Denis, Manda, Victoria, Mandelbrot, Laurent, Manetta, Frank, Mankikian, Julie, Manning, Edmund, Manuel, Aldric, Sant`Ana Malaque, Ceila Maria, Marino, Flávio, Markowicz, Samuel, Marques, Ana, Marquis, Catherine, Marsh, Brian, Marsh, Laura, Marshal, Megan, Marshall, John, Martelli, Celina Turchi, Martin, Emily, Martin-Blondel, Guillaume, Martinez, F. Eduardo, Martin-Loeches, Ignacio, Martinot, Martin, Martins, João, Martins, Ana, Martins, Nuno, Rego, Caroline Martins, Martucci, Gennaro, Martynenko, Olga, Marwali, Eva Miranda, Marzukie, Marsilla, Maslove, David, Mason, Sabina, Mat Nor, Mohd Basri, Matan, Moshe, Mathieu, Daniel, Mattei, Mathieu, Maulin, Laurence, Maxwell, Michael, Maynar, Javier, Mazzoni, Thierry, Sweeney, Lisa Mc, McArthur, Colin, McCanny, Peter, McCarthy, Anne, McCarthy, Aine, McCloskey, Colin, McConnochie, Rachael, McDermott, Sherry, McDonald, Sarah E., McElroy, Aine, McElwee, Samuel, McEneany, Victoria, McEvoy, Natalie, McGeer, Allison, McKay, Chris, McKeown, Johnny, McLean, Kenneth A., McNally, Paul, McNicholas, Bairbre, McPartlan, Elaine, Meaney, Edel, Mear-Passard, Cécile, Mechlin, Maggie, Mehkri, Omar, Mele, Ferruccio, Melo, Luis, Mendes, Joao Joao, Menon, Kusum, Mentré, France, Mentzer, Alexander J., Mercier, Emmanuelle, Mercier, Noémie, Merckx, Antoine, Mergeay-Fabre, Mayka, Mergler, Blake, Merson, Laura, Mesquita, António, Metwally, Osama, Meybeck, Agnès, Meyer, Dan, Meynert, Alison M., Meysonnier, Vanina, Meziane, Amina, Mezidi, Mehdi, Michelanglei, Céline, Michelet, Isabelle, Mihelis, Efstathia, Mihnovit, Vladislav, Miller, Jennene, Miranda-Maldonado, Hugo, Misnan, Nor Arisah, Mohamed, Tahira Jamal, Eliza Mohamed, Nik Nur, Moin, Asma, Molinos, Elena, Molloy, Brenda, Monahan, Sinead, Mone, Mary, Monteiro, Agostinho, Montes, Claudia, Montrucchio, Giorgia, Moore, Shona C., Moore, Sarah, Cely, Lina Morales, Moro, Lucia, Morton, Ben, Motherway, Catherine, Motos, Ana, Mouquet, Hugo, Perrot, Clara Mouton, Moyet, Julien, Mudara, Caroline, Muh, Ng Yong, Muhamad, Dzawani, Mullaert, Jimmy, Müller, Fredrik, Müller, Karl Erik, Murphy, Aisling, Murphy, Lorna, Murray, Patrick, Murris, Marlène, Murthy, Srinivas, Musaab, Himed, Muyandy, Gugapriyaa, Myrodia, Dimitra Melia, Nagpal, Dave, Nagrebetsky, Alex, Narasimhan, Mangala, Narayanan, Nageswaran, Nazerali-Maitland, Alasdair, Neant, Nadège, Neb, Holger, Neto, Raul, Neumann, Emily, Ng, Pauline Yeung, Ng, Wing Yiu, Nghi, Anthony, Nguyen, Duc, Choileain, Orna Ni, Leathlobhair, Niamh Ni, Nichol, Alistair D., Nitayavardhana, Prompak, Nonas, Stephanie, Mohd Noordin, Nurul Amani, Noret, Marion, Izzati Norharizam, Nurul Faten, Norman, Lisa, Noursadeghi, Mahdad, Nowinski, Adam, Nseir, Saad, Nunez, Jose I., Nyamankolly, Elsa, Brien, Fionnuala O., Callaghan, Annmarie O., O'Callaghan, Annmarie, Occhipinti, Giovanna, OConnor, Derbrenn, O'Donnell, Max, Ogston, Tawnya, Ogura, Takayuki, Oh, Tak-Hyuk, O'Halloran, Sophie, O'Hearn, Katie, Ohshimo, Shinichiro, Oliveira, João, Oliveira, Larissa, Olliaro, Piero L., Ong, David S.Y., Ong, Jee Yan, Oosthuyzen, Wilna, Opavsky, Anne, Openshaw, Peter, Orozco-Chamorro, Claudia Milena, Ortoleva, Jamel, Osatnik, Javier, O'Shea, Linda, O'Sullivan, Miriam, Othman, Siti Zubaidah, Ouamara, Nadia, Ouissa, Rachida, Oziol, Eric, Pagadoy, Maïder, Pages, Justine, Palacios, Amanda, Palmarini, Massimo, Panarello, 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Hongru, Renk, Hanna, Resseguier, Anne-Sophie, Revest, Matthieu, Rewa, Oleksa, Reyes, Tiago, Reyes, Luis Felipe, Ribeiro, Maria Ines, Richardson, David, Richardson, Denise, Richier, Laurent, Atikah Ahmad Ridzuan, Siti Nurul, Rios, Ana L., Rishu, Asgar, Rispal, Patrick, Risso, Karine, Rizer, Nicholas, Robba, Chiara, Roberto, André, Roberts, Stephanie, Robertson, David L., Robineau, Olivier, Roche-Campo, Ferran, Rodari, Paola, Rodeia, Simão, Roessler, Bernhard, Roger, Pierre-Marie, Roger, Claire, Roilides, Emmanuel, Rojek, Amanda, Romaru, Juliette, Roncon-Albuquerque, Roberto, Jr., Roriz, Mélanie, Rosa-Calatrava, Manuel, Rose, Michael, Rosenberger, Dorothea, Rossanese, Andrea, Rossetti, Matteo, Rossignol, Bénédicte, Rossignol, Patrick, Rousset, Stella, Roy, Carine, Roze, Benoît, Russell, Clark D., Ryan, Maria, Ryan, Maeve, Ryckaert, Steffi, Holten, Aleksander Rygh, Saba, Isabela, Sadat, Musharaf, Sahraei, Valla, Saint-Gilles, Maximilien, Sakiyalak, Pranya, Salazar, Leonardo, Sales, 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Shi, Haixia, Shime, Nobuaki, Shimizu, Keiki, Shrapnel, Sally, Shum, Hoi Ping, Mohammed, Nassima Si, Siang, Ng Yong, Sibiude, Jeanne, Siddiqui, Atif, Sigfrid, Louise, Sillaots, Piret, Silva, Catarina, Silva, Rogério, Silva, Maria Joao, Lim Heng, Benedict Sim, Sin, Wai Ching, Singh, Punam, Singh, Budha Charan, Sitompul, Pompini Agustina, Sivam, Karisha, Skogen, Vegard, Smith, Sue, Smood, Benjamin, Smyth, Coilin, Smyth, Michelle, Snacken, Morgane, So, Dominic, Soh, Tze Vee, Solomon, Joshua, Solomon, Tom, Somers, Emily, Sommet, Agnès, Song, Rima, Song, Myung Jin, Song, Tae, Chia, Jack Song, Sonntagbauer, Michael, Soom, Azlan Mat, Sotto, Albert, Soum, Edouard, Sousa, Marta, Sousa, Ana Chora, Uva, Maria Sousa, Souza-Dantas, Vicente, Sperry, Alexandra, Spinuzza, Elisabetta, Sriskandan, Shiranee, Stabler, Sarah, Staudinger, Thomas, Stecher, Stephanie-Susanne, Steinsvik, Trude, Stienstra, Ymkje, Stiksrud, Birgitte, Stolz, Eva, Stone, Amy, Streinu-Cercel, Adrian, Streinu-Cercel, Anca, Stuart, 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2023
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3. Thrombotic and hemorrhagic complications of COVID-19 in adults hospitalized in high-income countries compared with those in adults hospitalized in low- and middle-income countries in an international registry

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Griffee, Matthew J., primary, Bozza, Patricia T., additional, Reyes, Luis Felipe, additional, Eddington, Devin P., additional, Rosenberger, Dorothea, additional, Merson, Laura, additional, Citarella, Barbara Wanjiru, additional, Fanning, Jonathon P., additional, Alexander, Peta M.A., additional, Fraser, John, additional, Dalton, Heidi, additional, Cho, Sung-Min, additional, Abdukahil, Sheryl Ann, additional, Abdulkadir, Nurul Najmee, additional, Abe, Ryuzo, additional, Abel, Laurent, additional, Abrous, Amal, additional, Absil, Lara, additional, Acker, Andrew, additional, Adam, Elisabeth, additional, Adrião, Diana, additional, Al Ageel, Saleh, additional, Ahmed, Shakeel, additional, Ainscough, Kate, additional, Aisa, Tharwat, additional, Hssain, Ali Ait, additional, Tamlihat, Younes Ait, additional, Akimoto, Takako, additional, Akmal, Ernita, additional, Akwani, Chika, additional, Al Qasim, Eman, additional, Alalqam, Razi, additional, Alberti, Angela, additional, Al-dabbous, Tala, additional, Alegesan, Senthilkumar, additional, Alessi, Marta, additional, Alex, Beatrice, additional, Alexandre, Kévin, additional, Al-Fares, Abdulrahman, additional, Alfoudri, Huda, additional, Ali, Imran, additional, Alidjnou, Kazali Enagnon, additional, Aliudin, Jeffrey, additional, Alkhafajee, Qabas, additional, Allavena, Clotilde, additional, Allou, Nathalie, additional, Alves, João, additional, Alves, Rita, additional, Alves, João Melo, additional, Cabrita, Joana Alves, additional, Amaral, Maria, additional, Amira, Nur, additional, Ampaw, Phoebe, additional, Andini, Roberto, additional, Andréjak, Claire, additional, Angheben, Andrea, additional, Angoulvant, François, additional, Ansart, Séverine, additional, Anthonidass, Sivanesen, additional, Antonelli, Massimo, additional, de Brito, Carlos Alexandre Antunes, additional, Apriyana, Ardiyan, additional, Arabi, Yaseen, additional, Aragao, Irene, additional, Arancibia, Francisco, additional, Araujo, Carolline, additional, Arcadipane, Antonio, additional, Archambault, Patrick, additional, Arenz, Lukas, additional, Arlet, Jean-Benoît, additional, Arnold-Day, Christel, additional, Arora, Lovkesh, additional, Arora, Rakesh, additional, Artaud-Macari, Elise, additional, Aryal, Diptesh, additional, Asensio, Angel, additional, Ashraf, Muhammad, additional, Assie, Jean Baptiste, additional, Asyraf, Amirul, additional, Atif, Minahel, additional, Atique, Anika, additional, Auchabie, Johann, additional, Aumaitre, Hugues, additional, Auvet, Adrien, additional, Azemar, Laurène, additional, Azoulay, Cecile, additional, Bach, Benjamin, additional, Bachelet, Delphine, additional, Badr, Claudine, additional, Baig, Nadia, additional, Baillie, J. Kenneth, additional, Bak, Erica, additional, Bakakos, Agamemnon, additional, Bakar, Nazreen Abu, additional, Bal, Andriy, additional, Balakrishnan, Mohanaprasanth, additional, Balan, Valeria, additional, Bani-Sadr, Firouzé, additional, Barbalho, Renata, additional, Barbosa, Nicholas Yuri, additional, Barclay, Wendy S., additional, Barnett, Saef Umar, additional, Barnikel, Michaela, additional, Barrasa, Helena, additional, Barrelet, Audrey, additional, Barrigoto, Cleide, additional, Bartoli, Marie, additional, Baruch, Joaquín, additional, Basmaci, Romain, additional, Basri, Muhammad Fadhli Hassin, additional, Battaglini, Denise, additional, Bauer, Jules, additional, Rincon, Diego Fernando Bautista, additional, Beane, Abigail, additional, Bedossa, Alexandra, additional, Hong Bee, Ker, additional, Begum, Husna, additional, Behilill, Sylvie, additional, Beishuizen, Albertus, additional, Beljantsev, Aleksandr, additional, Bellemare, David, additional, Beltrame, Anna, additional, Beltrão, Beatriz Amorim, additional, Beluze, Marine, additional, Benech, Nicolas, additional, Benjiman, Lionel Eric, additional, Benkerrou, Dehbia, additional, Bennett, Suzanne, additional, Benny, Binny, additional, Bento, Luís, additional, Berdal, Jan-Erik, additional, Bergeaud, Delphine, additional, Bergin, Hazel, additional, Sobrino, José Luis Bernal, additional, Bertoli, Giulia, additional, Bertolino, Lorenzo, additional, Bessis, Simon, additional, Bevilcaqua, Sybille, additional, Bezulier, Karine, additional, Bhatt, Amar, additional, Bhavsar, Krishna, additional, Bianco, Claudia, additional, Bidin, Farah Nadiah, additional, Singh, Moirangthem Bikram, additional, Humaid, Felwa Bin, additional, Kamarudin, Mohd Nazlin Bin, additional, Bisoffi, Zeno, additional, Bissuel, François, additional, Bitker, Laurent, additional, Bitton, Jonathan, additional, Blanco-Schweizer, Pablo, additional, Blier, Catherine, additional, Bloos, Frank, additional, Blot, Mathieu, additional, Blumberg, Lucille, additional, Boccia, Filomena, additional, Bodenes, Laetitia, additional, Bogaert, Debby, additional, Boivin, Anne-Hélène, additional, Bolaños, Isabela, additional, Bolze, Pierre-Adrien, additional, Bompart, François, additional, Borges, Diogo, additional, Borie, Raphaël, additional, Bosse, Hans Martin, additional, Botelho-Nevers, Elisabeth, additional, Bouadma, Lila, additional, Bouchaud, Olivier, additional, Bouchez, Sabelline, additional, Bouhmani, Dounia, additional, Bouhour, Damien, additional, Bouiller, Kévin, additional, Bouillet, Laurence, additional, Bouisse, Camile, additional, Boureau, Anne-Sophie, additional, Bourke, John, additional, Bouscambert, Maude, additional, Bousquet, Aurore, additional, Bouziotis, Jason, additional, Boxma, Bianca, additional, Boyer-Besseyre, Marielle, additional, Boylan, Maria, additional, Bozza, Fernando Augusto, additional, Braconnier, Axelle, additional, Braga, Cynthia, additional, Brandenburger, Timo, additional, Monteiro, Filipa Brás, additional, Brazzi, Luca, additional, Breen, Patrick, additional, Breen, Dorothy, additional, Brewster, David, additional, Brickell, Kathy, additional, Browne, Shaunagh, additional, Browne, Alex, additional, Brozzi, Nicolas, additional, Brusse-Keizer, Marjolein, additional, Bryda, Petra, additional, Buchtele, Nina, additional, Buisson, Marielle, additional, Burhan, Erlina, additional, Burrell, Aidan, additional, Bustos, Ingrid G., additional, Cabie, André, additional, Cabral, Susana, additional, Caceres, Eder, additional, Cadoz, Cyril, additional, Garcês, Rui Caetano, additional, Calligy, Kate, additional, Calvache, Jose Andres, additional, Camões, João, additional, Campana, Valentine, additional, Campbell, Paul, additional, Campisi, Josie, additional, Canepa, Cecilia, additional, Cantero, Mireia, additional, Caraux-Paz, Pauline, additional, Cárcel, Sheila, additional, Cardellino, Chiara Simona, additional, Cardoso, Sofia, additional, Cardoso, Filipe, additional, Cardoso, Filipa, additional, Cardoso, Nelson, additional, Carelli, Simone, additional, Carlier, Nicolas, additional, Carmoi, Thierry, additional, Carney, Gayle, additional, Carqueja, Inês, additional, Carret, Marie-Christine, additional, Carrier, François Martin, additional, Carroll, Ida, additional, Carson, Gail, additional, Casanova, Maire-Laure, additional, Cascão, Mariana, additional, Casey, Siobhan, additional, Casimiro, José, additional, Cassandra, Bailey, additional, Castañeda, Silvia, additional, Castanheira, Nidyanara, additional, Castor-Alexandre, Guylaine, additional, Castro, Ivo, additional, Catarino, Ana, additional, Catherine, François-Xavier, additional, Cattaneo, Paolo, additional, Cavalin, Roberta, additional, Cavayas, Alexandros, additional, Cervantes-Gonzalez, Minerva, additional, Chair, Anissa, additional, Chakveatze, Catherine, additional, Chan, Adrienne, additional, Chand, Meera, additional, Chantalat Auger, Christelle, additional, Chapplain, Jean-Marc, additional, Charpentier, Charlotte, additional, Chas, Julie, additional, Chávez Iñiguez, Jonathan Samuel, additional, Chen, Anjellica, additional, Chen, Yih-Sharng, additional, Chenard, Léo, additional, Cheng, Matthew Pellan, additional, Cheret, Antoine, additional, Chiarabini, Thibault, additional, Chica, Julian, additional, Chidambaram, Suresh Kumar, additional, Chin Tho, Leong, additional, Chirouze, Catherine, additional, Chiumello, Davide, additional, Cholley, Bernard, additional, Chopin, Marie-Charlotte, additional, Chow, Ting Soo, additional, Chua, Hiu Jian, additional, Chua, Jonathan, additional, Cidade, Jose Pedro, additional, Cisneros Herreros, José Miguel, additional, Ciullo, Anna, additional, Clarke, Jennifer, additional, Clarke, Emma, additional, Claure-Del Granado, Rolando, additional, Clohisey, Sara, additional, Codan, Cassidy, additional, Cody, Caitriona, additional, Coelho, Alexandra, additional, Coles, Megan, additional, Coles, Jennifer, additional, Colin, Gwenhaël, additional, Collins, Michael, additional, Colombo, Sebastiano Maria, additional, Combs, Pamela, additional, Connolly, Jennifer, additional, Connor, Marie, additional, Conrad, Anne, additional, Conway, Elaine, additional, Cooke, Graham S., additional, Copland, Mary, additional, Cordel, Hugues, additional, Corley, Amanda, additional, Cornelis, Sabine, additional, Cornet, Alexander Daniel, additional, Corpuz, Arianne Joy, additional, Cortegiani, Andrea, additional, Corvaisier, Grégory, additional, Costigan, Emma, additional, Couffignal, Camille, additional, Couffin-Cadiergues, Sandrine, additional, Courtois, Roxane, additional, Cousse, Stéphanie, additional, Cregan, Rachel, additional, Cristella, Cosimo, additional, Croonen, Sabine, additional, Crowl, Gloria, additional, Crump, Jonathan, additional, Cruz, Claudina, additional, Cruz Bermúdez, Juan Luis, additional, Cruz Rojo, Jaime, additional, Csete, Marc, additional, Cullen, Ailbhe, additional, Cummings, Matthew, additional, Curley, Gerard, additional, Curlier, Elodie, additional, Curran, Colleen, additional, Custodio, Paula, additional, da Silva Filipe, Ana, additional, Da Silveira, Charlene, additional, Dabaliz, Al-Awwab, additional, Dagens, Andrew, additional, Dahly, Darren, additional, Dalton, Jo, additional, Daly, Seamus, additional, Damas, Juliana, additional, Daneman, Nick, additional, Daniel, Corinne, additional, Dankwa, Emmanuelle A., additional, Dantas, Jorge, additional, D'Aragon, Frédérick, additional, de Jong, Menno, additional, de Loughry, Gillian, additional, De Montmollin, Etienne, additional, de Oliveira França, Rafael Freitas, additional, de Pinho Oliveira, Ana Isabel, additional, De Rosa, Rosanna, additional, de Silva, Thushan, additional, de Vries, Peter, additional, Dean, David, additional, Debard, Alexa, additional, DeBenedictis, Bianca, additional, Debray, Marie-Pierre, additional, DeCastro, Nathalie, additional, Dechert, William, additional, Deconninck, Lauren, additional, Decours, Romain, additional, Defous, Eve, additional, Delacroix, Isabelle, additional, Delaveuve, Eric, additional, Delavigne, Karen, additional, Delfos, Nathalie M., additional, Deligiannis, Ionna, additional, Dell'Amore, Andrea, additional, Delmas, Christelle, additional, Delobel, Pierre, additional, Delsing, Corine, additional, Demonchy, Elisa, additional, Denis, Emmanuelle, additional, Deplanque, Dominique, additional, Depuydt, Pieter, additional, Desai, Mehul, additional, Descamps, Diane, additional, Desvallées, Mathilde, additional, Dewayanti, Santi, additional, Dhanger, Pathik, additional, Diallo, Alpha, additional, Diamantis, Sylvain, additional, Dias, André, additional, Da Silva, Fernanda Dias, additional, Diaz, Juan Jose, additional, Diaz, Rodrigo, additional, Diaz, Priscila, additional, Didier, Kévin, additional, Diehl, Jean-Luc, additional, Dieperink, Wim, additional, Dimet, Jérôme, additional, Dinot, Vincent, additional, Diop, Fara, additional, Diouf, Alphonsine, additional, Dishon, Yael, additional, Djossou, Félix, additional, Docherty, Annemarie B., additional, Doherty, Helen, additional, Donnelly, Maria, additional, Donnelly, Christl A., additional, Donohue, Sean, additional, Donohue, Yoann, additional, Donohue, Chloe, additional, Doran, Peter, additional, Dorival, Céline, additional, D'Ortenzio, Eric, additional, Douglas, James Joshua, additional, Dournon, Nathalie, additional, Downer, Triona, additional, Downey, Joanne, additional, Downing, Mark, additional, Drake, Tom, additional, Driscoll, Aoife, additional, Dryden, Murray, additional, Fonseca, Claudio Duarte, additional, Dubee, Vincent, additional, Dubos, François, additional, Ducancelle, Alexandre, additional, Duculan, Toni, additional, Dudman, Susanne, additional, Duggal, Abhijit, additional, Dunand, Paul, additional, Dunning, Jake, additional, Duplaix, Mathilde, additional, Durante-Mangoni, Emanuele, additional, Durham, Lucian, additional, Dussol, Bertrand, additional, Duthoit, Juliette, additional, Duval, Xavier, additional, Dyrhol-Riise, Anne Margarita, additional, Ean, Sim Choon, additional, Echeverria-Villalobos, Marco, additional, Egan, Siobhan, additional, Eira, Carla, additional, El Sanharawi, Mohammed, additional, Elapavaluru, Subbarao, additional, Elharrar, Brigitte, additional, Ellerbroek, Jacobien, additional, Eloy, Philippine, additional, Elshazly, Tarek, additional, Enderle, Isabelle, additional, Endo, Tomoyuki, additional, Eng, Chan Chee, additional, Engelmann, Ilka, additional, Enouf, Vincent, additional, Epaulard, Olivier, additional, Escher, Martina, additional, Esperatti, Mariano, additional, Esperou, Hélène, additional, Santo, Catarina Espírito, additional, Esposito-Farese, Marina, additional, Estevão, João, additional, Etienne, Manuel, additional, Ettalhaoui, Nadia, additional, Everding, Anna Greti, additional, Evers, Mirjam, additional, Fabre, Isabelle, additional, Fabre, Marc, additional, Faheem, Amna, additional, Fahy, Arabella, additional, Fairfield, Cameron J., additional, Faria, Pedro, additional, Fateena, Hanan, additional, Fatoni, Arie Zainul, additional, Faure, Karine, additional, Favory, Raphaël, additional, Fayed, Mohamed, additional, Feely, Niamh, additional, Feeney, Laura, additional, Fernandes, Jorge, additional, Fernandes, Marília Andreia, additional, Fernandes, Susana, additional, Ferrand, François-Xavier, additional, Devouge, Eglantine Ferrand, additional, Ferrão, Joana, additional, Ferraz, Mário, additional, Ferreira, Sílvia, additional, Ferreira, Bernardo, additional, Ferreira, Benigno, additional, Ferreira, Isabel, additional, Ferriere, Nicolas, additional, Ficko, Céline, additional, Figueiredo-Mello, Claudia, additional, Fiorda, Juan, additional, Flament, Thomas, additional, Flateau, Clara, additional, Fletcher, Tom, additional, Florence, Aline-Marie, additional, Florio, Letizia Lucia, additional, Flynn, Deirdre, additional, Foley, Claire, additional, Foley, Jean, additional, Fonseca, Tatiana, additional, Forsyth, Simon, additional, Foster, Denise, additional, Foti, Giuseppe, additional, Fourn, Erwan, additional, Fowler, Robert A., additional, Fraher, Marianne, additional, Franch-Llasat, Diego, additional, Fraser, John F., additional, Fraser, Christophe, additional, Freire, Marcela Vieira, additional, Ribeiro, Ana Freitas, additional, Fritz, Ricardo, additional, Fry, Stéphanie, additional, Fuentes, Nora, additional, Fukuda, Masahiro, additional, Gaborieau, Valérie, additional, Gaci, Rostane, additional, Gagliardi, Massimo, additional, Gagnard, Jean-Charles, additional, Gagneux-Brunon, Amandine, additional, Gaião, Sérgio, additional, Skeie, Linda Gail, additional, Gallagher, Phil, additional, Gamble, Carrol, additional, Gani, Yasmin, additional, Garan, Arthur, additional, Garcia, Rebekha, additional, Barrio, Noelia García, additional, Garcia-Gallo, Esteban, additional, Garot, Denis, additional, Garrait, Valérie, additional, Gault, Nathalie, additional, Gavin, Aisling, additional, Gavrylov, Anatoliy, additional, Gaymard, Alexandre, additional, Gebauer, Johannes, additional, Geraud, Eva, additional, Morlaes, Louis Gerbaud, additional, Germano, Nuno, additional, Ghosn, Jade, additional, Giani, Marco, additional, Gibson, Jess, additional, Gigante, Tristan, additional, Gilg, Morgane, additional, Gilroy, Elaine, additional, Giordano, Guillermo, additional, Girvan, Michelle, additional, Gissot, Valérie, additional, Glikman, Daniel, additional, Gnall, Eric, additional, Goehringer, François, additional, Goepel, Siri, additional, Goffard, Jean-Christophe, additional, Goh, Jin Yi, additional, Golob, Jonathan, additional, Gómez-Junyent, Joan, additional, Gominet, Marie, additional, Gonzalez, Alicia, additional, Gordon, Patricia, additional, Gorenne, Isabelle, additional, Gormley, Conor, additional, Goubert, Laure, additional, Goujard, Cécile, additional, Goulenok, Tiphaine, additional, Grable, Margarite, additional, Graf, Jeronimo, additional, Grandin, Edward Wilson, additional, Granier, Pascal, additional, Grasselli, Giacomo, additional, Green, Christopher A., additional, Greene, Courtney, additional, Greenhalf, William, additional, Greffe, Segolène, additional, Grieco, Domenico Luca, additional, Griffee, Matthew, additional, Griffiths, Fiona, additional, Grigoras, Ioana, additional, Groenendijk, Albert, additional, Gruner, Heidi, additional, Gu, Yusing, additional, Guedj, Jérémie, additional, Guego, Martin, additional, Guellec, Dewi, additional, Guerreiro, Daniela, additional, Guery, Romain, additional, Guillaumot, Anne, additional, Guilleminault, Laurent, additional, de Castro, Maisa Guimarães, additional, Guimard, Thomas, additional, Haalboom, Marieke, additional, Haber, Daniel, additional, Habraken, Hannah, additional, Hachemi, Ali, additional, Hadri, Nadir, additional, Hakak, Sheeba, additional, Hall, Adam, additional, Hall, Matthew, additional, Halpin, Sophie, additional, Hamer, Ansley, additional, Hamidfar, Rebecca, additional, Hammond, Terese, additional, Hammond, Naomi, additional, Han, Lim Yuen, additional, Haniffa, Rashan, additional, Hao, Kok Wei, additional, Hardwick, Hayley, additional, Harrison, Ewen M., additional, Harrison, Janet, additional, Ekow Harrison, Samuel Bernard, additional, Hartman, Alan, additional, Hashmi, Junaid, additional, Hayes, Ailbhe, additional, Hays, Leanne, additional, Heerman, Jan, additional, Heggelund, Lars, additional, Hendry, Ross, additional, Hennessy, Martina, additional, Henriquez-Trujillo, Aquiles, additional, Hentzien, Maxime, additional, Hernandez, Diana, additional, Hernandez-Montfort, Jaime, additional, Hershey, Andrew, additional, Hesstvedt, Liv, additional, Higgins, Eibhlin, additional, Higgins, Dawn, additional, Higgins, Rupert, additional, Hinchion, Rita, additional, Hinton, Samuel, additional, Hiraiwa, Hiroaki, additional, Hitoto, Hikombo, additional, Ho, Antonia, additional, Ho, Yi Bin, additional, Hoctin, Alexandre, additional, Hoffmann, Isabelle, additional, Hoh, Wei Han, additional, Hoiting, Oscar, additional, Holt, Rebecca, additional, Holter, Jan Cato, additional, Horby, Peter, additional, Horcajada, Juan Pablo, additional, Hoshino, Koji, additional, Houas, Ikram, additional, Hough, Catherine L., additional, Houltham, Stuart, additional, Ming-Yang Hsu, Jimmy, additional, Hulot, Jean-Sébastien, additional, Hurd, Abby, additional, Ijaz, Samreen, additional, Ikram, M. Arfan, additional, Illes, Hajnal-Gabriela, additional, Imbert, Patrick, additional, Inácio, Hugo, additional, Infante Dominguez, Carmen, additional, Ing, Yun Sii, additional, Iosifidis, Elias, additional, Ippolito, Mariachiara, additional, Isgett, Sarah, additional, Isidoro, Tiago, additional, Ismail, Nadiah, additional, Isnard, Margaux, additional, Itai, Junji, additional, Ivulich, Daniel, additional, Jaafar, Danielle, additional, Jaafoura, Salma, additional, Jabot, Julien, additional, Jackson, Clare, additional, Janes, Victoria, additional, Jaquet, Pierre, additional, Jassat, Waasila, additional, Jaud-Fischer, Coline, additional, Jaureguiberry, Stéphane, additional, Jaworsky, Denise, additional, Jego, Florence, additional, Jelani, Anilawati Mat, additional, Jenum, Synne, additional, Jimbo-Sotomayor, Ruth, additional, Joe, Ong Yiaw, additional, Jorge García, Ruth N., additional, Joseph, Cédric, additional, Joseph, Mark, additional, Jourdain, Mercé, additional, Jouvet, Philippe, additional, Jung, Anna, additional, Jung, Hanna, additional, Juzar, Dafsah, additional, Kafif, Ouifiya, additional, Kaguelidou, Florentia, additional, Kaisbain, Neerusha, additional, Kaleesvran, Thavamany, additional, Kali, Sabina, additional, Kalomoiri, Smaragdi, additional, Ayadi Kamaluddin, Muhammad Aisar, additional, Che Kamaruddin, Zul Amali, additional, Kamarudin, Nadiah, additional, Kandamby, Darshana Hewa, additional, Kandel, Chris, additional, Kang, Kong Yeow, additional, Karpayah, Pratap, additional, Kartsonaki, Christiana, additional, Kasugai, Daisuke, additional, Kataria, Anant, additional, Katz, Kevin, additional, Kaur, Aasmine, additional, Kay, Christy, additional, Kayyali, Lamees, additional, Keane, Hannah, additional, Keating, Seán, additional, Kelly, Claire, additional, Kelly, Yvelynne, additional, Kelly, Andrea, additional, Kelly, Niamh, additional, Kelly, Aoife, additional, Kelly, Sadie, additional, Kelsey, Maeve, additional, Kennedy, Ryan, additional, Kennon, Kalynn, additional, Kernan, Maeve, additional, Kerroumi, Younes, additional, Keshav, Sharma, additional, Khalid, Imrana, additional, Khalil, Antoine, additional, Khan, Coralie, additional, Khan, Irfan, additional, Kho, Michelle E., additional, Khoo, Saye, additional, Khoo, Ryan, additional, Khoo, Denisa, additional, Kiat, Khor How, additional, Kida, Yuri, additional, Kiiza, Peter, additional, Granerud, Beathe Kiland, additional, Kildal, Anders Benjamin, additional, Kimmoun, Antoine, additional, Kindgen-Milles, Detlef, additional, King, Alexander, additional, Kitamura, Nobuya, additional, Klenerman, Paul, additional, Klont, Rob, additional, Bekken, Gry Kloumann, additional, Knight, Stephen R., additional, Vasconcelos, Malte Kohns, additional, Komatsu, Mamoru, additional, Kosgei, Caroline, additional, Kpangon, Arsène, additional, Krawczyk, Karolina, additional, Krishnan, Sudhir, additional, Krishnan, Vinothini, additional, Kruglova, Oksana, additional, Kumar, Deepali, additional, Kumar, Ganesh, additional, Vecham, Pavan Kumar, additional, Kuriakose, Dinesh, additional, Kurtzman, Ethan, additional, Kutsogiannis, Demetrios, additional, Kutsyna, Galyna, additional, Kyriakoulis, Konstantinos, additional, Lachatre, Marie, additional, Lacoste, Marie, additional, Laffey, John G., additional, Lafhej, Nadhem, additional, Lagrange, Marie, additional, Laine, Fabrice, additional, Lairez, Olivier, additional, Lalueza, Antonio, additional, Lambert, Marc, additional, Lamontagne, François, additional, Langelot-Richard, Marie, additional, Langlois, Vincent, additional, Lantang, Eka Yudha, additional, Lanza, Marina, additional, Laouénan, Cédric, additional, Laribi, Samira, additional, Lariviere, Delphine, additional, Lasry, Stéphane, additional, Launay, Odile, additional, Laureillard, Didier, additional, Lavie-Badie, Yoan, additional, Law, Andy, additional, Lawrence, Teresa, additional, Lawrence, Cassie, additional, Le, Minh, additional, Le Bihan, Clément, additional, Le Bris, Cyril, additional, Le Falher, Georges, additional, Le Fevre, Lucie, additional, Le Hingrat, Quentin, additional, Le Maréchal, Marion, additional, Mestre, Soizic Le, additional, Le Moal, Gwenaël, additional, Le Moing, Vincent, additional, Le Nagard, Hervé, additional, LeTurnier, Paul, additional, Leal, Ema, additional, Santos, Marta Leal, additional, Lee, Todd C., additional, Lee, Su Hwan, additional, Lee, James, additional, Lee, Jennifer, additional, Lee, Heng Gee, additional, Lee, Biing Horng, additional, Lee, Yi Lin, additional, Leeming, Gary, additional, Lefebvre, Bénédicte, additional, Lefebvre, Laurent, additional, Lefèvre, Benjamin, additional, LeGac, Sylvie, additional, Lelievre, Jean-Daniel, additional, Lellouche, François, additional, Lemaignen, Adrien, additional, Lemee, Véronique, additional, Lemeur, Anthony, additional, Lemmink, Gretchen, additional, Lene, Ha Sha, additional, Lennon, Jenny, additional, León, Rafael, additional, Leone, Marc, additional, Leone, Michela, additional, Lepiller, Quentin, additional, Lescure, François-Xavier, additional, Lesens, Olivier, additional, Lesouhaitier, Mathieu, additional, Lester-Grant, Amy, additional, Letrou, Sophie, additional, Levy, Bruno, additional, Levy, Yves, additional, Levy-Marchal, Claire, additional, Lewandowska, Katarzyna, additional, L'Her, Erwan, additional, Bassi, Gianluigi Li, additional, Liegeon, Geoffrey, additional, Lim, Wei Shen, additional, Lim, Kah Chuan, additional, Lima, Chantre, additional, Lina, Bruno, additional, Lina, Lim, additional, Lind, Andreas, additional, Lingas, Guillaume, additional, Lion-Daolio, Sylvie, additional, Lissauer, Samantha, additional, Liu, Keibun, additional, Livrozet, Marine, additional, Lizotte, Patricia, additional, Lolong, Navy, additional, Loon, Leong Chee, additional, Lopes, Diogo, additional, Lopez-Colon, Dalia, additional, Loschner, Anthony L., additional, Loubet, Paul, additional, Loufti, Bouchra, additional, Louis, Guillame, additional, Lourenco, Silvia, additional, Lee Low, Lee, additional, Lowik, Marije, additional, Loy, Jia Shyi, additional, Lucet, Jean-Christophe, additional, Bermejo, Carlos Lumbreras, additional, Luna, Carlos M., additional, Lungu, Olguta, additional, Luong, Liem, additional, Luque, Nestor, additional, Luton, Dominique, additional, Lwin, Nilar, additional, Lyons, Ruth, additional, Maasikas, Olavi, additional, Mabiala, Oryane, additional, Machado, Moïse, additional, Machado, Sara, additional, Macheda, Gabriel, additional, Madiha, Hashmi, additional, de la Calle, Guillermo Maestro, additional, Mahieu, Rafael, additional, Mahy, Sophie, additional, Maia, Ana Raquel, additional, Maier, Lars S., additional, Maillet, Mylène, additional, Maitre, Thomas, additional, Malfertheiner, Maximilian, additional, Malik, Nadia, additional, Mallon, Paddy, additional, Maltez, Fernando, additional, Malvy, Denis, additional, Manda, Victoria, additional, Mandelbrot, Laurent, additional, Manetta, Frank, additional, Mankikian, Julie, additional, Manning, Edmund, additional, Manuel, Aldric, additional, Sant`Ana Malaque, Ceila Maria, additional, Marino, Flávio, additional, Markowicz, Samuel, additional, Marques, Ana, additional, Marquis, Catherine, additional, Marsh, Brian, additional, Marsh, Laura, additional, Marshal, Megan, additional, Marshall, John, additional, Martelli, Celina Turchi, additional, Martin, Emily, additional, Martin-Blondel, Guillaume, additional, Martinez, F. Eduardo, additional, Martin-Loeches, Ignacio, additional, Martinot, Martin, additional, Martins, João, additional, Martins, Ana, additional, Martins, Nuno, additional, Rego, Caroline Martins, additional, Martucci, Gennaro, additional, Martynenko, Olga, additional, Marwali, Eva Miranda, additional, Marzukie, Marsilla, additional, Maslove, David, additional, Mason, Sabina, additional, Mat Nor, Mohd Basri, additional, Matan, Moshe, additional, Mathieu, Daniel, additional, Mattei, Mathieu, additional, Maulin, Laurence, additional, Maxwell, Michael, additional, Maynar, Javier, additional, Mazzoni, Thierry, additional, Sweeney, Lisa Mc, additional, McArthur, Colin, additional, McCanny, Peter, additional, McCarthy, Anne, additional, McCarthy, Aine, additional, McCloskey, Colin, additional, McConnochie, Rachael, additional, McDermott, Sherry, additional, McDonald, Sarah E., additional, McElroy, Aine, additional, McElwee, Samuel, additional, McEneany, Victoria, additional, McEvoy, Natalie, additional, McGeer, Allison, additional, McKay, Chris, additional, McKeown, Johnny, additional, McLean, Kenneth A., additional, McNally, Paul, additional, McNicholas, Bairbre, additional, McPartlan, Elaine, additional, Meaney, Edel, additional, Mear-Passard, Cécile, additional, Mechlin, Maggie, additional, Mehkri, Omar, additional, Mele, Ferruccio, additional, Melo, Luis, additional, Mendes, Joao Joao, additional, Menon, Kusum, additional, Mentré, France, additional, Mentzer, Alexander J., additional, Mercier, Emmanuelle, additional, Mercier, Noémie, additional, Merckx, Antoine, additional, Mergeay-Fabre, Mayka, additional, Mergler, Blake, additional, Mesquita, António, additional, Metwally, Osama, additional, Meybeck, Agnès, additional, Meyer, Dan, additional, Meynert, Alison M., additional, Meysonnier, Vanina, additional, Meziane, Amina, additional, Mezidi, Mehdi, additional, Michelanglei, Céline, additional, Michelet, Isabelle, additional, Mihelis, Efstathia, additional, Mihnovit, Vladislav, additional, Miller, Jennene, additional, Miranda-Maldonado, Hugo, additional, Misnan, Nor Arisah, additional, Mohamed, Tahira Jamal, additional, Eliza Mohamed, Nik Nur, additional, Moin, Asma, additional, Molinos, Elena, additional, Molloy, Brenda, additional, Monahan, Sinead, additional, Mone, Mary, additional, Monteiro, Agostinho, additional, Montes, Claudia, additional, Montrucchio, Giorgia, additional, Moore, Shona C., additional, Moore, Sarah, additional, Cely, Lina Morales, additional, Moro, Lucia, additional, Morton, Ben, additional, Motherway, Catherine, additional, Motos, Ana, additional, Mouquet, Hugo, additional, Perrot, Clara Mouton, additional, Moyet, Julien, additional, Mudara, Caroline, additional, Muh, Ng Yong, additional, Muhamad, Dzawani, additional, Mullaert, Jimmy, additional, Müller, Fredrik, additional, Müller, Karl Erik, additional, Murphy, Aisling, additional, Murphy, Lorna, additional, Murray, Patrick, additional, Murris, Marlène, additional, Murthy, Srinivas, additional, Musaab, Himed, additional, Muyandy, Gugapriyaa, additional, Myrodia, Dimitra Melia, additional, Nagpal, Dave, additional, Nagrebetsky, Alex, additional, Narasimhan, Mangala, additional, Narayanan, Nageswaran, additional, Nazerali-Maitland, Alasdair, additional, Neant, Nadège, additional, Neb, Holger, additional, Neto, Raul, additional, Neumann, Emily, additional, Ng, Pauline Yeung, additional, Ng, Wing Yiu, additional, Nghi, Anthony, additional, Nguyen, Duc, additional, Choileain, Orna Ni, additional, Leathlobhair, Niamh Ni, additional, Nichol, Alistair D., additional, Nitayavardhana, Prompak, additional, Nonas, Stephanie, additional, Mohd Noordin, Nurul Amani, additional, Noret, Marion, additional, Izzati Norharizam, Nurul Faten, additional, Norman, Lisa, additional, Noursadeghi, Mahdad, additional, Nowinski, Adam, additional, Nseir, Saad, additional, Nunez, Jose I., additional, Nyamankolly, Elsa, additional, Brien, Fionnuala O., additional, Callaghan, Annmarie O., additional, O'Callaghan, Annmarie, additional, Occhipinti, Giovanna, additional, OConnor, Derbrenn, additional, O'Donnell, Max, additional, Ogston, Tawnya, additional, Ogura, Takayuki, additional, Oh, Tak-Hyuk, additional, O'Halloran, Sophie, additional, O'Hearn, Katie, additional, Ohshimo, Shinichiro, additional, Oliveira, João, additional, Oliveira, Larissa, additional, Olliaro, Piero L., additional, Ong, David S.Y., additional, Ong, Jee Yan, additional, Oosthuyzen, Wilna, additional, Opavsky, Anne, additional, Openshaw, Peter, additional, Orozco-Chamorro, Claudia Milena, additional, Ortoleva, Jamel, additional, Osatnik, Javier, additional, O'Shea, Linda, additional, O'Sullivan, Miriam, additional, Othman, Siti Zubaidah, additional, Ouamara, Nadia, additional, Ouissa, Rachida, additional, Oziol, Eric, additional, Pagadoy, Maïder, additional, Pages, Justine, additional, Palacios, Amanda, additional, Palmarini, Massimo, additional, Panarello, Giovanna, additional, Panda, Prasan Kumar, additional, Pang, Lai Hui, additional, Panigada, Mauro, additional, Pansu, Nathalie, additional, Papadopoulos, Aurélie, additional, Parke, Rachael, additional, Pasquier, Jérémie, additional, Pastene, Bruno, additional, Patauner, Fabian, additional, Pathmanathan, Mohan Dass, additional, Patrão, Luís, additional, Patricio, Patricia, additional, Patrier, Juliette, additional, Patterson, Lisa, additional, Paul, Christelle, additional, Paul, Mical, additional, Paulos, Jorge, additional, Paxton, William A., additional, Payen, Jean-François, additional, Peake, Sandra L., additional, Peariasamy, Kalaiarasu, additional, Jiménez, Miguel Pedrera, additional, Peek, Giles J., additional, Peelman, Florent, additional, Peiffer-Smadja, Nathan, additional, Peigne, Vincent, additional, Pejkovska, Mare, additional, Pelosi, Paolo, additional, Peltan, Ithan D., additional, Pereira, Rui, additional, Perez, Daniel, additional, Periel, Luis, additional, Perpoint, Thomas, additional, Pesenti, Antonio, additional, Pestre, Vincent, additional, Petrou, Lenka, additional, Petrovic, Michele, additional, Petrov-Sanchez, Ventzislava, additional, Pettersen, Frank Olav, additional, Peytavin, Gilles, additional, Pharand, Scott, additional, Picard, Walter, additional, Picone, Olivier, additional, de Piero, Maria, additional, Pierobon, Carola, additional, Piersma, Djura, additional, Pimentel, Carlos, additional, Pinto, Raquel, additional, Piquard, Valentine, additional, Pires, Catarina, additional, Pironneau, Isabelle, additional, Piroth, Lionel, additional, Piubelli, Chiara, additional, Pius, Riinu, additional, Plantier, Laurent, additional, Png, Hon Shen, additional, Poissy, Julien, additional, Pokeerbux, Ryadh, additional, Poli, Sergio, additional, Pollakis, Georgios, additional, Ponscarme, Diane, additional, Porto, Diego Bastos, additional, Post, Andra-Maris, additional, Postma, Douwe F., additional, Povoa, Pedro, additional, Póvoas, Diana, additional, Powis, Jeff, additional, Prapa, Sofia, additional, Preau, Sébastien, additional, Prebensen, Christian, additional, Preiser, Jean-Charles, additional, Prinssen, Anton, additional, Pritchard, Mark G., additional, Proença, Lucia, additional, Pudota, Sravya, additional, Puéchal, Oriane, additional, Semedi, Bambang Pujo, additional, Purcell, Gregory, additional, Quesada, Luisa, additional, González, Víctor Quirós, additional, Quist-Paulsen, Else, additional, Quraishi, Mohammed, additional, Qutishat, Fadi, additional, Rabaud, Christian, additional, Rafael, Aldo, additional, Rafiq, Marie, additional, Rahman, Rozanah Abd, additional, Haji Ab Rahman, Ahmad Kashfi, additional, Rainieri, Fernando, additional, Rajahram, Giri Shan, additional, Ramakrishnan, Nagarajan, additional, Ramalho, José, additional, Ramli, Ahmad Afiq, additional, Rammaert, Blandine, additional, Ramos, Grazielle Viana, additional, Ranjan, Ritika, additional, Rapp, Christophe, additional, Rasmin, Menaldi, additional, Rätsep, Indrek, additional, Ravi, Tharmini, additional, Real, Andre, additional, Rebaudet, Stanislas, additional, Redl, Sarah, additional, Reeve, Brenda, additional, Reid, Liadain, additional, Reikvam, Dag Henrik, additional, Reis, Renato, additional, Rello, Jordi, additional, Remppis, Jonathan, additional, Remy, Martine, additional, Ren, Hongru, additional, Renk, Hanna, additional, Resseguier, Anne-Sophie, additional, Revest, Matthieu, additional, Rewa, Oleksa, additional, Reyes, Tiago, additional, Ribeiro, Maria Ines, additional, Richardson, David, additional, Richardson, Denise, additional, Richier, Laurent, additional, Atikah Ahmad Ridzuan, Siti Nurul, additional, Rios, Ana L., additional, Rishu, Asgar, additional, Rispal, Patrick, additional, Risso, Karine, additional, Rizer, Nicholas, additional, Robba, Chiara, additional, Roberto, André, additional, Roberts, Stephanie, additional, Robertson, David L., additional, Robineau, Olivier, additional, Roche-Campo, Ferran, additional, Rodari, Paola, additional, Rodeia, Simão, additional, Roessler, Bernhard, additional, Roger, Pierre-Marie, additional, Roger, Claire, additional, Roilides, Emmanuel, additional, Rojek, Amanda, additional, Romaru, Juliette, additional, Roncon-Albuquerque, Roberto, additional, Roriz, Mélanie, additional, Rosa-Calatrava, Manuel, additional, Rose, Michael, additional, Rossanese, Andrea, additional, Rossetti, Matteo, additional, Rossignol, Bénédicte, additional, Rossignol, Patrick, additional, Rousset, Stella, additional, Roy, Carine, additional, Roze, Benoît, additional, Russell, Clark D., additional, Ryan, Maria, additional, Ryan, Maeve, additional, Ryckaert, Steffi, additional, Holten, Aleksander Rygh, additional, Saba, Isabela, additional, Sadat, Musharaf, additional, Sahraei, Valla, additional, Saint-Gilles, Maximilien, additional, Sakiyalak, Pranya, additional, Salazar, Leonardo, additional, Sales, Gabriele, additional, Sallaberry, Stéphane, additional, Gandonniere, Charlotte Salmon, additional, Salvator, Hélène, additional, Sanchez, Olivier, additional, Sanchez, Emely, additional, Sanchez-Miralles, Angel, additional, Sancho-Shimizu, Vanessa, additional, Sandhu, Gyan, additional, Sandhu, Zulfiqar, additional, Sandrine, Pierre-François, additional, Sandulescu, Oana, additional, Santos, Marlene, additional, Sarfo-Mensah, Shirley, additional, Sarmento Banheiro, Bruno, additional, Sarmiento, Iam Claire E., additional, Sarton, Benjamin, additional, Satyapriya, Sree, additional, Satyawati, Rumaisah, additional, Saviciute, Egle, additional, Savvidou, Parthena, additional, Saw, Yen Tsen, additional, Schaffer, Justin, additional, Schermer, Tjard, additional, Scherpereel, Arnaud, additional, Schneider, Marion, additional, Schroll, Stephan, additional, Schwameis, Michael, additional, Scicluna, Brendan, additional, Scott, Janet T., additional, Scott-Brown, James, additional, Sedillot, Nicholas, additional, Seitz, Tamara, additional, Selvarajoo, Mageswari, additional, Semaille, Caroline, additional, Semple, Malcolm G., additional, Senian, Rasidah Bt, additional, Senneville, Eric, additional, Sepulveda, Claudia, additional, Sequeira, Filipa, additional, Sequeira, Tânia, additional, Neto, Ary Serpa, additional, Balazote, Pablo Serrano, additional, Shadowitz, Ellen, additional, Shahidan, Syamin Asyraf, additional, Shamsah, Mohammad, additional, Sharjeel, Shaikh, additional, Sharma, Pratima, additional, Shaw, Catherine A., additional, Shaw, Victoria, additional, Sheenan, John Robert, additional, Shi, Haixia, additional, Shime, Nobuaki, additional, Shimizu, Keiki, additional, Shrapnel, Sally, additional, Shum, Hoi Ping, additional, Mohammed, Nassima Si, additional, Siang, Ng Yong, additional, Sibiude, Jeanne, additional, Siddiqui, Atif, additional, Sigfrid, Louise, additional, Sillaots, Piret, additional, Silva, Catarina, additional, Silva, Rogério, additional, Silva, Maria Joao, additional, Lim Heng, Benedict Sim, additional, Sin, Wai Ching, additional, Singh, Punam, additional, Singh, Budha Charan, additional, Sitompul, Pompini Agustina, additional, Sivam, Karisha, additional, Skogen, Vegard, additional, Smith, Sue, additional, Smood, Benjamin, additional, Smyth, Coilin, additional, Smyth, Michelle, additional, Snacken, Morgane, additional, So, Dominic, additional, Soh, Tze Vee, additional, Solomon, Joshua, additional, Solomon, Tom, additional, Somers, Emily, additional, Sommet, Agnès, additional, Song, Rima, additional, Song, Myung Jin, additional, Song, Tae, additional, Chia, Jack Song, additional, Sonntagbauer, Michael, additional, Soom, Azlan Mat, additional, Sotto, Albert, additional, Soum, Edouard, additional, Sousa, Marta, additional, Sousa, Ana Chora, additional, Uva, Maria Sousa, additional, Souza-Dantas, Vicente, additional, Sperry, Alexandra, additional, Spinuzza, Elisabetta, additional, Sriskandan, Shiranee, additional, Stabler, Sarah, additional, Staudinger, Thomas, additional, Stecher, Stephanie-Susanne, additional, Steinsvik, Trude, additional, Stienstra, Ymkje, additional, Stiksrud, Birgitte, additional, Stolz, Eva, additional, Stone, Amy, additional, Streinu-Cercel, Adrian, additional, Streinu-Cercel, Anca, additional, Stuart, Ami, additional, Stuart, David, additional, Su, Richa, additional, Suen, Jacky Y., additional, Suen, Gabriel, additional, Sukumar, Prasanth, additional, Sultana, Asfia, additional, Summers, Charlotte, additional, Supic, Dubravka, additional, Suppiah, Deepashankari, additional, Surovcová, Magdalena, additional, Syahrin, Sarah, additional, Syrigos, Konstantinos, additional, Sztajnbok, Jaques, additional, Szuldrzynski, Konstanty, additional, Tabrizi, Shirin, additional, Taccone, Fabio S., additional, Tagherset, Lysa, additional, Taib, Shahdattul Mawarni, additional, Taleb, Sara, additional, Talsma, Jelmer, additional, Tampubolon, Maria Lawrensia, additional, Tan, Kim Keat, additional, Tan, Yan Chyi, additional, Tanaka, Hiroyuki, additional, Tanaka, Taku, additional, Taniguchi, Hayato, additional, Tardivon, Coralie, additional, Tattevin, Pierre, additional, Taufik, M. Azhari, additional, Tawfik, Hassan, additional, Tedder, Richard S., additional, Tee, Tze Yuan, additional, Teixeira, João, additional, Tejada, Sofia, additional, Tellier, Marie-Capucine, additional, Teoh, Sze Kye, additional, Teotonio, Vanessa, additional, Téoulé, François, additional, Terpstra, Pleun, additional, Terrier, Olivier, additional, Terzi, Nicolas, additional, Tessier-Grenier, Hubert, additional, Tey, Adrian, additional, Mohd Thabit, Alif Adlan, additional, Tham, Zhang Duan, additional, Thangavelu, Suvintheran, additional, Theron, Elmi, additional, Thibault, Vincent, additional, Thiberville, Simon-Djamel, additional, Thill, Benoît, additional, Thirumanickam, Jananee, additional, Thompson, Shaun, additional, Thomson, David, additional, Thomson, Emma C., additional, Thorpe, Mathew, additional, Thanga Thurai, Surain Raaj, additional, Thwaites, Ryan S., additional, Tierney, Paul, additional, Tieroshyn, Vadim, additional, Timsit, Jean-François, additional, Tissot, Noémie, additional, Toal, Fiona, additional, Yang Toh, Jordan Zhien, additional, Toki, Maria, additional, Tonby, Kristian, additional, Tonnii, Sia Loong, additional, Torre, Marta, additional, Torres, Margarida, additional, Torres, Antoni, additional, Torres-Zevallos, Hernando, additional, Towers, Michael, additional, Trapani, Tony, additional, Trioux, Théo, additional, Tromeur, Cécile, additional, Trontzas, Ioannis, additional, Trouillon, Tiffany, additional, Truong, Jeanne, additional, Tual, Christelle, additional, Tubiana, Sarah, additional, Tuite, Helen, additional, Turgeon, Alexis F., additional, Turmel, Jean-Marie, additional, Turtle, Lance C.W., additional, Tveita, Anders, additional, Twardowski, Pawel, additional, Uchiyama, Makoto, additional, Udy, Andrew, additional, Ullrich, Roman, additional, Uribe, Alberto, additional, Usman, Asad, additional, Uyeki, Timothy M., additional, Vajdovics, Cristinava, additional, Val-Flores, Luís, additional, Valran, Amélie, additional, Van de Velde, Stijn, additional, van den Berge, Marcel, additional, Van der Feltz, Machteld, additional, van der Palen, Job, additional, van der Valk, Paul, additional, Van Der Vekens, Nicky, additional, Van der Voort, Peter, additional, Van Der Werf, Sylvie, additional, van Gulik, Laura, additional, Van Hattem, Jarne, additional, van Netten, Carolien, additional, van Someren Gréve, Frank, additional, van Veen, Ilonka, additional, Van Willigen, Hugo, additional, Vanel, Noémie, additional, Vanoverschelde, Henk, additional, Varghese, Pooja, additional, Varrone, Michael, additional, Vasudayan, Shoban Raj, additional, Vauchy, Charline, additional, Veeran, Shaminee, additional, Veislinger, Aurélie, additional, Vencken, Sebastian, additional, Ventura, Sara, additional, Verbon, Annelies, additional, Vidal, José Ernesto, additional, Vieira, César, additional, Villanueva, Joy Ann, additional, Villar, Judit, additional, Villeneuve, Pierre-Marc, additional, Villoldo, Andrea, additional, Visseaux, Benoit, additional, Visser, Hannah, additional, Vitiello, Chiara, additional, Vonkeman, Harald, additional, Vuotto, Fanny, additional, Wahab, Noor Hidayu, additional, Wahab, Suhaila Abdul, additional, Wahid, Nadirah Abdul, additional, Wainstein, Marina, additional, Walsh, Laura, additional, Wang, Chih-Hsien, additional, Webb, Steve, additional, Wei, Jia, additional, Weil, Katharina, additional, Wen, Tan Pei, additional, Wesselius, Sanne, additional, Wham, Murray, additional, Whelan, Bryan, additional, White, Nicole, additional, Wicky, Paul Henri, additional, Wiedemann, Aurélie, additional, Wijaya, Surya Otto, additional, Wille, Keith, additional, Willems, Sue, additional, Williams, Bailey, additional, Williams, Virginie, additional, Williams, Patricia J., additional, Wils, Evert-Jan, additional, Wittman, Jessica, additional, Wong, Calvin, additional, Wong, Xin Ci, additional, Wong, Yew Sing, additional, Wong, Teck Fung, additional, Xian, Gan Ee, additional, Xian, Lim Saio, additional, Kuan, Pei Xuan, additional, Xynogalas, Ioannis, additional, Binti Mohd Yakop, Siti Rohani, additional, Yamazaki, Masaki, additional, Yarad, Elizabeth, additional, Yazdanpanah, Yazdan, additional, Liang Hing, Nicholas Yee, additional, Yelnik, Cécile, additional, Yeoh, Chian Hui, additional, Yerkovich, Stephanie, additional, Yokoyama, Toshiki, additional, Yonis, Hodane, additional, Yousif, Obada, additional, Zaaqoq, Akram, additional, Zabbe, Marion, additional, Zacharowski, Kai, additional, Zahid, Masliza, additional, Zahran, Maram, additional, Binti Zaidan, Nor Zaila, additional, Zambon, Maria, additional, Zambrano, Miguel, additional, Zanella, Alberto, additional, Zaynah, Nurul, additional, Zayyad, Hiba, additional, Zoufaly, Alexander, additional, and Zucman, David, additional

Published
2023
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4. Efficacy of Ivermectin Treatment on Disease Progression Among Adults With Mild to Moderate COVID-19 and Comorbidities: The I-TECH Randomized Clinical Trial

Author

Steven Chee Loon, Lim, Chee Peng, Hor, Kim Heng, Tay, Anilawati, Mat Jelani, Wen Hao, Tan, Hong Bee, Ker, Ting Soo, Chow, Masliza, Zaid, Wee Kooi, Cheah, Han Hua, Lim, Khairil Erwan, Khalid, Joo Thye, Cheng, Hazfadzila, Mohd Unit, Noralfazita, An, Azraai Bahari, Nasruddin, Lee Lee, Low, Song Weng Ryan, Khoo, Jia Hui, Loh, Nor Zaila, Zaidan, Suhaila, Ab Wahab, Li Herng, Song, Hui Moon, Koh, Teck Long, King, Nai Ming, Lai, Suresh Kumar, Chidambaram, Kalaiarasu M, Peariasamy, and Noraini, Seman

Subjects
Adult, Ivermectin, Treatment Outcome, SARS-CoV-2, Internal Medicine, Disease Progression, COVID-19, Humans, Correction, Female, Hospital Mortality, Middle Aged
Abstract

Ivermectin, an inexpensive and widely available antiparasitic drug, is prescribed to treat COVID-19. Evidence-based data to recommend either for or against the use of ivermectin are needed.To determine the efficacy of ivermectin in preventing progression to severe disease among high-risk patients with COVID-19.The Ivermectin Treatment Efficacy in COVID-19 High-Risk Patients (I-TECH) study was an open-label randomized clinical trial conducted at 20 public hospitals and a COVID-19 quarantine center in Malaysia between May 31 and October 25, 2021. Within the first week of patients' symptom onset, the study enrolled patients 50 years and older with laboratory-confirmed COVID-19, comorbidities, and mild to moderate disease.Patients were randomized in a 1:1 ratio to receive either oral ivermectin, 0.4 mg/kg body weight daily for 5 days, plus standard of care (n = 241) or standard of care alone (n = 249). The standard of care consisted of symptomatic therapy and monitoring for signs of early deterioration based on clinical findings, laboratory test results, and chest imaging.The primary outcome was the proportion of patients who progressed to severe disease, defined as the hypoxic stage requiring supplemental oxygen to maintain pulse oximetry oxygen saturation of 95% or higher. Secondary outcomes of the trial included the rates of mechanical ventilation, intensive care unit admission, 28-day in-hospital mortality, and adverse events.Among 490 patients included in the primary analysis (mean [SD] age, 62.5 [8.7] years; 267 women [54.5%]), 52 of 241 patients (21.6%) in the ivermectin group and 43 of 249 patients (17.3%) in the control group progressed to severe disease (relative risk [RR], 1.25; 95% CI, 0.87-1.80; P = .25). For all prespecified secondary outcomes, there were no significant differences between groups. Mechanical ventilation occurred in 4 (1.7%) vs 10 (4.0%) (RR, 0.41; 95% CI, 0.13-1.30; P = .17), intensive care unit admission in 6 (2.4%) vs 8 (3.2%) (RR, 0.78; 95% CI, 0.27-2.20; P = .79), and 28-day in-hospital death in 3 (1.2%) vs 10 (4.0%) (RR, 0.31; 95% CI, 0.09-1.11; P = .09). The most common adverse event reported was diarrhea (14 [5.8%] in the ivermectin group and 4 [1.6%] in the control group).In this randomized clinical trial of high-risk patients with mild to moderate COVID-19, ivermectin treatment during early illness did not prevent progression to severe disease. The study findings do not support the use of ivermectin for patients with COVID-19.ClinicalTrials.gov Identifier: NCT04920942.

Published
2023

6. Efficacy of Ivermectin Treatment on Disease Progression Among Adults With Mild to Moderate COVID-19 and Comorbidities The I-TECH Randomized Clinical Trial

Author

Steven Chee Loon Lim, Chee Peng Hor, Kim Heng Tay, Anilawati Mat Jelani, MMed, Wen Hao Tan, Hong Bee Ker, Ting Soo Chow, Masliza Zaid, Wee Kooi Cheah, Khairil Erwan Khalid, Han Hua Lim, Joo Thye Cheng, Hazfadzila Mohd Unit, Noralfazita An, Azraai Bahari Nasruddin, Lee Lee Low, Song Weng Ryan Khoo, Jia Hui Loh, Nor Zaila Zaidan, Suhaila Ab Wahab, Li Herng Song, Hui Moon Koh, Teck Long King, Nai Ming Lai, Suresh Kumar Chidambaram, and Kalaiarasu M. Peariasamy

Subjects
ivermectin, disease progression, covid-19, adults
Abstract

ImportanceIvermectin, an inexpensive and widely available antiparasitic drug, is prescribed to treat COVID-19. Evidence-based data to recommend either for or against the use of ivermectin are needed. ObjectiveTo determine the efficacy of ivermectin in preventing progression to severe disease among high-risk patients with COVID-19. Design, Setting, and ParticipantsThe Ivermectin Treatment Efficacy in COVID-19 High-Risk Patients (I-TECH) study was an open-label randomized clinical trial conducted at 20 public hospitals and a COVID-19 quarantine center in Malaysia between May 31 and October 25, 2021. Within the first week of patients’ symptom onset, the study enrolled patients 50 years and older with laboratory-confirmed COVID-19, comorbidities, and mild to moderate disease. InterventionsPatients were randomized in a 1:1 ratio to receive either oral ivermectin, 0.4 mg/kg body weight daily for 5 days, plus standard of care (n = 241) or standard of care alone (n = 249). The standard of care consisted of symptomatic therapy and monitoring for signs of early deterioration based on clinical findings, laboratory test results, and chest imaging. Main Outcomes and MeasuresThe primary outcome was the proportion of patients who progressed to severe disease, defined as the hypoxic stage requiring supplemental oxygen to maintain pulse oximetry oxygen saturation of 95% or higher. Secondary outcomes of the trial included the rates of mechanical ventilation, intensive care unit admission, 28-day in-hospital mortality, and adverse events. ResultsAmong 490 patients included in the primary analysis (mean [SD] age, 62.5 [8.7] years; 267 women [54.5%]), 52 of 241 patients (21.6%) in the ivermectin group and 43 of 249 patients (17.3%) in the control group progressed to severe disease (relative risk [RR], 1.25; 95% CI, 0.87-1.80;P = .25). For all prespecified secondary outcomes, there were no significant differences between groups. Mechanical ventilation occurred in 4 (1.7%) vs 10 (4.0%) (RR, 0.41; 95% CI, 0.13-1.30;P = .17), intensive care unit admission in 6 (2.4%) vs 8 (3.2%) (RR, 0.78; 95% CI, 0.27-2.20;P = .79), and 28-day in-hospital death in 3 (1.2%) vs 10 (4.0%) (RR, 0.31; 95% CI, 0.09-1.11;P = .09). The most common adverse event reported was diarrhea (14 [5.8%] in the ivermectin group and 4 [1.6%] in the control group). Conclusions and RelevanceIn this randomized clinical trial of high-risk patients with mild to moderate COVID-19, ivermectin treatment during early illness did not prevent progression to severe disease. The study findings do not support the use of ivermectin for patients with COVID-19.

Published
2022

7. The landscape of antibiotic usage among COVID-19 patients in the early phase of pandemic: a Malaysian national perspective

Author

Izzati-Nadhirah Mohamad, Calvin Ke-Wen Wong, Chii-Chii Chew, E-Li Leong, Biing-Horng Lee, Cheng-Keat Moh, Komalah Chenasammy, Steven Chee-Loon Lim, and Hong-Bee Ker

Subjects
RS1-441, Infectious disease, Pharmacy and materia medica, Anti-bacterial agents, Health Policy, Research, Prevalence, Malaysia, Antibiotic use, COVID-19, Pharmacy, Therapeutics. Pharmacology, RM1-950
Abstract

Background During the early phase of the COVID-19 pandemic, antibiotic usage among COVID-19 patients was noted to be high in many countries. The objective of this study was to determine the prevalence of antibiotic usage and factors affecting antibiotic usage among COVID-19 patients during the early phase of the COVID-19 pandemic in Malaysia. Methods This was a cross-sectional study that involved reviewing medical records of COVID-19 Malaysian patients aged 12 and above who were diagnosed with COVID-19 and received treatment in 18 COVID-19 hospitals from February to April 2020. A minimum sample of 375 patients was required. A binary logistic regression analysis was performed to determine factors associated with antibiotic usage. Variables with p Results A total of 4043 cases were included for analysis. The majority of the patients (87.6%) were non-smokers, male (65.0%), and had at least one comorbidity (37.0%). The median age was 35 years (IQR: 38). The prevalence of antibiotic usage was 17.1%, with 5.5% of them being prescribed with two or more types of antibiotics. The most frequent antibiotics prescribed were amoxicillin/clavulanic acid (37.8%), ceftriaxone (12.3%), piperacillin/tazobactam (13.3%), azithromycin (8.3%), and meropenem (7.0%). Male patients (adjusted OR 1.53), who had a comorbidity (adjusted OR 1.36), associated with more severe stage of COVID-19 (adjusted OR 6.50–37.06), out-of-normal range inflammatory blood parameters for neutrophils, lymphocytes, and C-reactive protein (adjusted OR 2.04–3.93), corticosteroid use (adjusted OR 3.05), and ICU/HDU admission (adjusted OR 2.73) had higher odds of antibiotic use. Conclusions The prevalence of antibiotic usage in the early phase of the COVID-19 pandemic was low, with amoxicillin/clavulanic acid as the most common antibiotic of choice. The study showed that clinicians rationalized antibiotic usage based on clinical assessment, supported by relevant laboratory parameters.

Published
2022

8. Efficacy of Early Treatment With Favipiravir on Disease Progression Among High-Risk Patients With Coronavirus Disease 2019 (COVID-19): A Randomized, Open-Label Clinical Trial

Author

Chuan Huan, Chuah, Ting Soo, Chow, Chee Peng, Hor, Joo Thye, Cheng, Hong Bee, Ker, Heng Gee, Lee, Kok Soon, Lee, Noridah, Nordin, Tiang Koi, Ng, Masliza, Zaid, Nor Zaila, Zaidan, Suhaila, Abdul Wahab, Nurul Ashikin, Adnan, Noorlina, Nordin, Tze Yuan, Tee, Su Miin, Ong, Suresh Kumar, Chidambaram, Mahiran, Mustafa, and Thangavelu, Suvintheran

Subjects
Microbiology (medical), medicine.medical_specialty, medicine.medical_treatment, Favipiravir, law.invention, Randomized controlled trial, law, Internal medicine, medicine, Clinical endpoint, Humans, Hypoxia, Mechanical ventilation, business.industry, SARS-CoV-2, Hypoxia (medical), Middle Aged, medicine.disease, Intensive care unit, Amides, COVID-19 Drug Treatment, Clinical trial, Pneumonia, Infectious Diseases, Treatment Outcome, Pyrazines, Disease Progression, Female, medicine.symptom, business
Abstract

Background The role of favipiravir in preventing disease progression in coronavirus disease 2019 (COVID-19) remains uncertain. We aimed to determine its effect in preventing disease progression from nonhypoxia to hypoxia among high-risk COVID-19 patients. Methods This was an open-label, randomized clinical trial conducted at 14 public hospitals across Malaysia (February–July 2021) among 500 symptomatic, RT-PCR–confirmed COVID-19 patients, aged ≥50 years with ≥1 comorbidity, and hospitalized within first 7 days of illness. Patients were randomized 1:1 to favipiravir plus standard care or standard care alone. Favipiravir was administered at 1800 mg 2×/day on day 1 followed by 800 mg 2×/day until day 5. The primary endpoint was rate of clinical progression from nonhypoxia to hypoxia. Secondary outcomes included rates of mechanical ventilation, intensive care unit (ICU) admission, and in-hospital mortality. Results Of 500 patients randomized (mean [SD] age, 62.5 [8.0] years; 258 women [51.6%]; 251 [50.2%] had COVID-19 pneumonia), 487 (97.4%) patients completed the trial. Clinical progression to hypoxia occurred in 46 (18.4%) patients on favipiravir plus standard care and 37 (14.8%) on standard care alone (OR, 1.30; 95% CI: .81–2.09; P = .28). All 3 prespecified secondary endpoints were similar between both groups. Mechanical ventilation occurred in 6 (2.4%) vs 5 (2.0%) (OR, 1.20; 95% CI: .36–4.23; P = .76), ICU admission in 13 (5.2%) vs 12 (4.8%) (OR, 1.09; 95% CI: .48–2.47; P = .84), and in-hospital mortality in 5 (2.0%) vs 0 (OR, 12.54; 95% CI: .76–207.84; P = .08) patients. Conclusions Among COVID-19 patients at high risk of disease progression, early treatment with oral favipiravir did not prevent their disease progression from nonhypoxia to hypoxia. Clinical Trials Registration ClinicalTrials.gov (NCT04818320).

Published
2021

9. Antibiotic Usage in the Early Phase of COVID-19 Pandemic: A National Perspective

Author

Izzati-Nadhirah Mohamad, Calvin Ke-Wen Wong, Chii-Chii Chew, E-Li Leong, Biing-Horng Lee, Cheng-Keat Moh, Komalah Chenasammy, Chee-Loon Lim, and Hong-Bee Ker

Subjects
early phase, antibiotic, pandemic, national, COVID-19, perspective, usage
Abstract

Introduction Antibiotic usage for COVID-19 patients was uncertain in the early phase of the pandemic. Objectives: To determine the prevalence of antibiotic usage and factors affecting antibiotic usage in COVID-19 patients. Methodology This is a cross-sectional study which reviewed medical records of COVID-19 Malaysian patients aged 12 and above who were admitted to all COVID-19 hospitals in from February to April 2020. Binary logistic regression analysis was performed to determine factors associated with antibiotic use in COVID-19 patients. Results Of 4043 cases, the majority of the patients were male (65.0%), non-smoker (87.6%), and had at least one comorbid (37.0%) with a median age of 38 years (IQR: 38). The prevalence of antibiotic usage was 16.5% with 4.7% of them prescribed with two or more types. The most frequent antibiotic prescribed were Co-Amoxiclav (10.6%) followed by Ceftriaxone (3.4%), Piperacillin/Tazobactam (3.8%), Azithromycin (2.3%), and Meropenem (2.0%). Higher odds of antibiotic usage were seen in male patients who had comorbidities, clinical severity of stage two to five, out-of-range inflammatory blood parameters (white blood cells, neutrophils, lymphocytes and C-reactive protein), use of corticosteroid and admission to the intensive care unit. Conclusion The prevalence of antibiotic usage at the early phase of COVID-19 pandemic was 16.5%, which is relatively low compared to other countries (58 to 71%). Significant factors influencing the odds of antibiotic usage were consistent with findings from other studies. This observation showed that clinicians rationalized the antibiotic usage based on clinical assessment, supported by relevant laboratory parameters. [Disclaimer: Abstract text might vary slightly from what is displayed in the e-poster], This poster was submitted to the 14th National Conference for Clinical Research (NCCR) in August 18-20, 2021. https://nccrconference.com.my/

Published
2021
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10. Self-Reported Symptom Study of COVID-19 Chemosensory Dysfunction in Malaysia

Author

Nor Arisah Misnan, Shahrul Aiman Soelar, Chee Yong Foo, Amran Amran, Philip Rajan Devesahayam, Sobani Din, Zulkiflee Salahuddin, Siti Sabzah Mohd Hashim, Sharifah Baizura Syed Alwi, Suhaimi Yusuf, Halimuddin Sawali, Mahiran Mustafa, Norzi Gazali, Mohd Noor Ismail, Tengku Mohamed Izam Tengku Kamalden, Jothi Shanmuganathan, Chun Yiing Wong, Nor Zaila Zaidan, Suhaila Abd Wahab, Zambri Ibrahim, Hock Hin Chua, Heng Gee Lee, Ting Soo Chow, Chee Loon Leong, Zhi Xiang Yeoh, Ida Sadja’ah Sachlin, Linda Pei Fang Lim, Masliza Zaid, Elang Kumaran Krishnan, Chenthilnathan Periasamy, Dzawani Muhamad, Lee Lee Low, Hong Bee Ker, and Shen-Han Lee

Subjects
Text mining, Coronavirus disease 2019 (COVID-19), business.industry, Medicine, business, Clinical psychology
Abstract

Alterations in the three chemosensory modalities – smell, taste, and chemesthesis – have been implicated in Coronavirus Disease 2019 (COVID-19), yet emerging data suggest a wide geographic and ethnic variation in the prevalence of these symptoms. Studies on chemosensory disorders in COVID-19 have predominantly focused on Caucasian populations whereas Asians remain understudied. We conducted a nationwide, multicentre cross-sectional study using an online questionnaire on a cohort of RT-PCR-confirmed adult COVID-19 patients in Malaysia between 6 June to 30 November 2020. The aim of our study was to investigate their presenting symptoms and assess their chemosensory function using self-ratings of perceived smell, taste, chemesthesis, and nasal blockage. In this cohort of 498 patients, 41.4% reported smell and/or taste loss when diagnosed with COVID-19, which was the commonest symptom. Blocked nose, loss of appetite, and gastrointestinal disturbances were independent predictors of smell and/or taste loss on multivariate analysis. Self-ratings of chemosensory function revealed a reduction in smell, taste, and chemesthesis across the entire cohort of patients that was more profound among those reporting smell and/or taste loss as their presenting symptom. Perceived nasal obstruction accounted for only a small proportion of changes in smell and taste, but not for chemesthesis, supporting viral disruption of sensorineural mechanisms as the dominant aetiology of chemosensory dysfunction. Our study suggests that chemosensory dysfunction in COVID-19 may be widespread and more common than previously thought among Asians, and manifest as an early symptom of SARS-CoV-2 infection. This has important implications for our understanding of the infectivity of viral strains, diagnosis, and management of this pandemic. Study Registration: NMRR-20-934-54803 and NCT04390165

Published
2021

11. Prevalence of dengue-related fundus and macular optical coherence tomography findings among inpatients in a regional referral hospital

Author

Hong Bee Ker, Umi Kalthum Mn, Mei Fong Chong, and Mee Ai Loh

Subjects
medicine.medical_specialty, education.field_of_study, genetic structures, Referral, medicine.diagnostic_test, business.industry, Blind spot, Population, Fundus (eye), medicine.disease, eye diseases, Dengue fever, Ophthalmology, Optical coherence tomography, Cystoid macular oedema, medicine, sense organs, Pupillary light reflex, business, education
Abstract

Purpose: To investigate the prevalence of fundus and macular optical coherence tomography (OCT) findings, and the spectrum of dengue-related fundus presentation in a Malaysian tertiary hospital. The associations between platelet count and haematocrit level with fundus and macular OCT findings were also investigated. Design: Cross-sectional study. Methods: The study was conducted at Hospital Raja Permaisuri Bainun, Ipoh, from June to August 2015. Patients who consented to participate underwent a comprehensive ocular examination. Examination included a best-corrected distance (6 m) and near visual acuities, standard black-on-white Amsler chart testing, pupillary light reflex, fundus examination, followed by dilated fundus photographs and OCT of the macula. Results: A total of 134 patients were included in the study. The prevalence of positive fundus finding and macular OCT finding was 35% (95% confidence interval [CI]: 27%, 43%) and 13% (95% CI: 8%, 19%), respectively; 62 eyes of 47 patients had positive fundus findings, whereas 30 eyes of 18 patients had positive macular OCT findings. Scotoma (p < 0.001), near vision disturbance (p = 0.04), and abnormal Amsler findings (p < 0.001) were significantly associated with presence of macular OCT findings compared to absence of macular OCT findings. In the total of 268 eyes, the two most common fundus findings were vessel tortuosity (53 [20%]) and yellow subretinal dot (28 [10%]). Out of 30 eyes, diffuse retinal thickening was the most frequent OCT finding (22 [73%]), followed by 4 (13%) with foveolitis, 3 (10%) with cystoid macular oedema and 1 (3%) with submacular fluid. Platelet count and haematocrit were not associated with abnormal fundus or macular OCT manifestation in patients suffering from dengue fever. Conclusion: Our study revealed that the prevalence of clinical fundus and macular OCT findings among dengue inpatients was higher when compared to other countries, especially during dengue outbreaks. Furthermore, the spectrum of fundus and macular OCT findings in our population can be varied.

Published
2019

12. Adherence to Clinical Practice Guidelines (CPG) management of dengue infection in adults (revised 2nd edition)

Author

Abd.Rahman, Marzilawati, primary, Ahmad Zaki, Rafdzah, additional, Sarimin, Roza, additional, Ariff, Mohd Izhar, additional, Suli, Zailiza, additional, Mahmud, Maimunah, additional, Hong Bee, Ker, additional, Anthonysamy, Cecilia, additional, Abdul Rahim, Azahirafairud, additional, Singh Gill, Balvinder, additional, Rudra Deva, Shanti, additional, Abdullah Sani, Ana Fizalinda, additional, Romli, Erni Zurina, additional, Mohamed Ghazali, Izzuna Mudla, additional, Mohd. Yusof, Mohd. Aminuddin, additional, Ahmad Lutfi, Nafisah, additional, Shuib, Shahril Effendi, additional, Mohd Darus, Noormah, additional, Bakri, Rugayah, additional, and Yahya, ‘Abqariyah, additional

Published
2017
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13. Adherence to Clinical Practice Guidelines (CPG) management of dengue infection in adults (revised 2nd edition).

Author

Abd.Rahman, Marzilawati, Ahmad Zaki, Rafdzah, Sarimin, Roza, Ariff, Mohd Izhar, Suli, Zailiza, Mahmud, Maimunah, Hong Bee, Ker, Anthonysamy, Cecilia, Abdul Rahim, Azahirafairud, Singh Gill, Balvinder, Rudra Deva, Shanti, Abdullah Sani, Ana Fizalinda, Romli, Erni Zurina, Mohamed Ghazali, Izzuna Mudla, Mohd. Yusof, Mohd. Aminuddin, Ahmad Lutfi, Nafisah, Shuib, Shahril Effendi, Mohd Darus, Noormah, Bakri, Rugayah, and Yahya, ‘Abqariyah

Subjects
THERAPEUTICS, DENGUE, PATIENT compliance, PUBLIC hospitals, DISEASES in adults, CLINICAL trials
Abstract

The Malaysian Dengue Clinical Practice Guidelines (CPG) have been developed to provide evidence-based guidance in the management of dengue infections. The use of these guidelines is essential to ensure its recommendations are being practiced. However, the adherence to the guidelines for management of dengue (revised 2nd edition) by healthcare providers still remains unknown. Therefore, the aim of this study was to evaluate the proportion among healthcare providers that adhere to this Dengue CPG. A retrospective cohort study of dengue cases registered from 1 January 2014 to 1 June 2015 was conducted in public hospitals and health clinics in Selangor, Putrajaya and Kuala Lumpur. Adherence to the CPG recommendations were recorded by reviewing patients’ case notes. Overall proportion of adherence in clinical components of the recommendation were (7.1 to 100.0% versus 7.7 to 73.8%) in history taking, (6.7 to 100.0% versus 12.3 to 60.0%) in physical examinations, (18.4 to 100.0% versus 23.1 to 83.2%) in assessment of warning signs, (0.6 to 100.0% versus 12.3 to 87.7%) in assessment of haemodynamic status, (60.0 to 100.0% versus 27.7 to 40.0%) in diagnosis, (46.6 to 80.0% versus 52.3%) in case notifications, (73.2 to 100.0% versus 89.2 to 96.9%) in performing specific laboratory investigations and (7.9 to 100.0% versus 21.5%) in monitoring, for outpatient versus inpatient, respectively. Adherence trends were demonstrated to be higher in hospital settings compared to outpatient settings. Adherence to this Dengue CPG varies widely with overall good clinical outcomes observed. [ABSTRACT FROM AUTHOR]

Published
2017
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