High-dose colchicine and clinical outcomes in COVID-19 patients with surgical conditions: A single-center retrospective cohort study
This single-center retrospective observational study included 28 patients with surgical conditions and confirmed COVID-19. The small sample size limited the statistical power to detect a significant reduction in mortality among patients treated with higher-dose colchicine; nevertheless, a trend toward lower mortality was observed. Colchicine treatment was associated with a statistically significant reduction in serum ferritin levels, accompanied by trends toward lower CRP and D-dimer levels. These findings are consistent with the proposed anti-inflammatory effects of colchicine and with previous reports suggesting that earlier administration and higher therapeutic doses may be associated with improved clinical outcomes in patients with COVID-19.
Authors
- Elena Arabadzhieva (ORCID: https://orcid.org/0000-0001-6638-4156)
- Atanas S. YONKOV (ORCID: https://orcid.org/0000-0002-6391-0752)
- D Bulanov (ORCID: https://orcid.org/0009-0003-8731-6728)
- Georgi Korukov (ORCID: https://orcid.org/0000-0002-6566-1454)
- Zhivko A. SHAVALOV (ORCID: https://orcid.org/0009-0000-7482-6524)
- Vanyo Mitev
Institutions
- Alexandrovska Hospital (BG)
- Medical University of Sofia (BG)
Publication Details
- Journal
- Pharmacia
- Published
- 2026-10-15
- DOI
- https://doi.org/10.3897/pharmacia.73.e212514
- Primary Topic
- COVID-19 Clinical Research Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00