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.

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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
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High-dose colchicine and clinical outcomes in COVID-19 patients with surgical conditions: A single-center retrospective cohort study

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Pharmacia
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High-dose colchicine and clinical outcomes in COVID-19 patients with surgical conditions: A single-center retrospective cohort study

Elena Arabadzhieva, Atanas S. YONKOV, D Bulanov, Georgi Korukov, Zhivko A. SHAVALOV, Vanyo Mitev
article en

Abstract

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.

PharmaciaVol. 73
Alexandrovska Hospital (BG), Medical University of Sofia (BG)
Good health and well-being
Openalex Percentile: Top 12%
COVID-19 Clinical Research Studies
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