The impact of therapeutic group therapy on the life purpose of elderly people suffering from loneliness

Received Feb 24, 2022 Revised Aug 20, 2022 Accepted Sep 7, 2022 SARS-CoV-2 infection results in hyperinflammatory responses by activating proinflammatory cytokines and chemokines. Colchicine is an antiinflammatory drug that reduces superoxide production, tumor necrosis factor alpha (TNF-α) activation, and neutrophil chemotaxis. This study aimed to understand the effect of adjuvant colchicine on mortality in COVID-19 patients. Systematic literature searching was conducted on PubMed, ScienceDirect, Cochrane Library, and medRxiv with keywords colchicine, coronavirus disease, COVID-19, mortality, and SARS-CoV-2. Five randomized controlled studies with 15,779 patients were included. There was no significant difference between the colchicine group and the standard group (OR 1.00 [95% CI 0.91-1.09], p=0.94); invasive mechanical ventilation necessity also did not show a significant difference (OR 0.99 [95% CI 0.83-1.17 p=0.88). There was no significant difference in the incidence of cardiovascular disease (OR 1.11 [95% CI 0.50-2.46], p=0.79), also the incidence of pneumonia was lower in colchicine group (OR 0.68 [95% CI 0.49-0.93], p=0.02), while the incidence of gastrointestinal complaints was higher in colchicine group (OR 2.09 [95% CI 1.84-2.37], p<0.00001). Colchicine as COVID-19 adjuvant therapy did not significantly reduce mortality, the need for invasive mechanical ventilation, and the incidence of cardiovascular disease. Furthermore, the colchicine group had lower pneumonia incidence and higher gastrointestinal complaint incidence.