1 00:00:02,910 --> 00:00:04,320 [Instructor] Dear students. 2 00:00:04,320 --> 00:00:07,590 Today, we are going to go over practice problem 13 3 00:00:07,590 --> 00:00:08,423 from Chapter 3. 4 00:00:09,870 --> 00:00:11,430 First, I will read the problem 5 00:00:11,430 --> 00:00:15,090 so we can understand what information is given to us. 6 00:00:15,090 --> 00:00:20,090 Then, we will determine how to answer the question. 7 00:00:24,450 --> 00:00:27,300 Problem 13 states a randomized control trial 8 00:00:27,300 --> 00:00:30,900 was conducted to evaluate the effect of hydroxychloroquine 9 00:00:30,900 --> 00:00:32,160 as a potential therapy 10 00:00:32,160 --> 00:00:36,330 to prevent COVID-19 infection following exposure. 11 00:00:36,330 --> 00:00:38,520 Exposed participants were randomized 12 00:00:38,520 --> 00:00:41,790 to receive hydroxychloroquine or usual care 13 00:00:41,790 --> 00:00:44,823 and the primary outcome was COVID-19 infection. 14 00:00:46,020 --> 00:00:48,030 The investigators also assessed 15 00:00:48,030 --> 00:00:49,680 the adverse event in each group 16 00:00:49,680 --> 00:00:52,660 and found that 56.1% of the patients 17 00:00:54,420 --> 00:00:55,890 in the hydroxychloroquine group 18 00:00:55,890 --> 00:00:57,750 experienced adverse events 19 00:00:57,750 --> 00:01:01,503 as compared to 5.9% in the usual care group. 20 00:01:02,730 --> 00:01:04,710 So the problem is right now asking us 21 00:01:04,710 --> 00:01:07,893 to calculate the relative risk of adverse event. 22 00:01:11,880 --> 00:01:13,110 To answer this question, 23 00:01:13,110 --> 00:01:16,677 first, we need to calculate the relative risk, 24 00:01:19,350 --> 00:01:21,723 and for that, we have to use the formula. 25 00:01:22,770 --> 00:01:27,030 Again, relative risk is abbreviated as RR. 26 00:01:27,030 --> 00:01:27,863 Here, 27 00:01:31,020 --> 00:01:33,510 the numerator is PP exposed, 28 00:01:33,510 --> 00:01:36,210 and PP is our point prevalence, 29 00:01:36,210 --> 00:01:41,210 and the denominator is point prevalence unexposed. 30 00:01:42,090 --> 00:01:43,770 So what is our exposure here? 31 00:01:43,770 --> 00:01:46,800 Our exposure is hydroxychloroquine. 32 00:01:46,800 --> 00:01:49,920 And PP, again, is our point prevalence. 33 00:01:49,920 --> 00:01:53,760 And our secondary outcome here is the adverse event. 34 00:01:53,760 --> 00:01:57,370 So now as we try to calculate the RR, 35 00:02:00,180 --> 00:02:03,300 we have to insert the proper information 36 00:02:03,300 --> 00:02:05,370 that were provided to us. 37 00:02:05,370 --> 00:02:10,370 So the point prevalence exposed will be 56.1% 38 00:02:10,590 --> 00:02:14,427 and the point prevalence unexposed will be 5.9%. 39 00:02:19,110 --> 00:02:21,157 So the answer here will be 9.5, 40 00:02:23,730 --> 00:02:24,603 our c. 41 00:02:30,210 --> 00:02:32,550 Now, what does this mean? 42 00:02:32,550 --> 00:02:36,510 Anytime our relative risk is different from one 43 00:02:36,510 --> 00:02:39,753 means that there is a dissimilarity between the groups. 44 00:02:40,770 --> 00:02:43,540 So here, the group treated with hydroxychloroquine 45 00:02:45,510 --> 00:02:48,180 is 9.5 times more likely 46 00:02:48,180 --> 00:02:50,490 to suffer from adverse events 47 00:02:50,490 --> 00:02:55,490 compared to the group that received usual care.