Dergiler / Turkish Journal of Medical Sciences / 2021 / Cilt: 51 - Sayı: 4

Long-term proton pump inhibitor use is a risk factor for mortality in patients hospitalized for COVID-19

Sayfa
1675–1681
Yayın Tarihi
2022-11-06
DOI
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Patients receiving PPI therapy should be evaluated more carefully if they are hospitalized for COVID-19 treatment.Key words: Covid-19, proton pump inhibitors, mortality

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Amaç & Hipotez:Background and aim: The aim of this study is to evaluate whether the long-term (≥4 weeks) use of proton pump inhibitors (PPIs) is a risk factor for intubation requirement and mortality in patients hospitalized for COVID-19.
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Temel Bulgular & Veri:Materials and methods: In this multicentric retrospective study, a total of 382 adult patients (≥18 years of age) with confirmed COVID-19 who were hospitalized for treatment were enrolled.
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Sonuç & Katkı:Patients receiving PPI therapy should be evaluated more carefully if they are hospitalized for COVID-19 treatment.Key words: Covid-19, proton pump inhibitors, mortality
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Background and aim: The aim of this study is to evaluate whether the long-term (≥4 weeks) use of proton pump inhibitors (PPIs) is a risk factor for intubation requirement and mortality in patients hospitalized for COVID-19. Materials and methods: In this multicentric retrospective study, a total of 382 adult patients (≥18 years of age) with confirmed COVID-19 who were hospitalized for treatment were enrolled. The patients were divided into two groups according to the periods during which they used PPIs: the first group included patients who were not on PPI treatment, and the second group included those who have used PPIs for more than 4 weeks. Results: The study participants were grouped according to their PPI usage history over the last 6 months. In total, 291 patients did not use any type of PPI over the last 6 months, and 91 patients used PPIs for more than 4 weeks. Older age (HR: 1.047, 95% CI: 1.026–1.068), current smoking (HR: 2.590, 95% CI: 1.334–5.025), and PPI therapy for more than 4 weeks (HR: 1.83, 95% CI: 1.06–2.41) were found to be independent risk factors for mortality. Conclusion: The results obtained in this study show that using PPIs for more than 4 weeks is associated with negative outcomes for patients with COVID-19. Patients receiving PPI therapy should be evaluated more carefully if they are hospitalized for COVID-19 treatment.Key words: Covid-19, proton pump inhibitors, mortality

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Bu Makaleye Atıf Yap

KEKİLLİ, M., GÜRLER, M., YALÇIN, K. S., TANOĞLU, A., KARA, U., KAPLAN, M., YOZGAT, A., KASAPOĞLU, B., CAN, G., SAKİN, Y. S., KABAN, M. G., KIRSOY, M. (2022). Long-term proton pump inhibitor use is a risk factor for mortality in patients hospitalized for COVID-19. Turkish Journal of Medical Sciences, Cilt: 51 - Sayı: 4, 1675–1681. https://ajindex.com/articles/609583

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