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10.1136/gutjnl-2020-322248

http://scihub22266oqcxt.onion/10.1136/gutjnl-2020-322248
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32732368!ä!32732368

suck abstract from ncbi


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pmid32732368      Gut 2021 ; 70 (1): 76-84
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  • Severe clinical outcomes of COVID-19 associated with proton pump inhibitors: a nationwide cohort study with propensity score matching #MMPMID32732368
  • Lee SW; Ha EK; Yeniova AO; Moon SY; Kim SY; Koh HY; Yang JM; Jeong SJ; Moon SJ; Cho JY; Yoo IK; Yon DK
  • Gut 2021[Jan]; 70 (1): 76-84 PMID32732368show ga
  • OBJECTIVE: The adverse effects of proton pump inhibitors (PPIs) have been documented for pneumonia; however, there is no consensus regarding whether the use of PPIs might be harmful regarding the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In this regard, we aimed to measure the potential associations of the current use of PPIs with the infection rates of COVID-19 among patients who underwent SARS-CoV-2 testing. DESIGN: Data were derived from a Korean nationwide cohort study with propensity score matching. We included 132 316 patients older than 18 years who tested for SARS-CoV-2 between 1 January and 15 May 2020. Endpoints were SARS-CoV-2 positivity (primary) and severe clinical outcomes of COVID-19 (secondary: admission to intensive care unit, administration of invasive ventilation or death). RESULTS: In the entire cohort, there were 111 911 non-users, 14 163 current PPI users and 6242 past PPI users. After propensity score matching, the SARS-CoV-2 test positivity rate was not associated with the current or past use of PPIs. Among patients with confirmed COVID-19, the current use of PPIs conferred a 79% greater risk of severe clinical outcomes of COVID-19, while the relationship with the past use of PPIs remained insignificant. Current PPI use starting within the previous 30 days was associated with a 90% increased risk of severe clinical outcomes of COVID-19. CONCLUSION: Patients taking PPIs are at increased risk for severe clinical outcomes of COVID-19 but not susceptible to SARS-CoV-2 infection. This suggests that physicians need to assess benefit-risk assessments in the management of acid-related diseases amid the COVID-19 pandemic.
  • |*COVID-19 Testing/methods/statistics & numerical data[MESH]
  • |*COVID-19/complications/mortality/therapy[MESH]
  • |*Proton Pump Inhibitors/administration & dosage/adverse effects[MESH]
  • |*Stomach Diseases/drug therapy/epidemiology[MESH]
  • |Cause of Death[MESH]
  • |Comorbidity[MESH]
  • |Female[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Intensive Care Units/*statistics & numerical data[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Outcome and Process Assessment, Health Care[MESH]
  • |Republic of Korea/epidemiology[MESH]
  • |Respiration, Artificial/*statistics & numerical data[MESH]
  • |SARS-CoV-2/isolation & purification[MESH]


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