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10.7554/eLife.68165

http://scihub22266oqcxt.onion/10.7554/eLife.68165
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34313216!8321549!34313216
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suck abstract from ncbi


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pmid34313216      Elife 2021 ; 10 (ä): ä
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  • Identification of drugs associated with reduced severity of COVID-19 - a case-control study in a large population #MMPMID34313216
  • Israel A; Schaffer AA; Cicurel A; Cheng K; Sinha S; Schiff E; Feldhamer I; Tal A; Lavie G; Ruppin E
  • Elife 2021[Jul]; 10 (ä): ä PMID34313216show ga
  • BACKGROUND: Until coronavirus disease 2019 (COVID-19) drugs specifically developed to treat COVID-19 become more widely accessible, it is crucial to identify whether existing medications have a protective effect against severe disease. Toward this objective, we conducted a large population study in Clalit Health Services (CHS), the largest healthcare provider in Israel, insuring over 4.7 million members. METHODS: Two case-control matched cohorts were assembled to assess which medications, acquired in the last month, decreased the risk of COVID-19 hospitalization. Case patients were adults aged 18 to 95 hospitalized for COVID-19. In the first cohort, five control patients, from the general population, were matched to each case (n=6202); in the second cohort, two non-hospitalized SARS-CoV-2 positive control patients were matched to each case (n=6919). The outcome measures for a medication were: odds ratio (OR) for hospitalization, 95% confidence interval (CI), and the p-value, using Fisher's exact test. False discovery rate was used to adjust for multiple testing. RESULTS: Medications associated with most significantly reduced odds for COVID-19 hospitalization include: ubiquinone (OR=0.185, 95% CI [0.058 to 0.458], p<0.001), ezetimibe (OR=0.488, 95% CI [0.377 to 0.622], p<0.001), rosuvastatin (OR=0.673, 95% CI [0.596 to 0.758], p<0.001), flecainide (OR=0.301, 95% CI [0.118 to 0.641], p<0.001), and vitamin D (OR=0.869, 95% CI [0.792 to 0.954], p<0.003). Remarkably, acquisition of artificial tears, eye care wipes, and several ophthalmological products were also associated with decreased risk for hospitalization. CONCLUSIONS: Ubiquinone, ezetimibe, and rosuvastatin, all related to the cholesterol synthesis pathway were associated with reduced hospitalization risk. These findings point to a promising protective effect which should be further investigated in controlled, prospective studies. FUNDING: This research was supported in part by the Intramural Research Program of the National Institutes of Health, NCI.
  • |*COVID-19 Drug Treatment[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Antiviral Agents/*administration & dosage[MESH]
  • |COVID-19/virology[MESH]
  • |Case-Control Studies[MESH]
  • |Cohort Studies[MESH]
  • |Ezetimibe/administration & dosage[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Odds Ratio[MESH]
  • |Rosuvastatin Calcium/administration & dosage[MESH]
  • |SARS-CoV-2/drug effects/genetics/physiology[MESH]
  • |Severity of Illness Index[MESH]
  • |Ubiquinone/administration & dosage[MESH]
  • |Vitamin D/administration & dosage[MESH]


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