选择性色素再吸收抑制剂的流行使用与COVID-19相关死亡率之间的关联:一项回顾性队列研究
Pablo Ignacio Osores1, María Noelia Vivacqua1, Carolina Vazquez2
1From the Psychiatry.
Journal of clinical psychopharmacology
|September 8, 2023
概括
选择性血清素再吸收抑制剂 (SSRI) 并没有降低住院COVID-19患者的死亡率. 这项研究在调整混因素后,没有发现SSRI使用对住院死亡的独立影响.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- COVID-19的出现促使对各种治疗策略的研究.
- 选择性血清素再吸收抑制剂 (SSRI) 具有抗炎性质,这表明对炎症性疾病的潜在益处.
- 之前的证据表明,SSRI可能会减轻COVID-19的严重程度.
研究的目的:
- 为了调查SSRI使用和住院死亡率之间的关系,在成年患者住院治疗COVID-19.
- 在COVID-19感染的背景下评估SSRI的潜在保护作用.
主要方法:
- 进行了一项回顾性,单中心的队列研究.
- 包括通过RT-PCR确认COVID-19的成年患者.
- 分析了之前的SSRI暴露和住院死亡率之间的关联.
主要成果:
- 在1689名患者中,182名 (10.8%) 暴露于SSRI.
- 住院死亡率总体为17.2% (SSRI组为24.2%,非SSRI组为16.4%).
- 在使用IPTW和多变量分析对混因素进行调整后,SSRI使用对死亡率没有独立影响 (P > 0.05).
结论:
- 以前使用SSRI与因COVID-19住院的患者的住院死亡率降低无关.
- 在这个患者队列中,SSRI的抗炎作用并没有转化为生存益处.
- 可能需要进一步的研究来探索其他潜在的角色或患者子组在COVID-19中使用SSRI.
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