Non-steroidal anti-inflammatory agent use may not be associated with mortality of coronavirus disease 19
Abstract Non-steroidal anti-inflammatory drugs (NSAIDs) have been widely used in patients with respiratory infection, but their safety in coronavirus disease 19 (Covid-19) patients has not been fully investigated. We evaluated an association between NSAID use and outcomes of Covid-19. This study was...
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2021
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oai:doaj.org-article:fd407c645d214a0093de62962cf4f3ee2021-12-02T13:19:21ZNon-steroidal anti-inflammatory agent use may not be associated with mortality of coronavirus disease 1910.1038/s41598-021-84539-52045-2322https://doaj.org/article/fd407c645d214a0093de62962cf4f3ee2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84539-5https://doaj.org/toc/2045-2322Abstract Non-steroidal anti-inflammatory drugs (NSAIDs) have been widely used in patients with respiratory infection, but their safety in coronavirus disease 19 (Covid-19) patients has not been fully investigated. We evaluated an association between NSAID use and outcomes of Covid-19. This study was a retrospective observational cohort study based on insurance benefit claims sent to the Health Insurance Review and Assessment Service of Korea by May 15, 2020. These claims comprised all Covid-19-tested cases and history of medical service use for the past 3 years in these patients. The primary outcome was all-cause mortality, and the secondary outcome was need for ventilator care. Among 7590 patients diagnosed with Covid-19, two distinct cohorts were generated based on NSAID or acetaminophen prescription within 2 weeks before Covid-19 diagnosis. A total of 398 patients was prescribed NSAIDs, and 2365 patients were prescribed acetaminophen. After propensity score matching, 397 pairs of data set were generated, and all-cause mortality of the NSAIDs group showed no significant difference compared with the acetaminophen group (4.0% vs. 3.0%; hazard ratio [HR], 1.33; 95% confidence interval [CI], 0.63–2.88; P = 0.46). The rate of ventilator care also did not show significantly different results between the two groups (2.0% vs. 1.3%; HR, 1.60; 95% CI 0.53–5.30; P = 0.42). Use of NSAIDs was not associated with mortality or ventilator care in Covid-19 patients. NSAIDs may be safely used to relieve symptoms in patients with suspicion of Covid-19.Jungchan ParkSeung-Hwa LeeSeng Chan YouJinseob KimKwangmo YangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021) |
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Medicine R Science Q Jungchan Park Seung-Hwa Lee Seng Chan You Jinseob Kim Kwangmo Yang Non-steroidal anti-inflammatory agent use may not be associated with mortality of coronavirus disease 19 |
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Abstract Non-steroidal anti-inflammatory drugs (NSAIDs) have been widely used in patients with respiratory infection, but their safety in coronavirus disease 19 (Covid-19) patients has not been fully investigated. We evaluated an association between NSAID use and outcomes of Covid-19. This study was a retrospective observational cohort study based on insurance benefit claims sent to the Health Insurance Review and Assessment Service of Korea by May 15, 2020. These claims comprised all Covid-19-tested cases and history of medical service use for the past 3 years in these patients. The primary outcome was all-cause mortality, and the secondary outcome was need for ventilator care. Among 7590 patients diagnosed with Covid-19, two distinct cohorts were generated based on NSAID or acetaminophen prescription within 2 weeks before Covid-19 diagnosis. A total of 398 patients was prescribed NSAIDs, and 2365 patients were prescribed acetaminophen. After propensity score matching, 397 pairs of data set were generated, and all-cause mortality of the NSAIDs group showed no significant difference compared with the acetaminophen group (4.0% vs. 3.0%; hazard ratio [HR], 1.33; 95% confidence interval [CI], 0.63–2.88; P = 0.46). The rate of ventilator care also did not show significantly different results between the two groups (2.0% vs. 1.3%; HR, 1.60; 95% CI 0.53–5.30; P = 0.42). Use of NSAIDs was not associated with mortality or ventilator care in Covid-19 patients. NSAIDs may be safely used to relieve symptoms in patients with suspicion of Covid-19. |
format |
article |
author |
Jungchan Park Seung-Hwa Lee Seng Chan You Jinseob Kim Kwangmo Yang |
author_facet |
Jungchan Park Seung-Hwa Lee Seng Chan You Jinseob Kim Kwangmo Yang |
author_sort |
Jungchan Park |
title |
Non-steroidal anti-inflammatory agent use may not be associated with mortality of coronavirus disease 19 |
title_short |
Non-steroidal anti-inflammatory agent use may not be associated with mortality of coronavirus disease 19 |
title_full |
Non-steroidal anti-inflammatory agent use may not be associated with mortality of coronavirus disease 19 |
title_fullStr |
Non-steroidal anti-inflammatory agent use may not be associated with mortality of coronavirus disease 19 |
title_full_unstemmed |
Non-steroidal anti-inflammatory agent use may not be associated with mortality of coronavirus disease 19 |
title_sort |
non-steroidal anti-inflammatory agent use may not be associated with mortality of coronavirus disease 19 |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/fd407c645d214a0093de62962cf4f3ee |
work_keys_str_mv |
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