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Effect of H2 Receptor Antagonist and Proton Pump Inhibitor on the Positivity Rates and Clinical Outcomes of COVID-19

Completed
Conditions
COVID-19
Registration Number
NCT04834752
Lead Sponsor
Seoul National University Hospital
Brief Summary

This retrospective cohort study aims to evaluate the effect of proton pump inhibitor (PPI) or histamine-2 receptor antagonist (H2RA) on the clinical outcomes and positivity rates of Coronavirus Disease-19 (COVID-19).

Detailed Description

Previous researches on the association between the use of PPI and H2RA and the treatment and prevention of COVID-19 have reported inconsistent findings. This study aimed to evaluate the effect of H2 receptor antagonists and proton pump inhibitors on the clinical outcomes and positivity rates of COVID-19 using the Korean National Health Insurance (NHI) data. This is a retrospective cohort study using the NHI COVID-19 dataset, which includes health insurance data of individuals who underwent COVID-19 PCR test in South Korea. This study aims to evaluate the effect of the use of PPI and H2RA on the positivity rates and clinical outcomes of COVID-19.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
400000
Inclusion Criteria
  • Individuals who were tested for COVID-19 using real-time reverse transcriptase PCR assay of nasal and pharyngeal swabs
Exclusion Criteria
  • Record of a new prescription of non-steroidal anti-inflammatory drugs (NSAID) within 1 month of the test date
  • Patients who died within 48 hours after test.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Mortality60 days

Mortality of participants who died after diagnosis of COVID-19 (during the hospitalization or after discharge)

COVID-19 test positivityThrough test completion, an average of 1 day

Test positivity rates for COVID-19 nasopharyngeal polymerase chain reaction (PCR): number of participants diagnosed with COVID-19 compared to the number participants who were tested for COVID-19

Secondary Outcome Measures
NameTimeMethod
Rates of vasopressor and inotrope use60 days

Rates of vasopressor and inotrope use of patients who were diagnosed with COVID-19

Intensive care unit admission rate60 days

Intensive care unit admission rate of patients who were diagnosed with COVID-19

Mechanical ventilator application rate60 days

Mechanical ventilator application rate of patients who were diagnosed with COVID-19

Oxygen apply rate (Nasal prong, Facial Mask, High flow nasal cannula)60 days

Oxygen apply (Nasal prong, Facial Mask, High flow nasal cannula) rates of patients who were diagnosed with COVID-19

Trial Locations

Locations (1)

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital
🇰🇷Seoul, Korea, Republic of

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