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Routine use of immunosuppressants is associated with mortality in hospitalised patients with COVID-19.

Phyo Kyaw MyintBen CarterFenella Barlow-PayRoxanna ShortAlice G EinarssonEilidh BruceKathryn McCarthyAlessia VerduriJemima CollinsJames HesfordFrances RickardEmma MitchellMark HollowayAine McGovernArturo Vilches-MoragaPhilip BraudeLyndsay PearceMichael StechmanAngeline PriceTerence J QuinnEnrico CliniSusan MougJonathan Hewitt
Published in: Therapeutic advances in drug safety (2021)
Regular Use of Immune Suppressing Drugs is Associated with Increased Risk of Death in Hospitalised Patients with COVID-19 Background: We do not have much information on how the COVID-19 virus affects patients who use immunosuppressants, drugs which inhibit or reduce the activity of the immune system. There are various conflicting views on whether immune-suppressing drugs are beneficial or detrimental in patients with the disease. Methods: This study collected data from 10 hospitals in the UK and one in Italy between February and April 2020 in order to identify any association between the regular use of immunosuppressant medicines and survival in patients who were admitted to hospital with COVID-19. Results: 1184 patients were included in the study, and 10% of them were using immunosuppressants. Any immunosuppressant use was associated with increased risk of death, and the risk appeared to increase if the dose of the medicine was higher. Conclusion: We therefore recommend that patients who take immunosuppressant medicines routinely should carefully adhere to social distancing measures, and seek medical attention early during the COVID-19 pandemic.
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