Abstract
Background: Recent studies have found a link between the usage of selective serotonin reuptake inhibitors (SSRIs) and a lower mortality rate in COVID-19 cases.
Objective: The goal of the current research was to evaluate the effectiveness of SSRI drugs in improving COVID-19 patients.
Methods: This prospective case-control study compared SSRI-treated patients with matched control patients not treated with SSRIs at the Masih Daneshvari Hospital on a population of 350 patients diagnosed with COVID-19 from March 15th, 2021, to March 16th, 2022.
Results: ICU admission rates were significantly more in the control group than in the case group (44.8% vs. 25.9%; p-value=0.0002; Odds Ratio (OR)= 2.32). Intubation was reported for more cases in the control group than the case group (26.7% vs. 11.4%; p-value=0.0002; OR=2.84). The mortality rate was found to be significantly more in the control group than in the case group (23.0% vs. 10.8%; p-value=0.0002; OR=2.46). Furthermore, the subgroup analyses on fluvoxamine and sertraline showed that hospitalization period, ICU admission rates, and intubation were all reported to be significantly lower in each case subgroup than the control group.
Conclusion: Our assessments underlined the potential efficacy of SSRIs in improving COVID-19 patients’ prognosis since the use of SSRIs was shown to be associated with shorter hospital stay and ICU stay, lower ICU admission rates and intubation rates, and ultimately decreased mortality rates.
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