Association of Ivermectin use on mortality in patients with COVID-19

Authors

Keywords:

ivermectin, therapeutic, coronavirus infections, COVID-19, SARS-CoV-2.

Abstract

Introduction: Ivermectin has been used to prevent and treat COVID-19 patients, however, recent research has shown that its efficacy does not justify its use.
Objective: To determine the association between the use of Ivermectin, mortality and 3 other indicators in patients with COVID-19.
Methods: Observational retrospective cohort study. We reviewed the medical records of patients who were hospitalized between April and October 2020, who in addition to standard treatment (oxygen therapy, corticosteroid and enoxaparin), received treatment with Ivermectin for severe or critical COVID-19 pneumonia. Four outcome variables were measured: mortality, indication for transfer to the Intensive Care Unit days of hospitalization and time required for high-flow oxygen therapy.
Results: Of patients, 42 % (126) died and 52 % (159) had indication for transfer to the Intensive Care Unit. In the multivariate analysis those who took a higher dose had a greater indication for transfer to Intensive Care Unit (RRa: 1.10; IC 95 %: 1.01-1.20; p-value= 0.035), days of hospitalization (coefficient: 5,07; IC 95 %: 2.15-11.92; p-value< 0.001) and time requiring high-flow oxygen therapy (coefficient: 3.33; IC 95 %: 1.56-7.09; p-value= 0.002).
Conclusion: Patients who received Ivermectin were more likely to be referred to the Intensive Care Unit, had a longer hospital stay, and required more time on high-flow oxygen, without finding a relationship with mortality in patients hospitalized for SARS-CoV-2. The administration of Ivermectin before or during hospitalization had no benefit.

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Author Biographies

Andrea Lucia Mujica Alvarez, Hospital San José

Médica internista. Hospital San José

Christian Richard Mejia, Universidad Continental. Huancayo, Perú.

Docente

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Published

2022-04-30

How to Cite

1.
Mujica Alvarez AL, Mejia CR. Association of Ivermectin use on mortality in patients with COVID-19. Rev Cubana Med Milit [Internet]. 2022 Apr. 30 [cited 2025 Apr. 19];51(2):e02201913. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1913

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Research Article