The COVID-19 disease, caused by SARS-CoV-2 virus, started in December 2019 and created a pandemic with high mortality and morbidity. Since a fully proven treatment has not been developed, the efficacy of currently available treatments is being investigated. Famotidine, an H2Receptor blocker, is one of the drug treatments being investigated. In this study, we aimed to investigate the effect of Famotidine treatment on the clinic and mortality of Covid-19 patients treated in the intensive care unit.
The computer and written records of the patients followed in the Covid-19 Intensive Care Units of a research hospital during the pandemic process will be examined. Patients over the age of 18 who have SARS-CoV-2 mRNA detected by nasopharyngeal PCR (Polymeraze Chaine Reaction) will be included in the study. Patients with immunosuppression, end-stage renal disease, liver disease, G6PD deficiency, ALT/AST \>5, long QT syndrome in ECG, diagnosed with psoriasis, porphyria, pregnant, and allergic reactions to famotidine or similar drugs were excluded from the study. Patients' age, gender, comorbidities, smoking and APACHE II score will be recorded. Patients who were administered Famotidine 160 mg/day PO or nasogastric and were not given this treatment since their admission to the intensive care unit will be compared. The primary outcome will be the need for invasive mechanical ventilation, intensive care mortality, and both. As a secondary outcome, serum markers indicating the severity of the disease (Leukocytes, lymphocytes, neutrophils/leukocytes, platelets, ferritin, CRP, D-Dimer, fibrinogen, procalcitonin, IL-6, troponin, creatinine, AST, ALT, P/F ratio and lactate) will be recorded.
Study Type
OBSERVATIONAL
Enrollment
60
160 mg/day Famotidine
Istanbul Medeniyet University
Istanbul, Turkey (Türkiye)
Number of patients who died in intensive care
Mortality in intensive care
Time frame: Within 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date
Number of patients who were intubated in intensive care
Development of respiratory distress requiring intubation in the patient
Time frame: Within 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date
Ferritin
Ferritin in nonogram/miiliter
Time frame: Within 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date
CRP
C-Reactive protein in miligram/liter
Time frame: Within 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date
D-Dimer
D-Dimer in nonogram/miiliter
Time frame: Within 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date
Fibrinogen
Fibrinogen in nonogram/miiliter
Time frame: Within 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date
Procalcitonin
Procalcitonin in nonogram/miiliter
Time frame: Within 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date
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