Global prevalence of polypharmacy among the COVID-19 patients: A comprehensive systematic review and meta-analysis of observational studies

Hooman Ghasemi, Niloofar Darvishi, Nader Salari, Amin Hosseinian Far, Hakimeh Akbari, Masoud Mohammadi

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Abstract

BACKGROUND: Polypharmacy has traditionally been defined in various texts as the use of 5 or more chronic drugs, the use of inappropriate drugs, or drugs that are not clinically authorized. The aim of this study was to evaluate the prevalence of polypharmacy among the COVID-19 patients, and the side effects, by systematic review and meta-analysis.METHODS: This study was performed by systematic review method and in accordance with PRISMA 2020 criteria. The protocol in this work is registered in PROSPERO (CRD42021281552). Particular databases and repositories have been searched to identify and select relevant studies. The quality of articles was assessed based on the Newcastle-Ottawa Scale checklist. Heterogeneity of the studies was measured using the I 2 test. RESULTS: The results of meta-analysis showed that the prevalence of polypharmacy in 14 studies with a sample size of 189,870 patients with COVID-19 is 34.6% (95% CI: 29.6-40). Studies have shown that polypharmacy is associated with side effects, increased morbidity and mortality among patients with COVID-19. The results of meta-regression analysis reported that with increasing age of COVID-19 patients, the prevalence of polypharmacy increases (p 
Original languageEnglish
Article number60
Pages (from-to)1-12
Number of pages12
JournalTropical Medicine and Health
Volume50
Issue number1
DOIs
Publication statusPublished - 31 Aug 2022

Keywords

  • Covid-19
  • Increased Morbidity And Mortality
  • Meta-analysis
  • Polypharmacy
  • Prevalence

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