RT journal article T1 Association between chronic pain medications and the severity and mortality of COVID-19: Study protocol for a case-population study A1 Serrano Afonso, Andrés Ancor A1 Pérez Hernández, Concepción A1 Ochoa Mazarro, Dolores A1 Román Martínez, Manuel A1 Failde Martínez, Inmaculada A1 Montes Pérez, Antonio A1 López Pais, Pablo A1 Cánovas Martínez, Luz A1 Revuelta Rizo, Miren A1 Padilla del Rey, María Luz A1 Peiró Perió, Ana A1 Aberasturi Fueyo, Teresa A1 Margarit Ferrí, César A1 Rojo Rodríguez, Elena A1 Mendiola de la Osa, Agustín A1 Muñoz Martinez, Manuel Jesús A1 Domínguez Bronchal, María Jesús A1 Herrero Trujillano, Manuel A1 Cid Calzada, José A1 Fabregat-Cid, Gustavo A1 Hernández-Cádiz, María José A1 Mareque Ortega, Manuel A1 Gómez-Caro Álvarez Palencia, Leticia A1 Mayoral Rojals, Víctor A2 BiomedicinaBiotecnología y Salud Pública AB In patients with coronavirus disease 2019 (COVID-19) infection, common drugs may exacerbate symptoms and negatively impact outcomes. However, the role of chronic medications on COVID-19 effects remains poorly understood. We hypothesized that certain chronic pain medications would influence outcomes in patients with COVID-19.The main aim is to assess the effect of these medications on the course of the disease in COVID-19 patients. Secondary aims are tocompare disease severity and outcomes in patients with COVID-19 receiving chronic treatment with analgesics or other medicationsversus untreated patients and to determine prevalence of chronic pain medications in specific subgroups of hospitalized patients forCOVID-19.Multicenter case-population study in 15 care centers for patients ≥18years of age diagnosed and hospitalized with COVID-19.Controls will include patients treated at participating centers for chronic pain during the six-month period prior to March 15th, 2020.Each case will be age- and sex-matched to 10 controls. Patients will be grouped according to disease severity criteria. The primaryoutcome measures in patients admitted for COVID-19 will be:1. statistical association between chronic pain medication and disease severity;2. association between chronic pain treatment and survival.Secondary outcome measures include:1. prevalence of chronic pain medications in patients with COVID-19 by age and sex;2. prevalence of chronic pain medications in patients with COVID-19 vs controls.Patients and controls will be paired by age, sex, and geographic residence. Odds ratios with 95% confidence intervals will becalculated to determine the association between each drug and clinical status. Univariate and multivariate analyses will be performed.This is a study protocol. Data is actually being gathered and results are yet not achieved. There is no numerical data presented, sothe conclusions cannot be considered solid at this point.Pain medications are likely to influence severity of COVID-19 and patient survival. Identifying those medications that are mostclosely associated with severe COVID-19 will provide clinicians with valuable data to guide treatment and reduce mortality rates andthe long-term sequelae of the disease. PB NLM (Medline) SN 1536-5964 YR 2021 FD 2021 LK http://hdl.handle.net/10498/27116 UL http://hdl.handle.net/10498/27116 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 14-nov-2026