Evidence map›Paper›PMID 33667433›Full record

ArticleThe American journal of the medical sciences2021

Association of Pre-Admission Statin Use With Reduced In-Hospital Mortality in COVID-19.

Shireen R Chacko, Robert DeJoy, Kevin Bryan Lo, Jeri Albano, Eric Peterson, Ruchika Bhargav, Fahad Gu, Grace Salacup, Jerald Pelayo, Zurab Azmaiparashvili and 4 more

Abstract read
In one paragraph

Article in The American journal of the medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. The Association Between the Use of Statins and Clinical Outcomes in Patients with COVID-19: A Systematic Review and Meta-analysis.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Shireen R ChackoDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Robert DeJoyDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Kevin Bryan LoDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Jeri AlbanoDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Eric PetersonDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Ruchika BhargavDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Fahad GuDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Grace SalacupDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Jerald PelayoDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Zurab AzmaiparashviliDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA.
Janani RangaswamiDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA; Sidney Kimmel College of Thomas Jefferson University, Philadelphia, PA, USA.
Gabriel Patarroyo-AponteDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA; Sidney Kimmel College of Thomas Jefferson University, Philadelphia, PA, USA; Division of Pulmonary and Critical Care and Sleep Medicine, Einstein Medical Center Philadelphia, PA, USA.
Sadia BenzaquenDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA; Division of Pulmonary and Critical Care and Sleep Medicine, Einstein Medical Center Philadelphia, PA, USA.
Ena GuptaDepartment of Medicine, Einstein Medical Center Philadelphia, PA, USA; Division of Pulmonary and Critical Care and Sleep Medicine, Einstein Medical Center Philadelphia, PA, USA. Electronic address: enagupta8@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease-19 (COVID-19) infection is associated with an uncontrolled systemic inflammatory response. Statins, given their anti-inflammatory properties, may reduce the associated morbidity and mortality. This study aimed to determine the association between statin use prior to hospitalization and in-hospital mortality in COVID-19 patients.

methodsIn this retrospective study, clinical data were collected from the electronic medical records of patients admitted to the hospital with confirmed COVID-19 infection from March 1, 2020 to April 24, 2020. A multivariate regression analysis was performed to study the association of pre-admission statin use with in-hospital mortality.

resultsOf 255 patients, 116 (45.5%) patients were on statins prior to admission and 139 (54.5%) were not. The statin group had a higher proportion of end stage renal disease (ESRD) (13.8% vs. 2.9%, p = 0.001), diabetes mellitus (63.8% vs. 35.2%, p<0.001), hypertension (87.9% vs. 61.1%, p < 0.001) and coronary artery disease (CAD) (33.6% vs. 5%, p < 0.001). On multivariate analysis, we found a statistically significant decrease in the odds of in-hospital mortality in patients on statins before admission (OR 0.14, 95% CI 0.03- 0.61, p = 0.008). In the subgroup analysis, statins were associated with a decrease in mortality in those with CAD (OR 0.02, 95% CI 0.0003-0.92 p = 0.045) and those without CAD (OR 0.05, 95% CI 0.005-0.43, p = 0.007).

conclusionsOur study suggests that statins are associated with reduced in-hospital mortality among patients with COVID-19, regardless of CAD status. More comprehensive epidemiological and molecular studies are needed to establish the role of statins in COVID-19.

Indexed as

COVID-19DyslipidemiasHospital MortalityAgedAnti-Inflammatory AgentsComorbidityFemaleHospitalizationHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMortalityOutcome Assessment, Health CareRetrospective StudiesRisk FactorsSARS-CoV-2Anti-Inflammatory AgentsHydroxymethylglutaryl-CoA Reductase InhibitorsCovid-19MortalityStatins

Identifiers

PMID33667433
PMCPMC7923853

What Socratic holds

Texttitle and abstract
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.