Evidence map›Paper›PMID 33748678›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2021

Association Between Chronic Statin Use and 30-Day Mortality in Hospitalized Patients With COVID-19.

Zachary A Yetmar, Douglas W Challener, Imad M Tleyjeh, M Rizwan Sohail, James R Cerhan, Andrew D Badley, John C O'Horo

Open access · goldAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. 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
    Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Review
  8. Review
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

7 authors at 5 institutions in 2 countries.

Zachary A YetmarDivision of Infectious Diseases, Mayo Clinic, Rochester, MN.
Douglas W ChallenerDivision of Infectious Diseases, Mayo Clinic, Rochester, MN.
Imad M TleyjehDivision of Infectious Diseases, Mayo Clinic, Rochester, MN.
M Rizwan SohailDepartment of Medicine, Section of Infectious Diseases, Baylor College of Medicine, Houston, TX.
James R CerhanDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN.
Andrew D BadleyDivision of Infectious Diseases, Mayo Clinic, Rochester, MN.
John C O'HoroDivision of Infectious Diseases, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USAlfaisal University · SABaylor College of Medicine · USMayo Clinic · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the association between chronic statin use and mortality in patients hospitalized with coronavirus disease 2019 (COVID-19). PATIENTS AND

methodsWe identified a retrospective cohort of patients requiring admission at the Mayo Clinic using our enterprise-wide COVID-19 registry from March 1, 2020, through September 30, 2020. Available information included age, sex, use of statins, medical comorbidities, and 30-day mortality. We estimated the association of statins with 30-day mortality using odds ratios and 95% CIs from logistic regression modeling.

resultsPatients (N=1295) between the ages of 30 and 80 years tested positive for COVID-19 and required admission during the study period, of whom 500 (38.6%) were taking statins at admission. Patients taking statins were older and more likely to have diabetes mellitus or congestive heart failure. Within 30 days of diagnosis, 59 (4.6%) died. In multivariable analysis, statin users did not have statistically different odds of death within 30 days with an odds ratio of 1.14 (95% CI, 0.64 to 2.03;

conclusionPatients with COVID-19 taking statins had similar 30-day mortality to those not taking statins after adjusting for relevant covariates. Although this is partly influenced by a higher prevalence of risk factors for more severe COVID-19 presentation not entirely adjusted for by the Charlson comorbidity index, these data would not support statins as a likely therapeutic intervention for COVID-19 in the hospital setting.

Indexed as

10-CCI, 10-year probability of survival based on the Charlson comorbidity indexCI, confidence intervalOR, odds ratioRR, risk ratio

Identifiers

PMID33748678
PMCPMC7955930
OpenAlexW3137194283

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.