Evidence map›Paper›PMID 36397967›Full record

ReviewBiology methods & protocols2022

All-cause and in-hospital mortality after aspirin use in patients hospitalized with COVID-19: a systematic review and meta-analysis.

Nischit Baral, Joshua D Mitchell, Pramod K Savarapu, Maxwell Akanbi, Bandana Acharya, Soumya Kambalapalli, Amith Seri, Krishna P Bashyal, Arvind Kunadi, Niranjan Ojha and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Biology methods & protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

13 authors at 8 institutions in 1 country.

Nischit BaralDepartment of Internal Medicine, McLaren Flint/Michigan State University, Flint, MI, USA.ORCID https://orcid.org/0000-0001-5349-7127
Joshua D MitchellCardiovascular Division, Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA.ORCID https://orcid.org/0000-0001-7371-5742
Pramod K SavarapuDepartment of Medicine, Ochsner Louisiana State University Health Shreveport-Monroe Medical Center, Monroe, LA, USA.
Maxwell AkanbiDepartment of Internal Medicine, McLaren Flint/Michigan State University, Flint, MI, USA.
Bandana AcharyaDepartment of Health Sciences, Western New England University, Springfield, MA, USA.
Soumya KambalapalliDepartment of Internal Medicine, McLaren Flint/Michigan State University, Flint, MI, USA.
Amith SeriDepartment of Internal Medicine, McLaren Flint/Michigan State University, Flint, MI, USA.ORCID https://orcid.org/0000-0002-1770-363X
Krishna P BashyalDepartment of Internal Medicine, McLaren Flint/Michigan State University, Flint, MI, USA.
Arvind KunadiDepartment of Internal Medicine, McLaren Flint/Michigan State University, Flint, MI, USA.
Niranjan OjhaDepartment of Internal Medicine, Division of Cardiology, SUNY Upstate Medical University, NY, USA.
Annabelle Santos VolgmanDivision of Cardiology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, USA.
Tripti GuptaDepartment of Internal Medicine, Division of Cardiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Timir K PaulDepartment of Cardiovascular Sciences, University of Tennessee College of Medicine, Nashville, TN, USA.
McLaren Regional Medical Center · USLouisiana State University · USRush University Medical Center · USSUNY Upstate Medical University · USUniversity of Tennessee at Knoxville · USVanderbilt University Medical Center · USWashington University in St. Louis · USWestern New England University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With the results of the largest randomized controlled trial (RECOVERY) and the most extensive retrospective cohort study on coronavirus disease 2019 (COVID-19) recently published, we performed a meta-analysis on the association of aspirin with mortality of COVID-19. We aimed to investigate the role of aspirin in COVID-19 hospitalizations. Materials and Methods: We searched PubMed, EMBASE and Cochrane databases for studies from 1 January 2020 until 20 July 2022, that compared aspirin versus non-aspirin use in hospitalized COVID-19 patients. We excluded case reports, review articles and studies on non-hospitalized COVID-19 infections. We used the inverse variance method and random effects model to pool the individual studies. Results: Ten observational studies and one randomized controlled trial met the criteria for inclusion. There were 136 695 total patients, of which 27 168 were in the aspirin group and 109 527 were in the non-aspirin group. Aspirin use was associated with a 14% decrease in all-cause mortality compared with non-aspirin use in patients hospitalized with COVID-19 [relative risk (RR) 0.86, confidence interval (95% CI) 0.76-0.97; Conclusion: Our study shows that aspirin decreases in-hospital mortality in patients hospitalized with COVID-19. Further studies are needed to assess which COVID-19 patient populations benefit most, such as patients on aspirin for primary versus secondary prevention of atherosclerotic disease. In addition, significant bleeding also needs to be considered when assessing the risk-benefit of aspirin use.

Indexed as

all-cause mortalityaspirinCOVID-19in-hospital mortalitymeta-analysis

Identifiers

PMID36397967
PMCPMC9620387
OpenAlexW4307599290

What Socratic holds

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LicenceCC BY
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Registered trials

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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.