Evidence map›Paper›PMID 37000808›Full record

ArticlePloS one2023

Outpatient medications associated with protection from COVID-19 hospitalization.

Harpal Singh Sandhu, Joshua Lambert, Zach Steckler, Lee Park, Arnold Stromberg, Julio Ramirez, Chi-Fu Jeffrey Yang

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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.

Harpal Singh SandhuDepartment of Bioengineering, University of Louisville Speed School of Engineering, Louisville, KY, United States of America.ORCID 0000-0002-5500-8910
Joshua LambertUniversity of Cincinnati College of Nursing, Cincinnati, OH, United States of America.
Zach StecklerDr. Bing Zhang Department of Statistics, University of Kentucky, Lexington, KY, United States of America.
Lee ParkDr. Bing Zhang Department of Statistics, University of Kentucky, Lexington, KY, United States of America.
Arnold StrombergNorton Infectious Diseases Institute, Norton Hospital, Louisville, KY, United States of America.
Julio RamirezNorton Infectious Diseases Institute, Norton Hospital, Louisville, KY, United States of America.
Chi-Fu Jeffrey YangDepartment of Surgery, Harvard Medical School, Boston, MA, United States of America.

Funding

Identifying existing, FDA-approved drugs with clinically protective effects against coronavirus disease 2019 using a big data approachR21LM013683 · NLM · UNIVERSITY OF LOUISVILLE · PI LAMBERT, JOSH, SANDHU, HARPAL SINGH · 2021 to 2022
$443k
NLM NIH HHS R21 LM013683
6 · The paper itself

Abstract

The COVID-19 pandemic remains the pre-eminent global health problem, and yet after more than three years there is still no prophylactic agent against the disease aside from vaccines. The objective of this study was to evaluate whether pre-existing, outpatient medications approved by the US Food and Drug Administration (FDA) reduce the risk of hospitalization due to COVID-19. This was a retrospective cohort study of patients from across the United States infected with COVID-19 in the year 2020. The main outcome was adjusted odds of hospitalization for COVID-19 amongst those positive for the infection. Outcomes were adjusted for known risk factors for severe disease. 3,974,272 patients aged 18 or older with a diagnosis of COVID-19 in 2020 met our inclusion criteria and were included in the analysis. Mean age was 50.7 (SD 18). Of this group, 290,348 patients (7.3%) were hospitalized due to COVID-19, similar to the CDC's reported estimate (7.5%). Four drugs showed protective effects against COVID-19 hospitalization: rosuvastatin (aOR 0.91, p = 0.00000024), empagliflozin-metformin (aOR 0.69, p = 0.003), metformin (aOR 0.97, p = 0.017), and enoxaparin (aOR 0.88, p = 0.0048). Several pre-existing medications for outpatient use may reduce severity of disease and protect against COVID-19 hospitalization. Well-designed clinical trials are needed to assess the efficacy of these agents in a therapeutic or prophylactic setting.

Indexed as

COVID-19MetforminHospitalizationHumansMiddle AgedOutpatientsPandemicsRetrospective StudiesSARS-CoV-2United StatesMetformin

Identifiers

PMID37000808
PMCPMC10065249

What Socratic holds

Textmetadata
LicenceCC BY
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.