Evidence map›Paper›PMID 39602471›Full record

Observational studyPloS one2024

Susceptibility to and severity of SARS-CoV-2 infection according to prescription drug use-an observational study of 46,506 Danish healthcare workers.

Aleksander Eiken, Sofie Bliddal, Marie Villumsen, Kasper K Iversen, Henning Bundgaard, Rasmus B Hasselbach, Jonas H Kristensen, Pernille B Nielsen, Mia M Pries-Heje, Andreas D Knudsen and 19 more

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

29 authors.

Aleksander EikenDepartment of Endocrinology, Copenhagen University Hospital (Bispebjerg & Steno Diabetes Center Copenhagen), Copenhagen, Denmark.ORCID 0000-0001-9067-548X
Sofie BliddalDepartment of Medical Endocrinology and Metabolism, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.ORCID 0000-0002-2456-1019
Marie VillumsenCenter for Clinical Research and Prevention, Copenhagen University Hospital (Bispebjerg and Frederiksberg Hospital), Copenhagen, Denmark.ORCID 0000-0001-8454-4686
Kasper K IversenDepartment of Cardiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Henning BundgaardDepartment of Cardiology, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.
Rasmus B HasselbachDepartment of Cardiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.ORCID 0000-0003-4274-6268
Jonas H KristensenDepartment of Cardiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Pernille B NielsenDepartment of Emergency Medicine, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Mia M Pries-HejeDepartment of Cardiology, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.
Andreas D KnudsenDepartment of Infectious Diseases, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.
Kamille FoghDepartment of Cardiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Jakob B NorskDepartment of Cardiology, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.
Ove AndersenDepartment of Clinical Medicine, Faculty of Health and Clinical Sciences, Copenhagen University, Copenhagen, Denmark.
Thea K FischerDepartment of Clinical Research, University Hospital of Northern Zealand, Hilleroed, Denmark.
Ram B DessauDepartment of Clinical Microbiology, Zealand University Hospital, Slagelse, Denmark.ORCID 0000-0002-1497-6309
Sisse R OstrowskiDepartment of Clinical Medicine, Faculty of Health and Clinical Sciences, Copenhagen University, Copenhagen, Denmark.
Christian Torp-PedersenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-2892-6131
Sisse B DitlevRespiratory Research Unit, Department of Respiratory Medicine, Copenhagen University Hospital at Bispebjerg, Copenhagen, Denmark.ORCID 0000-0003-4417-9711
Mikkel Gybel-BraskDepartment of Clinical Immunology, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.ORCID 0000-0002-5716-5899
Erik SørensenDepartment of Clinical Immunology, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.
Lene H HarritshøjDepartment of Clinical Medicine, Faculty of Health and Clinical Sciences, Copenhagen University, Copenhagen, Denmark.
Fredrik FolkeDepartment of Cardiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Thomas BenfieldDepartment of Infectious Diseases, Copenhagen University Hospital (Hvidovre), Copenhagen, Denmark.
Frederik N EngsigDepartment of Infectious Diseases, Copenhagen University Hospital (Hvidovre), Copenhagen, Denmark.
Henrik E PoulsenDepartment of Endocrinology, Copenhagen University Hospital (Bispebjerg & Steno Diabetes Center Copenhagen), Copenhagen, Denmark.
Henrik UllumManagement Section, Statens Serum Institut (SSI), Copenhagen, Denmark.
Ulla Feldt-RasmussenDepartment of Medical Endocrinology and Metabolism, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.ORCID 0000-0002-5903-3355
Susanne D NielsenDepartment of Infectious Diseases, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.
Jørgen RungbyDepartment of Endocrinology, Copenhagen University Hospital (Bispebjerg & Steno Diabetes Center Copenhagen), Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is not well investigated whether exposure to specific drug classes is associated with COVID-19. We investigated the risk of SARS-CoV-2 infection and severe COVID-19 among healthcare workers according to prescription drug use. We conducted an observational study among Danish healthcare workers. SARS-CoV-2 positivity was defined as a positive PCR/ELISA test throughout 2020 and severe COVID-19 as any above 48-hour hospitalization within 14 days after infection. Patient characteristics came from online surveys while data on SARS-CoV-2, drugs and hospitalizations came from Danish Health Registers. Infected individuals were matched with uninfected controls based on age, sex, and chronic diseases. Drug exposure was defined as any prescription redemption in the past six and one month(s) before infection for each drug class. Models assessing the risk of infection (conditional logistic regression) and severe COVID-19 (logistic regressions) versus drug usage were adjusted for BMI, smoking, alcohol, education, region, and patient contact when possible. We matched 5,710 SARS-CoV-2-infected cases with 57,021 controls. The odds of infection were reduced by calcium channel blocker (adjusted odds ratio (aOR) 0.81, 95% Confidence Interval (CI): 0.66-1.00) and vasoprotective drug (aOR 0.77, CI: 0.62-0.95) usage during the six months before infection compared to no usage. Exposure to antibacterials in the past month increased the odds of infection (aOR 1.27, CI: 1.09-1.48). Among infected participants, the odds of severe COVID-19 were higher with usage of almost any investigated drug, especially, diuretics (crude odds radio (OR) 4.82, CI:2.15-10.83), obstructive airway disease drugs (OR 4.49, CI: 2.49-8.08), and antibacterials (OR 2.74 CI:1.62-4.61). In conclusion, antibacterials were associated with more SARS-CoV-2 infections and calcium channel blockers with less. Once infected, users of prescription drugs had higher odds of developing severe COVID-19. These findings suggest a need for studies to clarify interactions between specific drug groups, behaviour, known risk factors, and disease susceptibility/severity.

Indexed as

COVID-19Health PersonnelSARS-CoV-2AdultCalcium Channel BlockersCase-Control StudiesDenmarkDisease SusceptibilityFemaleHumansMaleMiddle AgedPrescription DrugsRisk FactorsSeverity of Illness IndexCalcium Channel BlockersPrescription Drugs

Identifiers

PMID39602471
PMCPMC11602038

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.