Evidence map›Paper›PMID 24489672›Full record

ArticlePloS one2014

The association of cardioprotective medications with pneumonia-related outcomes.

Albert Wu, Chester Good, John R Downs, Michael J Fine, Mary Jo V Pugh, Antonio Anzueto, Eric M Mortensen

Full text read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Impact of angiotensin-converting enzyme inhibitors and statins on viral pneumonia.Proceedings (Baylor University. Medical Center) · 2018
    Article
  16. Article
  17. Is There Potential for Repurposing Statins as Novel Antimicrobials?Antimicrobial agents and chemotherapy · 2016
    Review
  18. Observational
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.

Albert WuMedical Service, South Texas Veterans Health Care System, San Antonio, Texas, United States of America ; Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America.
Chester GoodVA Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, United States of America ; Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
John R DownsMedical Service, South Texas Veterans Health Care System, San Antonio, Texas, United States of America ; Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America.
Michael J FineVA Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, United States of America ; Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Mary Jo V PughMedical Service, South Texas Veterans Health Care System, San Antonio, Texas, United States of America ; Departments of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America.
Antonio AnzuetoMedical Service, South Texas Veterans Health Care System, San Antonio, Texas, United States of America ; Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America.
Eric M MortensenMedical Service, VA North Texas Health Care System, Dallas, Texas, United States of America ; Departments of Internal Medicine and Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, Texas, United States of America.

Funding

Impact of statins and ACE inhibitors on outcomes for pneumonia and sepsisR01NR010828 · NINR · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MORTENSEN, ERIC M. · 2007 to 2009
$947k
NINR NIH HHS R01 NR010828NINR NIH HHS R01NR010828
6 · The paper itself

Abstract

introductionLittle research has examined whether cardiovascular medications, other than statins, are associated with improved outcomes after pneumonia. Our aim was to examine the association between the use of beta-blockers, statins, angiotensin converting enzyme (ACE) inhibitors, and angiotensin II receptor blockers (ARBs) with pneumonia-related outcomes. MATERIALS AND

methodsWe conducted a retrospective population-based study on male patients ≥ 65 years of age hospitalized with pneumonia and who did not have pre-existing cardiac disease. Our primary analyses were multilevel regression models that examined the association between cardiovascular medication classes and either mortality or cardiovascular events.

resultsOur cohort included 21,985 patients: 22% died within 90 days of admission, and 22% had a cardiac event within 90 days. The cardiovascular medications studied that were associated with decreased 90-day mortality included: statins (OR 0.70, 95% CI 0.63-0.77), ACE inhibitors (OR 0.82, 95% CI 0.74-0.91), and ARBs (OR 0.58, 95% CI 0.44-0.77). However, none of the medications were significantly associated with decreased cardiovascular events. DISCUSSION: While statins, ACE inhibitors, and ARBs, were associated with decreased mortality, there was no significant association with decreased CV events. These results indicate that this decreased mortality is unlikely due to their potential cardioprotective effects.

Indexed as

AgedAged, 80 and overAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCardiovascular DiseasesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMalePneumoniaRetrospective StudiesTreatment OutcomeAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID24489672
PMCPMC3904855

What OpenQuestion holds

Textfull text, public
LicenceCC0
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 OpenQuestion graph.