Evidence map›Paper›PMID 27169476›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

Statin Use and Hospital Length of Stay Among Adults Hospitalized With Community-acquired Pneumonia.

Fiona Havers, Anna M Bramley, Lyn Finelli, Carrie Reed, Wesley H Self, Christopher Trabue, Sherene Fakhran, Robert Balk, D Mark Courtney, Timothy D Girard and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Article
  3. Penicillin Allergy Evaluation Access: A National Survey.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  4. Article
  5. Review
  6. Targeted antioxidants as therapeutics for treatment of pneumonia in the elderly.Translational research : the journal of laboratory and clinical medicine · 2020
    Review
  7. Should We Tip Our CAPs to Statins?American journal of respiratory and critical care medicine · 2019
    Article
  8. Article
  9. Article
  10. Article
  11. The Use of Statins and Risk of Community-Acquired Pneumonia.Current infectious disease reports · 2017
    Review
  12. Advances in community-acquired pneumonia.Therapeutic advances in infectious disease
    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

15 authors at 7 institutions in 1 country.

Fiona HaversInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Anna M BramleyInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Lyn FinelliInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Carrie ReedInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Wesley H SelfVanderbilt University School of Medicine.
Christopher TrabueUniversity of Tennessee Health Sciences Center, Saint Thomas Health, Nashville.
Sherene FakhranJohn H. Stroger, Jr Hospital of Cook County.
Robert BalkRush University Medical Center.
D Mark CourtneyNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Timothy D GirardVanderbilt University School of Medicine.
Evan J AndersonEmory University School of Medicine, Atlanta, Georgia.
Carlos G GrijalvaVanderbilt University School of Medicine.
Kathryn M EdwardsVanderbilt University School of Medicine.
Richard G WunderinkNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Seema JainInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USVanderbilt University · USNorthwestern University · USEmory University · USJohn H. Stroger, Jr. Hospital of Cook County · USRush University Medical Center · USSaint Thomas Health · US

Funding

Role of LUBAC and Na K-ATPase in Acute Lung InjuryP01HL071643 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SZNAJDER, JACOB I · 2003 to 2019
$30.8M
Opioid selection and the risk of serious infections in older adultsR01AG043471 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G · 2013 to 2017
$2.3M
Salivary Cortisol as a Marker of Community-Acquired Pneumonia Severity in AdultsK23GM110469 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SELF, WESLEY H · 2015 to 2018
$683k
NHLBI NIH HHS P01 HL071643NIA NIH HHS R01 AG043471NIGMS NIH HHS K23 GM110469
6 · The paper itself

Abstract

backgroundPrior retrospective studies suggest that statins may benefit patients with community-acquired pneumonia (CAP) due to antiinflammatory and immunomodulatory effects. However, prospective studies of the impact of statins on CAP outcomes are needed. We determined whether statin use was associated with improved outcomes in adults hospitalized with CAP.

methodsAdults aged ≥18 years hospitalized with CAP were prospectively enrolled at 3 hospitals in Chicago, Illinois, and 2 hospitals in Nashville, Tennessee, from January 2010-June 2012. Adults receiving statins before and throughout hospitalization (statin users) were compared with those who did not receive statins (nonusers). Proportional subdistribution hazards models were used to examine the association between statin use and hospital length of stay (LOS). In-hospital mortality was a secondary outcome. We also compared groups matched on propensity score.

resultsOf 2016 adults enrolled, 483 (24%) were statin users; 1533 (76%) were nonusers. Statin users were significantly older, had more comorbidities, had more years of education, and were more likely to have health insurance than nonusers. Multivariable regression demonstrated that statin users and nonusers had similar LOS (adjusted hazard ratio [HR], 0.99; 95% confidence interval [CI], .88-1.12), as did those in the propensity-matched groups (HR, 1.03; 95% CI, .88-1.21). No significant associations were found between statin use and LOS or in-hospital mortality, even when stratified by pneumonia severity.

conclusionsIn a large prospective study of adults hospitalized with CAP, we found no evidence to suggest that statin use before and during hospitalization improved LOS or in-hospital mortality.

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsAdolescentAdultAgedCardiovascular DiseasesCommunity-Acquired InfectionsFemaleHumansLength of StayMaleMiddle AgedMultivariate AnalysisPneumoniaPropensity ScoreProspective StudiesYoung AdultHydroxymethylglutaryl-CoA Reductase Inhibitorshospitalizationhydroxymethylglutaryl-CoA reductase inhibitorspneumoniastatins

Identifiers

PMID27169476
PMCPMC6276959
OpenAlexW2348959191

What OpenQuestion holds

Texttitle and abstract
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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.