Evidence map›Paper›PMID 30948970›Full record

ArticleProceedings (Baylor University. Medical Center)2018

Impact of angiotensin-converting enzyme inhibitors and statins on viral pneumonia.

Christopher Henry, Manaf Zaizafoun, Eileen Stock, Shekhar Ghamande, Alejandro C Arroliga, Heath D White

Registry-linked trialAbstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04338009 (The Randomized Elimination or Prolongation of Angiotensin Converting Enzyme Inhibitors and Angiotensin Receptor Blockers in Coronavirus Disease 2019), which is not on this map. Cited by 68 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 4 pooled it
17.7field-weighted citation impact, top 1% 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.

NCT04338009 nacompletednot on this mapstarted 2020, after this paper: background citation

The Randomized Elimination or Prolongation of Angiotensin Converting Enzyme Inhibitors and Angiotensin Receptor Blockers in Coronavirus Disease 2019

TypeinterventionalSponsorUniversity of PennsylvaniaRan2020 to 2020Enrolled152ConditionsCOVID-19ArmsDiscontinuation of ARB/ACEI, Continuation of ARB/ACEI
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 126 citations in OpenAlex.

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  16. Whey-Derived Peptides at the Heart of the COVID-19 Pandemic.International journal of molecular sciences · 2021
    Article
  17. Article
  18. Management of Diabetes During a Dual Pandemic.The journal for nurse practitioners : JNP · 2021
    Article
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  20. Article

8 more citing papers are in PubMed but not listed here.

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

6 authors at 2 institutions in 1 country.

Christopher HenryDivision of Pulmonary, Critical Care, and Sleep Medicine, Baylor Scott & White HealthTempleTexas.ORCID 0000-0002-1130-4267
Manaf ZaizafounDivision of Pulmonary and Critical Care Medicine, University Hospitals, Ahuja Medical CenterBedfordOhio.
Eileen StockPerry Point/Baltimore Coordinating Center, Cooperative Studies Program, Office of Research and Development, US Department of Veterans AffairsPerry PointMaryland.
Shekhar GhamandeDivision of Pulmonary, Critical Care, and Sleep Medicine, Baylor Scott & White HealthTempleTexas.ORCID 0000-0001-6924-9494
Alejandro C ArroligaDivision of Pulmonary, Critical Care, and Sleep Medicine, Baylor Scott & White HealthTempleTexas.ORCID 0000-0002-7245-2159
Heath D WhiteDivision of Pulmonary, Critical Care, and Sleep Medicine, Baylor Scott & White HealthTempleTexas.ORCID 0000-0003-1065-3681
Baylor Scott & White Health · USUnited States Department of Veterans Affairs · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Angiotensin-converting enzyme (ACE) inhibitors and statins may potentially benefit patients with viral infections and pneumonia. Our study aimed to evaluate the impact of ACE inhibitors and statins on the rates of intubation and death in viral pneumonia. We retrospectively studied 1055 adult patients admitted to a tertiary care center in central Texas with a positive respiratory viral polymerase chain reaction test. Of these, 539 had clinical presentation and imaging consistent with pneumonia. We collected information on demographic characteristics, microbiology, comorbid conditions, medication use, and outcomes. ACE inhibitors given prior to admission were associated with an increased risk of death or intubation (odds ratio [OR] = 3.02; 95% confidence interval [CI], 1.30-7.01), whereas statin use prior to admission did not change rates of death or intubation. Lower rates of death and intubation were noted with continued use of ACE inhibitors (OR =0.25; 95% CI, 0.09-0.64) and statins (OR =0.26; 95% CI, 0.08-0.81) throughout the hospital stay. We added further evidence of the beneficial effect of continued use of ACE inhibitors and statins in viral pneumonia.

Indexed as

ACE inhibitorsstatinsviral pneumonia

Identifiers

PMID30948970
PMCPMC6414001
OpenAlexW2898243549

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.