Evidence map›Paper›PMID 33624516›Full record

ArticleJournal of the American Heart Association2021

Association of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers With the Risk of Hospitalization and Death in Hypertensive Patients With COVID-19.

Rohan Khera, Callahan Clark, Yuan Lu, Yinglong Guo, Sheng Ren, Brandon Truax, Erica S Spatz, Karthik Murugiah, Zhenqiu Lin, Saad B Omer and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 9 pooled it
2.0field-weighted citation impact, top 11% 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

58 citing papers in PubMed, 9 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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  16. Understanding the role of nACE2 in neurogenic hypertension among COVID-19 patients.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Rohan KheraSection of Cardiovascular Medicine Department of Internal Medicine Yale School of Medicine New Haven CT.
Callahan ClarkResearch & Development at UnitedHealth Group Minnetonka MN UAS.
Yuan LuSection of Cardiovascular Medicine Department of Internal Medicine Yale School of Medicine New Haven CT.
Yinglong GuoResearch & Development at UnitedHealth Group Minnetonka MN UAS.
Sheng RenResearch & Development at UnitedHealth Group Minnetonka MN UAS.
Brandon TruaxResearch & Development at UnitedHealth Group Minnetonka MN UAS.
Erica S SpatzSection of Cardiovascular Medicine Department of Internal Medicine Yale School of Medicine New Haven CT.
Karthik MurugiahSection of Cardiovascular Medicine Department of Internal Medicine Yale School of Medicine New Haven CT.
Zhenqiu LinSection of Cardiovascular Medicine Department of Internal Medicine Yale School of Medicine New Haven CT.
Saad B OmerSection of Infectious Diseases Department of Internal Medicine Yale School of Medicine New Haven CT.
Deneen VojtaResearch & Development at UnitedHealth Group Minnetonka MN UAS.
Harlan M KrumholzSection of Cardiovascular Medicine Department of Internal Medicine Yale School of Medicine New Haven CT.
Yale New Haven Hospital · USUnitedHealth Group (United States) · USYale University · US

Funding

UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Yale Scholars in Implementation Science (YSIS)K12HL138037 · NHLBI · YALE UNIVERSITY · PI SHARIFI, MAHNOOSH · 2017 to 2021
$3.0M
Evaluating and Improving Utilization of Evidence-Based Medical Therapy in Patients with Heart Failure using Automated Tools in the Electronic Health RecordK23HL153775 · NHLBI · YALE UNIVERSITY · PI KHERA, ROHAN · 2021 to 2025
$918k
NCATS NIH HHS UL1 TR001105NHLBI NIH HHS K12 HL138037NHLBI NIH HHS K23 HL153775
6 · The paper itself

Abstract

Background Despite its clinical significance, the risk of severe infection requiring hospitalization among outpatients with severe acute respiratory syndrome coronavirus 2 infection who receive angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) remains uncertain. Methods and Results In a propensity score-matched outpatient cohort (January-May 2020) of 2263 Medicare Advantage and commercially insured individuals with hypertension and a positive outpatient SARS-CoV-2, we determined the association of ACE inhibitors and ARBs with COVID-19 hospitalization. In a concurrent inpatient cohort of 7933 hospitalized with COVID-19, we tested their association with in-hospital mortality. The robustness of the observations was assessed in a contemporary cohort (May-August). In the outpatient study, neither ACE inhibitors (hazard ratio [HR], 0.77; 0.53-1.13,

Indexed as

HospitalizationAdolescentAdultAgedAged, 80 and overAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCohort StudiesCOVID-19FemaleHospital MortalityHumansHypertensionMaleMiddle AgedPropensity ScoreAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor Antagonistsangiotensin‐converting enzyme inhibitorsangiotensin receptor blockersCOVID‐19hypertension

Identifiers

PMID33624516
PMCPMC8403305
OpenAlexW3132423433

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.