Evidence map›Paper›PMID 33782908›Full record

Observational studyDrugs2021

Prior Treatment with Statins is Associated with Improved Outcomes of Patients with COVID-19: Data from the SEMI-COVID-19 Registry.

José David Torres-Peña, Luis M Pérez-Belmonte, Francisco Fuentes-Jiménez, Mª Dolores López Carmona, Pablo Pérez-Martinez, José López-Miranda, Francisco Javier Carrasco Sánchez, Juan Antonio Vargas Núñez, Esther Del Corral Beamonte, Jeffrey Oskar Magallanes Gamboa and 16 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Drugs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. The Association Between the Use of Statins and Clinical Outcomes in Patients with COVID-19: A Systematic Review and Meta-analysis.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
    Pooled it
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  20. Statin withdrawal and treating COVID-19 patients.Pharmacology research & perspectives · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 10 institutions in 2 countries.

José David Torres-Peña *Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.
Luis M Pérez-Belmonte *Internal Medicine Department, Regional University Hospital of Málaga, Biomedical Research Institute of Málaga (IBIMA), University of Málaga (UMA), Málaga, Spain.
Francisco Fuentes-JiménezLipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain. fjfuentesjimenez@gmail.com.
Mª Dolores López CarmonaInternal Medicine Department, Regional University Hospital of Málaga, Biomedical Research Institute of Málaga (IBIMA), University of Málaga (UMA), Málaga, Spain.
Pablo Pérez-MartinezLipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.
José López-MirandaLipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.
Francisco Javier Carrasco SánchezInternal Medicine Department, Juan Ramón Jiménez Hospital, Huelva, Spain.
Juan Antonio Vargas NúñezInternal Medicine Department, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain.
Esther Del Corral BeamonteInternal Medicine Department, Royo Villanova Hospital, Zaragoza, Spain.
Jeffrey Oskar Magallanes GamboaInternal Medicine Department, Nuestra Señora del Prado Hospital, Talavera de la Reina, Toledo, Spain.
Andrés González GarcíaInternal Medicine Department, Ramón y Cajal University Hospital, Madrid, Spain.
Julio González MoralejaInternal Medicine Department, Virgen de la Salud Hospital, Toledo, Spain.
Andrés Cortés TroncosoInternal Medicine Department, Infanta Cristina University Hospital, Parla, Madrid, Spain.
María Luisa Taboada MartínezInternal Medicine Department, Cabueñes Hospital, Gijón, Asturias, Spain.
María Del Pilar Del Fidalgo MonteroInternal Medicine Department, Henares Hospital, Coslada, Madrid, Spain.
José Miguel Seguí RipolInternal Medicine Department, San Juan de Alicante University Hospital, San Juan de Alicante, Alicante, Spain.
Ricardo Gil SánchezInternal Medicine Department, La Fe University Hospital, Valencia, Spain.
Diana Alegre GonzálezInternal Medicine Department, San Pedro Hospital, Logroño, La Rioja, Spain.
Ramon BoixedaInternal Medicine Department, Mataró Hospital, Mataró, Barcelona, Spain.
Begoña Cortés RodríguezInternal Medicine Department, Alto Guadalquivir Hospital, Andújar, Jaén, Spain.
Javier EnaInternal Medicine Department, Marina Baixa Hospital, Villajoyosa, Alicante, Spain.
Gema María García GarcíaInternal Medicine Department, Badajoz University Hospital Complex, Badajoz, Spain.
Ana Ventura EsteveInternal Medicine Department, Francesc de Borja Hospital, Gandía, Valencia, Spain.
José Manuel Ramos RincónDepartment of Clinical Medicine, Miguel Hernandez University of Elche, Alicante, Spain.
Ricardo Gómez-HuelgasInternal Medicine Department, Regional University Hospital of Málaga, Biomedical Research Institute of Málaga (IBIMA), University of Málaga (UMA), Málaga, Spain.
SEMI-COVID-19 Network
Instituto Maimónides de Investigación Biomédica de Córdoba · ESInstituto de Salud Carlos III · ESGuardia Civil · ESHospital General Nuestra Señora del Prado · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario De Cabueñes · ESHospital Universitari Sant Joan D'Alacant · ESInstituto Cajal · ESInstituto de Investigación Biomédica de Málaga · ESUniversitat de Miguel Hernández d'Elx · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of statins on COVID-19 outcomes is important given the high prevalence of their use among individuals at risk for severe COVID-19. Our aim is to assess whether patients receiving chronic statin treatment who are hospitalized with COVID-19 have reduced in-hospital mortality if statin therapy is maintained during hospitalization.

methodsThis work is a cross-sectional, observational, retrospective multicenter study that analyzed 2921 patients who required hospital admission at 150 Spanish centers included in the nationwide SEMI-COVID-19 Network. We compared the clinical characteristics and COVID-19 disease outcomes between patients receiving chronic statin therapy who maintained this therapy during hospitalization versus those who did not. Propensity score matching was used to match each statin user whose therapy was maintained during hospitalization to a statin user whose therapy was withdrawn during hospitalization.

resultsAfter propensity score matching, continuation of statin therapy was associated with lower all-cause mortality (OR 0.67, 0.54-0.83, p < 0.001); lower incidence of acute kidney injury (AKI) (OR 0.76,0.6-0.97, p = 0.025), acute respiratory distress syndrome (ARDS) (OR 0.78, 0.69- 0.89, p < 0.001), and sepsis (4.82% vs 9.85%, p = 0.008); and less need for invasive mechanical ventilation (IMV) (5.35% vs 8.57, p < 0.001) compared to patients whose statin therapy was withdrawn during hospitalization.

conclusionsPatients previously treated with statins who are hospitalized for COVID-19 and maintain statin therapy during hospitalization have a lower mortality rate than those in whom therapy is withdrawn. In addition, statin therapy was associated with a decreased probability that patients with COVID-19 will develop AKI, ARDS, or sepsis and decreases the need for IMV.

Indexed as

AgedAged, 80 and overCOVID-19Cross-Sectional StudiesFemaleHospital MortalityHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk AssessmentSARS-CoV-2SpainHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID33782908
PMCPMC8006631
OpenAlexW3148409844

What OpenQuestion holds

Textmetadata
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.