Evidence map›Paper›PMID 34264974›Full record

ArticlePloS one2021

Relation of prior statin and anti-hypertensive use to severity of disease among patients hospitalized with COVID-19: Findings from the American Heart Association's COVID-19 Cardiovascular Disease Registry.

Lori B Daniels, Junting Ren, Kris Kumar, Quan M Bui, Jing Zhang, Xinlian Zhang, Mariem A Sawan, Howard Eisen, Christopher A Longhurst, Karen Messer

Open access · goldFull text read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.9field-weighted citation impact, top 7% 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

29 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Meeting the Challenge of Controlling Viral Immunopathology.International journal of molecular sciences · 2024
    Review
  3. Review
  4. Article
  5. Statins-From Fungi to Pharmacy.International journal of molecular sciences · 2023
    Review
  6. Observational
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Lipid rafts as viral entry routes and immune platforms: A double-edged sword in SARS-CoV-2 infection?Biochimica et biophysica acta. Molecular and cell biology of lipids · 2022
    Review
  20. 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

10 authors at 4 institutions in 1 country.

Lori B DanielsDivision of Cardiovascular Medicine, Department of Medicine, UC San Diego, La Jolla, California, United States of America.ORCID 0000-0002-4841-9922
Junting RenDivision of Biostatistics and Bioinformatics, Department of Family Medicine and Public Health, UC San Diego, La Jolla, California, United States of America.
Kris KumarKnight Cardiovascular Institute, Oregon Health and Science University, Portland, Oregon, United States of America.
Quan M BuiDivision of Cardiovascular Medicine, Department of Medicine, UC San Diego, La Jolla, California, United States of America.
Jing ZhangUCSD Moores Cancer Center, UC San Diego, La Jolla, California, United States of America.
Xinlian ZhangDivision of Biostatistics and Bioinformatics, Department of Family Medicine and Public Health, UC San Diego, La Jolla, California, United States of America.
Mariem A SawanDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Howard EisenPennsylvania State Health, Hershey, Pennsylvania, United States of America.
Christopher A LonghurstDepartment of Medicine, UC San Diego, La Jolla, California, United States of America.ORCID 0000-0003-4908-6856
Karen MesserDivision of Biostatistics and Bioinformatics, Department of Family Medicine and Public Health, UC San Diego, La Jolla, California, United States of America.
University of California San Diego · USEmory University · USOregon Health & Science University · USPenn State Milton S. Hershey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStatins have anti-inflammatory and immunomodulatory effects that may reduce the severity of coronavirus disease 2019 (COVID-19), in which organ dysfunction is mediated by severe inflammation. Large studies with diverse populations evaluating statin use and outcomes in COVID-19 are lacking. METHODS AND

resultsWe used data from 10,541 patients hospitalized with COVID-19 through September 2020 at 104 US hospitals enrolled in the American Heart Association's COVID-19 Cardiovascular Disease (CVD) Registry to evaluate the associations between statin use and outcomes. Prior to admission, 42% of subjects (n = 4,449) used statins (7% on statins alone, 35% on statins plus anti-hypertensives). Death (or discharge to hospice) occurred in 2,212 subjects (21%). Outpatient use of statins, either alone or with anti-hypertensives, was associated with a reduced risk of death (adjusted odds ratio [aOR] 0.59, 95% CI 0.50-0.69), adjusting for demographic characteristics, insurance status, hospital site, and concurrent medications by logistic regression. In propensity-matched analyses, use of statins and/or anti-hypertensives was associated with a reduced risk of death among those with a history of CVD and/or hypertension (aOR 0.68, 95% CI 0.58-0.81). An observed 16% reduction in odds of death among those without CVD and/or hypertension was not statistically significant.

conclusionsPatients taking statins prior to hospitalization for COVID-19 had substantially lower odds of death, primarily among individuals with a history of CVD and/or hypertension. These observations support the continuation and aggressive initiation of statin and anti-hypertensive therapies among patients at risk for COVID-19, if these treatments are indicated based upon underlying medical conditions.

Indexed as

AdultAgedAge FactorsAmerican Heart AssociationAntihypertensive AgentsCardiovascular DiseasesCOVID-19Drug UtilizationFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedMortalityPopulation GroupsRegistriesAntihypertensive AgentsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID34264974
PMCPMC8281996
OpenAlexW3180764653

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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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.