Evidence map›Paper›PMID 34277195›Full record

ArticleCureus2021

Does Baseline Diuretics Use Affect Prognosis in Patients With COVID-19?

Nirmal Guragai, Rahul Vasudev, Kevin Hosein, Habib Habib, Biren Patel, Parminder Kaur, Bhavik Patel, Melvin Santana, Sherif Elkattawy, Muhammad Atif Masood Noori and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

16 authors at 4 institutions in 2 countries.

Nirmal GuragaiCardiology, St Joseph University Medical Center, Paterson, USA.
Rahul VasudevCardiology, St Joseph University Medical Center, Paterson, USA.
Kevin HoseinCardiology, St Joseph University Medical Center, Paterson, USA.
Habib HabibCardiology, St Joseph University Medical Center, Paterson, USA.
Biren PatelCardiology, St Joseph University Medical Center, Paterson, USA.
Parminder KaurCardiology, St Joseph University Medical Center, Paterson, USA.
Bhavik PatelInternal Medicine, St Michael's Medical Center, Newark, USA.
Melvin SantanaInternal Medicine, Rutgers-New Jersey Medical School/Trinitas Regional Medical Center, Elizabeth, USA.
Sherif ElkattawyInternal Medicine, Rutgers-New Jersey Medical School/Trinitas Regional Medical, Elizabeth, USA.
Muhammad Atif Masood NooriInternal Medicine, Dow Medical College, Karachi, PAK.
Islam YounesInternal Medicine, Rutgers-New Jersey Medical School/Trinitas Regional Medical Center, Elizabeth, USA.
Ramez AlyacoubInternal Medicine, Rutgers-New Jersey Medical School/Trinitas Regional Medical Center, Elizabeth, USA.
Balraj SinghHematology/Oncology, St Joseph's University Medical Center, Paterson, USA.
Raja PullattCardiology, Trinitas Regional Medical Center, Elizabeth, USA.
Preet RandhawaCardiology, St Michael's Medical Center, Newark, USA.
Fayez ShamoonCardiology, St Joseph University Medical Center, Paterson, USA.
Dow University of Health Sciences · PKTrinitas Regional Medical Center · USRutgers, The State University of New Jersey · USSaint Michael's Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rapid emergence of coronavirus disease 2019 (COVID-19) has become the biggest healthcare crisis of the last century, resulting in thousands of deaths worldwide. There have been studies that evaluated the role of angiotensin-converting enzyme (ACE) inhibitors (ACEi) and angiotensin receptor blockers (ARBs) in treating patients with COVID-19. However, the prior use of diuretics and their effect on mortality in this setting remains unknown. The aim of the study was to evaluate the effect of diuretics in patients admitted with COVID-19. The current study was conducted between March 15, 2020, and April 30, 2020, during the COVID-19 pandemic in three different hospitals in Northern New Jersey, USA. The primary outcome was survival or in-hospital mortality from COVID-19 from the day of admission. The secondary outcome was severe or non-severe illness from COVID-19. This retrospective study included a total of 313 patients with a median age of 61.3 ± 14.6 years. There was a total of 68 patients taking diuretics at home and 245 patients who were not taking diuretics. There was a total of 39 (57.35%) deaths in patients taking diuretics as compared to 93 (37.96%) deaths in patients not taking diuretics (p-value 0.0042). Also, 54 (79.41%) patients who took diuretics had severe COVID-19 illness as compared to 116 (47.35%) who did not take diuretics (p-value <.0001). However, after adjusting for the confounding factors, there was no difference in mortality or severity of illness in COVID-19 patients taking diuretics at the time of admission. In conclusion, there was no effect of the baseline use of diuretics in the prognosis of COVID-19.

Indexed as

ace inhibitors and angiotensin receptor blockersanticoagulationcoronavirus disease 2019 (covid-19)diureticsmortalityseverity

Identifiers

PMID34277195
PMCPMC8272599
OpenAlexW3167628914

What OpenQuestion holds

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Registered trials

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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.