Evidence map›Paper›PMID 34665852›Full record

ArticleThe Journal of infectious diseases2022

Association of Statins and 28-Day Mortality Rates in Patients Hospitalized With Severe Acute Respiratory Syndrome Coronavirus 2 Infection.

Zoe N Memel, Jenny J Lee, Andrea S Foulkes, Raymond T Chung, Tanayott Thaweethai, Patricia P Bloom

Open access · greenAbstract readComparative Study
In one paragraph

Article in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Zoe N MemelDepartment of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-8863-8874
Jenny J LeeDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Biostatistics Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
Andrea S FoulkesBiostatistics Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-9520-0501
Raymond T ChungLiver Center, Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Tanayott ThaweethaiBiostatistics Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Patricia P BloomDivision of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA.
Harvard University · USMassachusetts General Hospital · USUniversity of Michigan · US

Funding

GRADUATE TRAINING IN BIOSTATISTICST32ES007142 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Brent Andrew Coull · 1985 to 2026
$11.9M
Methods for integrated analysis of multi-level omics dataR01GM127862 · NIGMS · MOUNT HOLYOKE COLLEGE · PI FOULKES, ANDREA S · 2018 to 2022
$1.7M
NIEHS NIH HHS T32 ES007142NIGMS NIH HHS R01 GM127862NIH HHS ES007142
6 · The paper itself

Abstract

backgroundStatins may be protective in severe acute respiratory syndrome coronavirus 2 SARS-CoV-2 infection. The aim of the current study was to evaluate the effect of in-hospital statin use on 28-day mortality rates and intensive care unit (ICU) admission among patients with SARS-CoV-2, stratified into 4 groups: those who used statins before hospitalization (treatment continued or discontinued in the hospital) and those who did not (treatment newly initiated in the hospital or never initiated).

methodsIn a cohort study of 1179 patients with SARS-CoV-2, record review was used to assess demographics, laboratory measurements, comorbid conditions, and time from admission to death, ICU admission, or discharge. Using marginal structural Cox models, we estimated hazard ratios (HRs) for death and ICU admission.

resultsAmong 1179 patients, 676 (57%) were male, 443 (37%) were >65 years old, and 493 (46%) had a body mass index ≥30 (calculated as weight in kilograms divided by height in meters squared). Inpatient statin use reduced the hazard of death (HR, 0.566; P=.008). This association held among patients who did and those who did not use statins before hospitalization (HR, 0.270 [P=.003] and 0.493 [P=.04], respectively). Statin use was associated with improved time to death for patients aged >65 years but not for those ≤65 years old.

conclusionStatin use during hospitalization for SARS-CoV-2 infection was associated with reduced 28-day mortality rates. Well-designed randomized control trials are needed to better define this relationship.

Indexed as

Hospital MortalityAdultAgedAged, 80 and overCohort StudiesCOVID-19DyslipidemiasFemaleHospitalizationHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIntensive Care UnitsMaleMiddle AgedPandemicsSARS-CoV-2Hydroxymethylglutaryl-CoA Reductase InhibitorsCOVID-19Inpatient Hospitalizationmarginal structural modelMortalityStatins

Identifiers

PMID34665852
PMCPMC8586726
OpenAlexW3206920777

What OpenQuestion holds

Texttitle and abstract
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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.