Evidence map›Paper›PMID 36417470›Full record

Observational studyPloS one2022

Cardiovascular therapy use, modification, and in-hospital death in patients with COVID-19: A cohort study.

Cédric Follonier, Elena Tessitore, Sandra Handgraaf, David Carballo, Maëlle Achard, Antoinette Pechère-Bertschi, François Mach, François R Herrmann, François R Girardin

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 83% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
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

9 authors at 2 institutions in 1 country.

Cédric FollonierDivision of Cardiology, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0001-6848-4978
Elena TessitoreDivision of Cardiology, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0003-1680-0152
Sandra HandgraafDivision of Cardiology, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.
David CarballoDivision of Cardiology, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.
Maëlle AchardDivision of Cardiology, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0001-8387-1693
Antoinette Pechère-BertschiFaculty of Medicine, University of Geneva, Geneva, Switzerland.
François MachDivision of Cardiology, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.
François R HerrmannFaculty of Medicine, University of Geneva, Geneva, Switzerland.
François R GirardinDivision of Clinical Pharmacology, Department of Laboratory Medicine and Pathology, Lausanne University Hospital, Faculty of Medicine, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-0842-927X
University of Geneva · CHUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo assess the associations of exposure and modifications in exposure (i.e., discontinuation on admission, initiation during hospitalization) to eight common cardiovascular therapies with the risk of in-hospital death among inpatients with coronavirus disease 2019 (COVID-19).

methodsIn this observational study including 838 hospitalized unvaccinated adult patients with confirmed COVID-19, the use of cardiovascular therapies was assessed using logistic regression models adjusted for potential confounders.

resultsNo cardiovascular therapy used before hospitalization was associated with an increased risk of in-hospital death. During hospitalization, the use of diuretics (aOR 2.59 [1.68-3.98]) was associated with an increase, and the use of agents acting on the renin-angiotensin system (aOR 0.39 [0.23-0.64]) and lipid-lowering agents (aOR 0.41 [0.24-0.68]) was associated with a reduction in the odds of in-hospital death. Exposure modifications associated with decreased survival were the discontinuation of an agent acting on the renin-angiotensin system (aOR 4.42 [2.08-9.37]), a β-blocker (aOR 5.44 [1.16-25.46]), a lipid-modifying agent (aOR 3.26 [1.42-7.50]) or an anticoagulant (aOR 5.85 [1.25-27.27]), as well as the initiation of a diuretic (aOR 5.19 [2.98-9.03]) or an antiarrhythmic (aOR 6.62 [2.07-21.15]). Exposure modification associated with improved survival was the initiation of an agent acting on the renin-angiotensin system (aOR 0.17 [0.03-0.82]).

conclusionIn hospitalized and unvaccinated patients with COVID-19, there was no detrimental association of the prehospital use of any regular cardiovascular medication with in-hospital death, and these therapies should be continued as recommended.

Indexed as

COVID-19 Drug TreatmentAdultCohort StudiesDiureticsHospitalizationHospital MortalityHumansLipidsDiureticsLipids

Identifiers

PMID36417470
PMCPMC9683559
OpenAlexW4309865473

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.