Evidence map›Paper›PMID 39520151›Full record

ArticleAnnals of medicine2024

Metformin use and its association with various outcomes in COVID-19 patients with diabetes mellitus: a retrospective cohort study in a tertiary care facility.

Muhilvannan Somasundaram, Sanjay Kurian Mathew, Soumyajeet Paul, Shilia Jacob Kurian, Vijayanarayana Kunhikatta, Shubhada Karanth, Sahana Shetty, Chandrashekar Udyavara Kudru, Mohan K Manu, Kavitha Saravu and 3 more

Abstract read
In one paragraph

Article in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

13 authors.

Muhilvannan SomasundaramDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of High Education, Manipal, Karnataka, India.
Sanjay Kurian MathewDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of High Education, Manipal, Karnataka, India.
Soumyajeet PaulDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of High Education, Manipal, Karnataka, India.
Shilia Jacob KurianDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of High Education, Manipal, Karnataka, India.
Vijayanarayana KunhikattaDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of High Education, Manipal, Karnataka, India.
Shubhada KaranthDepartment of Medicine, Kasturba Medical College, Manipal, Manipal Academy of High Education, Manipal, Karnataka, India.
Sahana ShettyDepartment of Endocrinology, Kasturba Medical College, Manipal, Manipal Academy of High Education, Manipal, Karnataka, India.
Chandrashekar Udyavara KudruDepartment of Medicine, Kasturba Medical College, Manipal, Manipal Academy of High Education, Manipal, Karnataka, India.
Mohan K ManuDepartment of Respiratory Medicine, Kasturba Medical College, Manipal, Manipal Academy of High Education, Manipal, Karnataka, India.ORCID 0000-0002-9481-3189
Kavitha SaravuDepartment of Infectious Diseases, Kasturba Medical College, Manipal, Manipal Academy of High Education, Manipal, Karnataka, India.ORCID 0000-0001-6399-1129
Mazhuvancherry Kesavan UnnikrishnanDepartment of Pharmacy Practice, Amrita School of Pharmacy, Amrita Vishwa Vidyapeetham, Kochi, India.
Mahadev RaoDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of High Education, Manipal, Karnataka, India.
Sonal Sekhar MirajDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of High Education, Manipal, Karnataka, India.ORCID 0000-0003-3660-2022

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence shows that diabetes raises the probability of contracting COVID-19 and associated complications. We hypothesize that metformin, being pleiotropic, may improve COVID-19 in diabetics.

methodsA retrospective cohort study was conducted with 421 COVID-19 patients with diabetes, hospitalized between 1st April 2020 and 31st March 2022 in a tertiary-care hospital. Patients with metformin or its combination constituted the study cohort (SC;

resultsSC and RC were matched for mean age ± SD (SC: 53.3 ± 5.7 vs. RC: 54.3 ± 8.2 years). The mean length of hospitalization (days) was significantly shorter in SC (9.0 ± 5.7) than in RC (12.7 ± 6) (

conclusionMetformin users have a decrease in hospital stay and mortality rates and improvement in LDH, CRP, and D-dimer levels. Therefore, metformin might protect against mortality in COVID-19 with diabetes.

Indexed as

COVID-19Hypoglycemic AgentsMetforminTertiary Care CentersAgedCOVID-19 Drug TreatmentDiabetes MellitusDiabetes Mellitus, Type 2FemaleFibrin Fibrinogen Degradation ProductsHospitalizationHumansLength of StayMaleMiddle AgedRetrospective StudiesFibrin Fibrinogen Degradation Productsfibrin fragment DHypoglycemic AgentsMetforminCOVID-19diabetesmetforminmortalitySARS-CoV-2

Identifiers

PMID39520151
PMCPMC11552258

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
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.