Evidence map›Paper›PMID 41298943›Full record

ArticleScientific reports2025

The use of angiotensin-converting enzyme inhibitors in hospitalized patients with COVID-19 is associated with a lower risk of mortality.

Mykola Khalangot, Vitaliy Gurianov, Tamara Zakharchenko, Victor Kravchenko, Olena Kovzun, Volodymyr Shupachynskiy, Mykola Tronko

Abstract read
In one paragraph

Article in Scientific reports, 2025. 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
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.

  1. Do angiotensin-converting enzyme inhibitors reduce the risk of death in COVID-19? Yes.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    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

7 authors.

Mykola KhalangotKomisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine, 69 Vyshgorodska Str., Kyiv, 04114, Ukraine. nikhalangot@ukr.net.
Vitaliy GurianovBohomolets National Medical University, 13 Shevchenko blvd., Kyiv, 01601, Ukraine.
Tamara ZakharchenkoKomisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine, 69 Vyshgorodska Str., Kyiv, 04114, Ukraine.
Victor KravchenkoKomisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine, 69 Vyshgorodska Str., Kyiv, 04114, Ukraine.
Olena KovzunKomisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine, 69 Vyshgorodska Str., Kyiv, 04114, Ukraine.
Volodymyr ShupachynskiyKyiv Municipal Clinic, 8 Yuriya Kondratyuka Str., Kyiv, 04201, Ukraine.
Mykola TronkoKomisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine, 69 Vyshgorodska Str., Kyiv, 04114, Ukraine.

Funding

National Research Foundation of Ukraine Grant# 2021.01/0213
6 · The paper itself

Abstract

The relationship between the use of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs), diabetes mellitus (DM), and the risk of death in patients with COVID-19 remains controversial. We hypothesized that DM and certain characteristics of the COVID-19 course during hospital treatment may alter the assessment of the association of ACEIs/ARBs with COVID-19 outcomes. The records of 153 COVID-19 inpatients admitted to a municipal clinic in Kyiv, Ukraine, between October and December 2021 were reviewed. To assess the association of ARBs/ACEIs and other hypotensive drugs with outcomes, a no hypotensives group was used for comparison. A multivariable logistic regression model was employed to assess the odds ratio (OR) of death. If DM was known at the time of hospitalization (n = 28), there was a higher proportion of deaths compared to the group without DM (n = 125): 53.6% vs. 12.8%, p < 0.001. After adjusting for age, minimal O2 saturation, DM, and antihypertensive therapy, the ACEIs-associated OR was 0.10 (0.02-0.69). The DM-associated OR was 8.25 (1.92-35.42). The use of ACEIs in the treatment of COVID-19 inpatients is associated with a lower risk of mortality compared to those not using hypotensive treatment, regardless of the presence of DM.

Indexed as

Angiotensin-Converting Enzyme InhibitorsCOVID-19COVID-19 Drug TreatmentAgedAged, 80 and overAngiotensin Receptor AntagonistsDiabetes MellitusFemaleHospitalizationHospital MortalityHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSARS-CoV-2Angiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAngiotensin-converting-enzyme inhibitors (ACEIs)Angiotensin II receptor blockers (ARBs)COVID-19Diabetes mellitusMortalityRAAS inhibitors

Identifiers

PMID41298943
PMCPMC12749046

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.