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In-Hospital Use of Statins Is Associated with a Reduced Risk of Mortality among Individuals with COVID-19
Open accessAbstract
Summary Statins are lipid-lowering therapeutics with favorable anti-inflammatory profiles and have been proposed as an adjunct therapy for COVID-19. However, statins may increase the risk of SARS-CoV-2 viral entry by inducing ACE2 expression. Here, we performed a retrospective study on 13,981 patients with COVID-19 in Hubei Province, China, among which 1,219 received statins. Based on a mixed-effect Cox model after propensity score-matching, we found that the risk for 28-day all-cause mortality was 5.2% and 9.4% in the matched statin and non-statin groups, respectively, with an adjusted hazard ratio of 0.58. The statin use-associated lower risk of mortality was also observed in the Cox time-varying model and marginal structural model analysis. These results give support for the completion of ongoing prospective studies and randomized controlled trials involving statin treatment for COVID-19, which are needed to further validate the utility of this class of drugs to combat the mortality of this pandemic.
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Metadata
- Authors
- Zhang, X.-J., Qin, J.-J., Cheng, X., Shen, L., Zhao, Y.-C., Yuan, Y., Lei, F., Chen, M.-M., Yang, H., Bai, L., Song, X., Lin, L., Xia, M., Zhou, F., Zhou, J., She, Z.-G., Zhu, L., Ma, X., Xu, Q., Ye, P., Chen, G., Liu, L., Mao, W., Yan, Y., Xiao, B., Lu, Z., Peng, G., Liu, M., Yang, J., Yang, L., Zhang, C., Lu, H., Xia, X., Wang, D., Liao, X., Wei, X., Zhang, B.-H., Zhang, X., Yang, J., Zhao, G.-N., Zhang, P., Liu, P. P., Loomba, R., Ji, Y.-X., Xia, J., Wang, Y., Cai, J., Guo, J., & Li, H.
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2020-08
- Volume
- 32
- Issue
- 2
- Pages
- 176-187.e4
- ISSN
- 1550-4131 (ISSN-L)
- OpenAlex
- W3036683212
- Cited by
- 474
- References
- 56
- FWCI
- 12.61
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Zhang, X.-J., Qin, J.-J., Cheng, X., Shen, L., Zhao, Y.-C., Yuan, Y., Lei, F., Chen, M.-M., Yang, H., Bai, L., Song, X., Lin, L., Xia, M., Zhou, F., Zhou, J., She, Z.-G., Zhu, L., Ma, X., Xu, Q., . . . Li, H. (2020). In-Hospital Use of Statins Is Associated with a Reduced Risk of Mortality among Individuals with COVID-19. Cell Metabolism. https://doi.org/10.1016/j.cmet.2020.06.015
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.