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10.1136/postgradmedj-2020-139172

http://scihub22266oqcxt.onion/10.1136/postgradmedj-2020-139172
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33541927!?!33541927

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suck abstract from ncbi

pmid33541927      Postgrad+Med+J 2022 ; 98 (1159): 354-359
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  • Statin use and clinical outcomes in patients with COVID-19: An updated systematic review and meta-analysis #MMPMID33541927
  • Pal R; Banerjee M; Yadav U; Bhattacharjee S
  • Postgrad Med J 2022[May]; 98 (1159): 354-359 PMID33541927show ga
  • PURPOSE: Observations studies have shown that prior use of statins is associated with a reduced risk of adverse clinical outcomes in patients with COVID-19. However, the available data are limited, inconsistent and conflicting. Besides, no randomised controlled trial exists in this regard. Hence, the present meta-analysis was conducted to provide an updated summary and collate the effect of statin use on clinical outcomes in COVID-19 using unadjusted and adjusted risk estimates. METHODS: PubMed, Scopus and Web of Science databases were systematically searched using appropriate keywords till December 18 2020, to identify observational studies reporting clinical outcomes in COVID-19 patients using statins versus those not using statins. Prior and in-hospital use of statins were considered. Study quality was assessed using the Newcastle-Ottawa Scale. Unadjusted and adjusted pooled odds ratio (OR) with 95% CIs were calculated. RESULTS: We included 14 observational studies pooling data retrieved from 19 988 patients with COVID-19. All the studies were of high/moderate quality. Pooled analysis of unadjusted data showed that statin use was not associated with improved clinical outcomes (OR 1.02; 95% CI 0.69 to 1.50, p=0.94, I(2)=94%, random-effects model). However, on pooling adjusted risk estimates, the use of statin was found to significantly reduce the risk of adverse outcomes (OR 0.51; 95% CI 0.41 to 0.63, p<0.0005, I(2)=0%, fixed-effects model). CONCLUSIONS: Statin use is associated with improved clinical outcomes in patients with COVID-19. Individuals with multiple comorbidities on statin therapy should be encouraged to continue the drug amid the ongoing pandemic.
  • |*COVID-19[MESH]
  • |*Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use[MESH]
  • |Comorbidity[MESH]
  • |Hospitals[MESH]
  • |Humans[MESH]


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