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10.1016/j.jiph.2021.03.004

http://scihub22266oqcxt.onion/10.1016/j.jiph.2021.03.004
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34020213!7986317!34020213
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suck abstract from ncbi


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pmid34020213      J+Infect+Public+Health 2021 ; 14 (6): 726-733
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  • Severity of COVID-19 infection in ACEI/ARB users in specialty hospitals: A retrospective cohort study #MMPMID34020213
  • Alrashed AA; Khan TM; Alhusseini NK; Asdaq SMB; Enani M; Alosaimi B; Alkhani NM; Mohzari Y; Alghalbi MM; Alfahad W; Alanazi MA; Albujaidya AS; Ben-Akresh A; Almutairi M; Abraham I; Alamer A
  • J Infect Public Health 2021[Jun]; 14 (6): 726-733 PMID34020213show ga
  • BACKGROUND: The uncertainty about COVID-19 outcomes in angiotensin-converting enzyme inhibitors (ACEI)/angiotensin receptor blockers (ARB) users continues with contradictory findings. This study aimed to determine the effect of ACEI/ARB use in patients with severe COVID-19. METHODS: This retrospective cohort study was done in two Saudi public specialty hospitals designated as COVID-19 referral facilities. We included 354 patients with a confirmed diagnosis of COVID-19 between April and June 2020, of which 146 were ACEI/ARB users and 208 were non-ACEI/ARB users. Controlling for confounders, we conducted multivariate logistic regression and sensitivity analyses using propensity score matching (PSM) and Inverse propensity score weighting (IPSW) for high-risk patient subsets. RESULTS: Compared to non-ACEI/ARB users, ACEI/ARB users had an eight-fold higher risk of developing critical or severe COVID-19 (OR = 8.25, 95%CI = 3.32-20.53); a nearly 7-fold higher risk of intensive care unit (ICU) admission (OR = 6.76, 95%CI = 2.88-15.89) and a nearly 5-fold higher risk of requiring noninvasive ventilation (OR = 4.77,95%CI = 2.15-10.55). Patients with diabetes, hypertension, and/or renal disease had a five-fold higher risk of severe COVID-19 disease (OR = 5.40,95%CI = 2.0-14.54]. These results were confirmed in the PSM and IPSW analyses. CONCLUSION: In general, but especially among patients with hypertension, diabetes, and/or renal disease, ACEI/ARB use is associated with a significantly higher risk of severe or critical COVID-19 disease, and ICU care.
  • |*Angiotensin Receptor Antagonists/adverse effects[MESH]
  • |*COVID-19[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/adverse effects[MESH]
  • |Hospitals[MESH]
  • |Humans[MESH]
  • |Retrospective Studies[MESH]


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