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10.1002/jhm.12789

http://scihub22266oqcxt.onion/10.1002/jhm.12789
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suck abstract from ncbi


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pmid35504528      J+Hosp+Med 2022 ; 17 (3): 169-175
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  • Discontinuation of atorvastatin use in hospital is associated with increased risk of mortality in COVID-19 patients #MMPMID35504528
  • Andrews L; Goldin L; Shen Y; Korwek K; Kleja K; Poland RE; Guy J; Sands KE; Perlin JB
  • J Hosp Med 2022[Mar]; 17 (3): 169-175 PMID35504528show ga
  • BACKGROUND: Statins are a commonly used class of drugs, and reports have suggested that their use may affect COVID-19 disease severity and mortality risk. OBJECTIVE: The purpose of this analysis was to determine the effect of discontinuation of previous atorvastatin therapy in patients hospitalized for COVID-19 on the risk of mortality and ventilation. METHODS: Data from 146,413 hospitalized COVID-19 patients were classified according to statin therapy. Home + in hospital atorvastatin use (continuation of therapy); home + no in hospital atorvastatin use (discontinuation of therapy); no home + no in hospital atorvastatin use (no statins). Logistic regression was performed to assess the association between atorvastatin administration and either mortality or use of mechanical ventilation during the encounter. RESULTS: Continuous use of atorvastatin (home and in hospital) was associated with a 35% reduction in the odds of mortality compared to patients who received atorvastatin at home but not in hospital (odds ratio [OR]: 0.65, 95% confidence interval [CI]: 0.59-0.72, p < .001). Similarly, the odds of ventilation were lower with continuous atorvastatin therapy (OR: 0.70, 95% CI: 0.64-0.77, p < .001). CONCLUSIONS: Discontinuation of previous atorvastatin therapy is associated with worse outcomes for COVID-19 patients. Providers should consider maintaining existing statin therapy for patients with known or suspected previous use.
  • |*COVID-19[MESH]
  • |*Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects[MESH]
  • |Atorvastatin/adverse effects[MESH]
  • |Hospital Mortality[MESH]
  • |Hospitals[MESH]


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