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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Diabetes+Metab+Syndr
2020 ; 14
(5
): 983-990
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The use of renin angiotensin system inhibitor on mortality in patients with
coronavirus disease 2019 (COVID-19): A systematic review and meta-analysis
#MMPMID32615377
Pranata R
; Permana H
; Huang I
; Lim MA
; Soetedjo NNM
; Supriyadi R
; Soeroto AY
; Alkatiri AA
; Firman D
; Lukito AA
Diabetes Metab Syndr
2020[Sep]; 14
(5
): 983-990
PMID32615377
show ga
BACKGROUND: and Aims; To investigate the association between use of
angiotensin-converting enzyme inhibitor (ACEI)/angiotensin-receptor blocker (ARB)
and outcomes of hypertensive COVID-19 patients, a systematic review and
meta-analysis were performed. METHODS: We systematically searched PubMed,
EuropePMC, ProQuest, and Cochrane Central Databases using the terms "(COVID-19 OR
SARS-CoV-2) AND (angiotensin converting enzyme OR angiotensin receptor blocker)".
The primary and second outcomes were mortality (non-survivor) and severe
COVID-19, respectively. RESULTS: Totally, 7410 patients were included from 15
studies. Pooled analysis showed that the use of ACEI/ARB was not associated with
mortality (OR 0.73 [0.38, 1.40], p = 0.34; I(2): 81%) and severity (OR 1.03
[0.73, 1.45], p = 0.87; I(2): 65%). Pooled adjusted OR showed no risk/benefit
associated with ACEI/ARB use in terms of mortality (OR 0.83 [0.54, 1.27],
p = 0.38; I(2): 0%). Subgroup analysis showed that the use of ARB was associated
with reduced mortality (OR 0.51 [0.29, 0.90], p = 0.02; I(2): 22%) but not ACEI
subgroup (OR 0.68 [0.39, 1.17], p = 0.16; I(2): 0%). Meta-regression showed that
the association between ACEI/ARB use and mortality in patients with COVID-19 do
not varies by gender (p = 0.104). GRADE showed a very low certainty of evidence
for effect of ACEI/ARB on mortality and severity. The certainty of evidence was
very low for both ACEI and ARB subgroups. CONCLUSION: Administration of a renin
angiotensin system (RAS) inhibitor, was not associated with increased mortality
or severity of COVID-19 in patients with hypertension. Specifically, ARB and not
ACEI use, was associated with lower mortality.
|Angiotensin Receptor Antagonists/*therapeutic use
[MESH]
|Angiotensin-Converting Enzyme Inhibitors/*therapeutic use
[MESH]