[PDF][PDF] In-hospital use of statins is associated with a reduced risk of mortality among individuals with COVID-19

XJ Zhang, JJ Qin, XU Cheng, L Shen, YC Zhao, Y Yuan… - Cell metabolism, 2020 - cell.com
XJ Zhang, JJ Qin, XU Cheng, L Shen, YC Zhao, Y Yuan, F Lei, MM Chen, H Yang, L Bai…
Cell metabolism, 2020cell.com
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 …
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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