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In-Hospital Use of Statins Is Associated with a Reduced Risk of Mortality among Individuals with COVID-19.
Cell Metabolism ( IF 27.7 ) Pub Date : 2020-06-24 , DOI: 10.1016/j.cmet.2020.06.015
Xiao-Jing Zhang 1 , Juan-Juan Qin 2 , Xu Cheng 2 , Lijun Shen 2 , Yan-Ci Zhao 2 , Yufeng Yuan 3 , Fang Lei 4 , Ming-Ming Chen 2 , Huilin Yang 2 , Liangjie Bai 4 , Xiaohui Song 4 , Lijin Lin 2 , Meng Xia 4 , Feng Zhou 5 , Jianghua Zhou 2 , Zhi-Gang She 2 , Lihua Zhu 2 , Xinliang Ma 6 , Qingbo Xu 7 , Ping Ye 8 , Guohua Chen 9 , Liming Liu 10 , Weiming Mao 11 , Youqin Yan 12 , Bing Xiao 13 , Zhigang Lu 14 , Gang Peng 15 , Mingyu Liu 16 , Jun Yang 17 , Luyu Yang 18 , Changjiang Zhang 19 , Haofeng Lu 20 , Xigang Xia 21 , Daihong Wang 22 , Xiaofeng Liao 23 , Xiang Wei 24 , Bing-Hong Zhang 25 , Xin Zhang 4 , Juan Yang 2 , Guang-Nian Zhao 5 , Peng Zhang 5 , Peter P Liu 26 , Rohit Loomba 27 , Yan-Xiao Ji 5 , Jiahong Xia 28 , Yibin Wang 29 , Jingjing Cai 30 , Jiao Guo 31 , Hongliang Li 32
Affiliation  

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.

更新日期:2020-08-04
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