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suck abstract from ncbi


10.1038/s41598-020-76915-4

http://scihub22266oqcxt.onion/10.1038/s41598-020-76915-4
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suck abstract from ncbi


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pmid33219294      Sci+Rep 2020 ; 10 (1): 20250
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  • Adverse impact of renin-angiotensin system blockade on the clinical course in hospitalized patients with severe COVID-19: a retrospective cohort study #MMPMID33219294
  • Lim JH; Cho JH; Jeon Y; Kim JH; Lee GY; Jeon S; Noh HW; Lee YH; Lee J; Chang HH; Jung HY; Choi JY; Park SH; Kim CD; Kim YL; Kim SW
  • Sci Rep 2020[Nov]; 10 (1): 20250 PMID33219294show ga
  • The association between angiotensin-converting enzyme inhibitor (ACE-I) or angiotensin II receptor blocker (ARB) and the risk of mortality in hospitalized patients with severe coronavirus disease 2019 (COVID-19) was investigated. This retrospective cohort study was performed in all hospitalized patients with COVID-19 in tertiary hospitals in Daegu, Korea. Patients were classified based on whether they received ACE-I or ARB before COVID-19 diagnosis. The analysis of the primary outcome, in-hospital mortality, was performed using the Cox proportional hazards regression model. Of 130 patients with COVID-19, 30 (23.1%) who received ACE-I or ARB exhibited an increased risk of in-hospital mortality (adjusted hazard ratio, 2.20; 95% confidence interval [CI], 1.10-4.38; P = 0.025). ACE-I or ARB was also associated with severe complications, such as acute respiratory distress syndrome (ARDS) (adjusted odds ratio [aOR], 2.58; 95% CI, 1.02-6.51; P = 0.045) and acute kidney injury (AKI) (aOR, 3.06; 95% CI, 1.15-8.15; P = 0.026). Among the patients with ACE-I or ARB therapy, 8 patients (26.7%) used high equivalent doses of ACE-I or ARB and they had higher in-hospital mortality and an increased risk of ARDS and AKI (all, P < 0.05). ACE-I or ARB therapy in patients with severe COVID-19 was associated with the occurrence of severe complications and increased in-hospital mortality. The potentially harmful effect of ACE-I or ARB therapy may be higher in patients who received high doses.
  • |*COVID-19 Drug Treatment[MESH]
  • |Aged[MESH]
  • |Angiotensin Receptor Antagonists/adverse effects/*therapeutic use[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/adverse effects/*therapeutic use[MESH]
  • |COVID-19/epidemiology/virology[MESH]
  • |Female[MESH]
  • |Hospital Mortality[MESH]
  • |Host-Pathogen Interactions/drug effects[MESH]
  • |Humans[MESH]
  • |Kaplan-Meier Estimate[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Renin-Angiotensin System/*drug effects[MESH]
  • |Republic of Korea[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2/*drug effects/physiology[MESH]
  • |Severity of Illness Index[MESH]


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