Association of Renin Angiotensin Aldosterone System Inhibitors and Outcomes of Hospitalized Patients With COVID-19. Issue 10 (27th July 2022)

• Record Type: Journal Article
• Authors: Gupta, Neha; Settle, Lisa; Brown, Brent R.; Armaignac, Donna L.; Baram, Michael; Perkins, Nicholas E.; Kaufman, Margit; Melamed, Roman R.; Christie, Amy B.; Danesh, Valerie C.; Denson, Joshua L.; Cheruku, Sreekanth R.; Boman, Karen; Bansal, Vikas; Kumar, Vishakha K.; Walkey, Allan J.; Domecq, Juan P.; Kashyap, Rahul; Aston, Christopher E.
• Other Names: Mesland Jean-Baptiste author non-byline.; Henin Pierre author non-byline.; Petre Hélène author non-byline.; Buelens Isabelle author non-byline.; Gerard Anne-Catherine author non-byline.; Clevenbergh Philippe author non-byline.; Claure-Del Granado Rolando author non-byline.; Mercado Jose A. author non-byline.; Vega-Terrazas Esdenka author non-byline.; Iturricha-Caceres Maria F. author non-byline.; Garza Ruben author non-byline.; Chu Eric author non-byline.; Chan Victoria author non-byline.; Gavidia Oscar Y. author non-byline.; Pachon Felipe author non-byline.; Sanchez Yeimy A. author non-byline.; knežević Danijel author non-byline.; El Kassas Mohamed author non-byline.; Badr Mohamed author non-byline.; Tawheed Ahmed author non-byline.; Tawheed Ahmed author non-byline.; Yahia Hend author non-byline.; Kantas Dimitrios author non-byline.; Koulouras Vasileios author non-byline.; Pineda Estela author non-byline.; Guillen Gabina María Reyes author non-byline.; Soto Helin Archaga author non-byline.; Lizardo Ana Karen Vallecillo author non-byline.; Kopitkó Csaba author non-byline.; Bencze Ágnes author non-byline.; Méhész István author non-byline.; Gerendai Zsófia author non-byline.; Doddaga Phaneendra author non-byline.; Chandra Neethi author non-byline.; Segu Smitha S. author non-byline.; Chakraborty Tuhin author non-byline.; Joyce Epcebha author non-byline.; Vadgaonkar Girish author non-byline.; Ediga Rekha author non-byline.; Basety Shilpa author non-byline.; Dammareddy Shwetha author non-byline.; Kasumalla Phani Sreeharsha author non-byline.; Raju Umamaheswara author non-byline.; Manduva Janaki author non-byline.; Kolakani Naresh author non-byline.; Sripathi Shreeja author non-byline.; Chaitanya Sheetal author non-byline.; Cherian Anusha author non-byline.; Parameswaran Sreejith author non-byline.; Parthiban Magesh author non-byline.; Priya A. 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S. author non-byline.; Amole Taiwo Gboluwaga author non-byline.; Kabir Halima author non-byline.; Haliru Dalha Gwarzo author non-byline.; Ibrahim Abdullahi S. author non-byline.; Asghar Muhammad Sohaib author non-byline.; Syed Mashaal author non-byline.; Naqvi Syed Anosh Ali author non-byline.; Zabolotskikh Igor Borisovich author non-byline.; Zybin Konstantin Dmitrievich author non-byline.; Sinkov Sergey Vasilevich author non-byline.; Musaeva Tatiana Sergeevna author non-byline.; Alamoudi Razan K. author non-byline.; AlSharif Hassan M. author non-byline.; Almazwaghi Sarah A. author non-byline.; Elsakran Mohammed S. author non-byline.; Aid Mohamed A. author non-byline.; Darwich Mouaz A. author non-byline.; Hagag Omnia M. author non-byline.; Ali Salah A. author non-byline.; rocacorba Alona author non-byline.; Supeña Kathrine author non-byline.; Juane Efren Ray author non-byline.; Medina Jenalyn author non-byline.; Baduria Jowany author non-byline.; Amer Marwa Ridha author non-byline.; Bawazeer Mohammed Abdullah author non-byline.; Dahhan Talal I. author non-byline.; Kseibi Eiad author non-byline.; Butt Abid Shahzad author non-byline.; Khurshid Syed Moazzum author non-byline.; Rabee Muath author non-byline.; Abujazar Mohammed author non-byline.; Alghunaim Razan author non-byline.; Abualkhair Maal author non-byline.; AlFirm Abeer Turki author non-byline.; Kseibi Eiad author non-byline.; Khurshid Syed Moazzum author non-byline.; Rabee Muath author non-byline.; Abujazar Mohammed author non-byline.; Alghunaim Razan author non-byline.; Arabi Yaseen M author non-byline.; Abdukahil Sheryl Ann author non-byline.; Almazyad Mohammed A. author non-byline.; Alarifi Mohammed I. author non-byline.; Macarambon Jara M. author non-byline.; Bukhari Ahmad Abdullah author non-byline.; Albahrani Hussain A. author non-byline.; Asfina Kazi N. author non-byline.; Aldossary Kaltham M. author non-byline.; Zdravkovic Marija author non-byline.; Todorovic Zoran author non-byline.; Popadic Viseslav author non-byline.; Klasnja Slobodan author non-byline.; Andrijevic Ana author non-byline.; Gavrilovic Srdjan author non-byline.; Carapic Vladimir author non-byline.; Kovacevic Bojan author non-byline.; Bojicic Jovana author non-byline.; Kovacevic Pedja author non-byline.; Predrag Stevanovic author non-byline.; Stojakov Dejan S. author non-byline.; Ignjatovic Duska K. author non-byline.; Bojic Suzana C. author non-byline.; Bobos Marina M. author non-byline.; Nenadic Irina B. author non-byline.; Zaric Milica S. author non-byline.; Djuric Marko D. author non-byline.; Djukic Vladimir R. author non-byline.; Teruel Santiago Y. author non-byline.; Martin Belen C. author non-byline.; Teruel Santiago Y. author non-byline.; Sili Uluhan author non-byline.; Bilgin Huseyin author non-byline.; Ay Pinar author non-byline.; Gharpure Varsha P author non-byline.; Raheemi Usman author non-byline.; Dodd Kenneth W. author non-byline.; Goodmanson Nicholas author non-byline.; Hesse Kathleen author non-byline.; Bird Paige author non-byline.; Weinert Chauncey author non-byline.; Schoenrade Nathan author non-byline.; Altaher Abdulrahman author non-byline.; Mayar Esmael author non-byline.; Aronson Matthew author non-byline.; Cooper Tyler author non-byline.; Logan Monica author non-byline.; Miner Brianna author non-byline.; Papo Gisele author non-byline.; Siegal Eric M. author non-byline.; Runningen Phyllis author non-byline.; Barry Suzanne author non-byline.; Woll Christopher author non-byline.; Wu Gregory author non-byline.; Carrole Erin author non-byline.; Burke Kathryn author non-byline.; Mohammed Mustafa author non-byline.; Melamed Roman R. author non-byline.; Tierney David M. author non-byline.; Patel Love A. author non-byline.; Raj Vino S. author non-byline.; Dawud Barite U. author non-byline.; Mazumder Narayana author non-byline.; Sidebottom Abbey author non-byline.; Guenther Alena M. author non-byline.; Krehbiel Benjamin D. author non-byline.; Schmitz Nova J. author non-byline.; Jepsen Stacy L. author non-byline.; Sipsey Lynn author non-byline.; Schulte Anna author non-byline.; Wunderlich Whitney author non-byline.; Hoyt Cecely author non-byline.; Raval Abhijit A author non-byline.; Franks Andrea author non-byline.; Irby Katherine author non-byline.; Sanders Ronald C. author non-byline.; Hefley Glenda author non-byline.; Jarvis Jennifer M. author non-byline.; Kharbanda Anmol author non-byline.; Jhajhria Sunil author non-byline.; Fyffe Zachary author non-byline.; Capizzi Stephen author non-byline.; Alicie Bethany author non-byline.; Green Martha author non-byline.; Crockarell Lori author non-byline.; Drennan Amelia author non-byline.; Dubuque Kathleen author non-byline.; Fambrough Tonya author non-byline.; Gasaway Nikole author non-byline.; Krantz Briana author non-byline.; Nebi Peiman author non-byline.; Orga Jan author non-byline.; Serfass Margaret author non-byline.; Simion Alina author non-byline.; Warren Kimberly author non-byline.; Wheeler Cassie author non-byline.; Woolman CJ author non-byline.; Christie Amy B. author non-byline.; Ashley Dennis W. author non-byline.; Adiga Rajani author non-byline.; Moyer Andrew S. author non-byline.; Verghese George M. author non-byline.; Newsome Andrea Sikora author non-byline.; Forehand Christy C. author non-byline.; Bruning Rebecca author non-byline.; Jones Timothy W. author non-byline.; Sabov Moldovan author non-byline.; Zaidi Fatema author non-byline.; Tissavirasingham Fiona author non-byline.; Malipeddi Dhatri author non-byline.; Mosier Jarrod M author non-byline.; Lutrick Karen author non-byline.; Campbell Beth Salvagio author non-byline.; Wilson Cathleen author non-byline.; Rivers Patrick author non-byline.; Brinks Jonathan author non-byline.; Mongoh Mokenge Ndiva author non-byline.; Gilson Boris author non-byline.; Armaignac Donna Lee author non-byline.; Parris Don author non-byline.; Zuniga Maria Pilar author non-byline.; Vargas Ilea author non-byline.; Boronat Viviana author non-byline.; Hutton Anneka author non-byline.; Kaur Navneet author non-byline.; Neupane Prashank author non-byline.; Sadule-Rios Nohemi author non-byline.; Rojas Lourdes M. author non-byline.; Neupane Aashish author non-byline.; Rivera Priscilla author non-byline.; Carlos Carlos Valle author non-byline.; Vincent Gregory author non-byline.; Amin Mahesh author non-byline.; Schelle Mary E author non-byline.; Steadham Amanda author non-byline.; Howard Christopher M. author non-byline.; McBride Cameron author non-byline.; Abraham Jocelyn author non-byline.; Garner Orlando author non-byline.; Richards Katherine author non-byline.; Collins Keegan author non-byline.; Antony Preethi author non-byline.; Mathew Sindhu author non-byline.; Danesh Valerie C. author non-byline.; Dubrocq Gueorgui author non-byline.; Davis Amber L. author non-byline.; Hammers Marissa J author non-byline.; McGahey Jill M. author non-byline.; Farris Amanda C. author non-byline.; Priest Elisa author non-byline.; Korsmo Robyn author non-byline.; Fares Lorie author non-byline.; Skiles Kathy author non-byline.; Shor Susan M. author non-byline.; Burns Kenya author non-byline.; Dowell Corrie A. author non-byline.; 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Walkey Allan J. author non-byline.; Waikar Sushrut S. author non-byline.; Garcia Michael A. author non-byline.; Colona Mia author non-byline.; Kibbelaar Zoe author non-byline.; Leong Michael author non-byline.; Wallman Daniel author non-byline.; Soni Kanupriya author non-byline.; Maccarone Jennifer author non-byline.; Gilman Joshua author non-byline.; Devis Ycar author non-byline.; Chung Joseph author non-byline.; Paracha Munizay author non-byline.; Lumelsky David N. author non-byline.; DiLorenzo Madeline author non-byline.; Abdurrahman Najla author non-byline.; Johnson Shelsey author non-byline.; Hersh Maj Andrew M. author non-byline.; Wachs CPT Stephanie L. author non-byline.; Swigger Brittany S. author non-byline.; Wachs CPT Stephanie L author non-byline.; Sattler Capt Lauren A. author non-byline.; Moulton Capt Michael N. author non-byline.; Zammit Kimberly author non-byline.; McGrath Patrick J. author non-byline.; Loeffler William author non-byline.; Chilbert Maya R. author non-byline.; Miller Aaron S. author non-byline.; Anderson Edwin L. author non-byline.; Nagy Rosemary author non-byline.; Inja Ravali R. author non-byline.; Nawathe Pooja A. author non-byline.; Pedraza Isabel author non-byline.; Tsing Jennifer author non-byline.; Carr Karen author non-byline.; Chaudhary Anila author non-byline.; Guglielmino Kathleen author non-byline.; Tirupathi Raghavendra author non-byline.; Tang Alymer author non-byline.; Safi Arshad author non-byline.; Green Cindy author non-byline.; Newell Jackie author non-byline.; Maguire Francis author non-byline.; Roach Kris author non-byline.; Short Jack author non-byline.; Mullins Jessica author non-byline.; Roumain Angela author non-byline.; Ihle Rayan E. author non-byline.; Martin Shelda A. author non-byline.; Davis Elaine A. author non-byline.; Gist Katja M. author non-byline.; Sayed Imran A author non-byline.; Brinton John author non-byline.; Strom Larisa author non-byline.; Chiotos Kathleen author non-byline.; Blatz Allison M. author non-byline.; 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• Is Part Of: Critical care medicine. Volume 50:Issue 10(2022)
• Page Start: e744
• Page End: e758
• Publication Date: 2022-07-27
• Subjects: antihypertensive agents -- COVID-19 -- mortality -- outcome -- renin-angiotensin-aldosterone system inhibitors; Critical care medicine -- Periodicals; Soins intensifs -- Périodiques; 616.028
• DOI: 10.1097/CCM.0000000000005627
• Languages: English
• ISSNs: 0090-3493

Abstract

Abstract : OBJECTIVES: To determine the association of prior use of renin-angiotensin-aldosterone system inhibitors (RAASIs) with mortality and outcomes in hospitalized patients with COVID-19. DESIGN: Retrospective observational study. SETTING: Multicenter, international COVID-19 registry. Subjects: Adult hospitalized COVID-19 patients on antihypertensive agents (AHAs) prior to admission, admitted from March 31, 2020, to March 10, 2021. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Data were compared between three groups: patients on RAASIs only, other AHAs only, and those on both medications. Multivariable logistic and linear regressions were performed after controlling for prehospitalization characteristics to estimate the effect of RAASIs on mortality and other outcomes during hospitalization. Of 26, 652 patients, 7, 975 patients were on AHAs prior to hospitalization. Of these, 1, 542 patients (19.3%) were on RAASIs only, 3, 765 patients (47.2%) were on other AHAs only, and 2, 668 (33.5%) patients were on both medications. Compared with those taking other AHAs only, patients on RAASIs only were younger (mean age 63.3 vs 66.9 yr; p < 0.0001), more often male (58.2% vs 52.4%; p = 0.0001) and more often White (55.1% vs 47.2%; p < 0.0001). After adjusting for age, gender, race, location, and comorbidities, patients on combination of RAASIs and other AHAs had higher in-hospital mortality than those on RAASIs only (odds ratio [OR] = 1.28; 95% CI [1.19–1.38]; p < 0.0001) and higher mortality than those on other AHAs only (OR = 1.09; 95% CI [1.03–1.15]; p = 0.0017). Patients on RAASIs only had lower mortality than those on other AHAs only (OR = 0.87; 95% CI [0.81–0.94]; p = 0.0003). Patients on ACEIs only had higher mortality compared with those on ARBs only (OR = 1.37; 95% CI [1.20–1.56]; p < 0.0001). CONCLUSIONS: Among patients hospitalized for COVID-19 who were taking AHAs, prior use of a combination of RAASIs and other AHAs was associated with higher in-hospital mortality than the use of RAASIs alone. When compared with ARBs, ACEIs were associated with significantly higher mortality in hospitalized COVID-19 patients.