Outcomes of COVID-19 Hospitalized Patients Previously Treated with Renin-Angiotensin System Inhibitors.

COVID-19 SARS-CoV-2 angiotensin II receptor blocker angiotensin-converting enzyme propensity score renin–angiotensin system inhibitor

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
28 Oct 2020
Historique:
received: 15 09 2020
revised: 19 10 2020
accepted: 23 10 2020
entrez: 31 10 2020
pubmed: 1 11 2020
medline: 1 11 2020
Statut: epublish

Résumé

(1) Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) penetrates respiratory epithelium through angiotensin-converting enzyme-2 binding, raising concerns about the potentially harmful effects of renin-angiotensin system inhibitors (RASi) on Human Coronavirus Disease 2019 (COVID-19) evolution. This study aimed to provide insight into the impact of RASi on SARS-CoV-2 outcomes in patients hospitalized for COVID-19. (2) Methods: This was a retrospective analysis of hospitalized adult patients with SARS-CoV-2 infection admitted to a university hospital in France. The observation period ended at hospital discharge. (3) Results: During the study period, 943 COVID-19 patients were admitted to our institution, of whom 772 were included in this analysis. Among them, 431 (55.8%) had previously known hypertension. The median age was 68 (56-79) years. Overall, 220 (28.5%) patients were placed under mechanical ventilation and 173 (22.4%) died. According to previous exposure to RASi, we defined two groups, namely, "RASi" (

Identifiants

pubmed: 33126565
pii: jcm9113472
doi: 10.3390/jcm9113472
pmc: PMC7692895
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Elena-Mihaela Cordeanu (EM)

Department of Hypertension, Vascular Disease and Clinical Pharmacology, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Lucas Jambert (L)

Department of Vascular Medicine, Mulhouse Regional Hospital, 68100 Mulhouse, France.

Francois Severac (F)

Division of Public Health, Methodology and Biostatistics, University Hospitals of Strasbourg, 67091 Strasbourg, France.

Hélène Lambach (H)

Department of Hypertension, Vascular Disease and Clinical Pharmacology, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Jonathan Tousch (J)

Department of Hypertension, Vascular Disease and Clinical Pharmacology, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Marie Heitz (M)

Department of Hypertension, Vascular Disease and Clinical Pharmacology, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Corina Mirea (C)

Department of Hypertension, Vascular Disease and Clinical Pharmacology, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Amer Hamadé (A)

Department of Vascular Medicine, Mulhouse Regional Hospital, 68100 Mulhouse, France.

Waël Younes (W)

Department of Vascular Medicine, Colmar Regional Hospital, 68000 Colmar, France.

Anne-Sophie Frantz (AS)

Department of Hypertension, Vascular Disease and Clinical Pharmacology, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Hamid Merdji (H)

Intensive care and Reanimation Department, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Valérie Schini-Kerth (V)

UMR 1260 INSERM Regenerative Nanomedecine, Faculty of Pharmacy, Strasbourg University, 67400 Illkirch, France.

Pascal Bilbault (P)

Emergency Department, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Ferhat Meziani (F)

Intensive care and Reanimation Department, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Patrick Ohlmann (P)

Cardiology Department, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Emmanuel Andres (E)

Internal Medicine Department, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Dominique Stephan (D)

Department of Hypertension, Vascular Disease and Clinical Pharmacology, Strasbourg Regional University Hospital, 67091 Strasbourg, France.

Classifications MeSH