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Table 2 Summary of the results of previous meta-analyses on observational studies

From: Adjunctive therapy with lipid-lowering agents in COVID-19: a systematic review and meta-analysis of randomized controlled trials

 

Author, Year

Included studies design

Number of included studies

Main Findings

1

Lao et al., 2022

Retrospective observational which reported covariate adjusted effect estimates

70

Statin was associated with reduced mortality, ICU admission, and mechanical ventilation

2

Vahedian-Azimi et al., 2021

Observational studies

23

Statin use had no significant effect on ICU admission and all-cause mortality, however, it decreased need for intubation

3

Diaz-Arocutipa et al., 2021

Cohort studies

25

Unadjusted risk ratio meta-analysis did not show a reduction in mortality, while adjusted odds and hazard ratio meta-analysis resulted in significant association of statins and mortality reduction

4

Kow et al., 2021

Original observational studies and preprints

35

Use of statins was associated with a significantly lower risk of all-cause mortality and endpoint of severe illness

5

Yetmar et al., 2021

Cohorts and case–control studies (observational)

19

Prior statin use was associated with a lower risk of mortality and severe COVID-19

6

Kollias et al., 2021

Prospective or retrospective design

22

Statin use was associated with lower risk of mortality from COVID-19

7

Zein et al., 2022

Propensity-matched cohorts

8

Decreased mortality was observed to be associated with statin use

8

Chow et al., 2021

Cohort studies

13

Risk of mortality was similar between statin users and non-users. However, the patients started their statin use after COVID-19 diagnosis had lower mortality

9

Wu et al., 2021

Observational studies

28

Use of statins was significantly associated with decreased mortality and invasive mechanical ventilator support

10

Vahedian-Azimi, 2021

Observational studies

24

Significant reduction was observed in statin users in terms of ICU admission, and death. However, no difference was observed in tracheal intubation

11

Hariyanto et al., 2021

Observational studies

35

Statin use did not improve the composite poor outcomes of COVID-19

12

Permana et al., 2021

Retrospective cohort

13

In-hospital statin use was associated with reduced risk of mortality, while pre-admission use of statins was not related to mortality

13

Pal et al., 2022

Observational studies

14

Unadjusted data meta-analysis revealed no improved clinical outcomes, while adjusted risk estimated showed significant reduction in adverse outcomes of COVID-19

14

Hariyanto et al., 2020

Observational studies

9

Statin use did not affect in-hospital outcomes of COVID-19

  1. Full reference citation of these meta-analyses are in Supplementary Materials; ICU: intensive care unit