Pre-Admission Statin Use and In-Hospital Severity of 2009 Pandemic Influenza A(H1N1) Disease
2011

Impact of Pre-Admission Statin Use on Severity of Pandemic Influenza A(H1N1)

Sample size: 571 publication Evidence: low

Author Information

Author(s): Brett Stephen J., Myles Puja, Lim Wei Shen, Enstone Joanne E., Bannister Barbara, Semple Malcolm G., Read Robert C., Taylor Bruce L., McMenamin Jim, Nicholson Karl G., Nguyen-Van-Tam Jonathan S., Openshaw Peter J. M.

Primary Institution: Imperial College Healthcare NHS Trust, London, United Kingdom

Hypothesis

Does pre-admission statin use affect the severity of illness in patients hospitalized with pandemic influenza A(H1N1)?

Conclusion

Pre-admission statin use did not show a significant beneficial effect on the severity of illness in hospitalized patients with pandemic influenza A(H1N1).

Supporting Evidence

  • Statins are commonly used to lower cholesterol and may have effects on inflammation.
  • The study analyzed data from 1,520 patients with confirmed influenza A(H1N1) infection.
  • Only patients aged 35 and older were included in the analysis.
  • Statin use was not associated with a statistically significant reduction in severe outcomes.

Takeaway

The study looked at whether taking cholesterol-lowering drugs called statins helps people who get really sick from a type of flu. It found that taking statins didn't seem to make a difference in how sick people got.

Methodology

A retrospective case-control study using data from the UK Influenza Clinical Information Network (FLU-CIN) database.

Potential Biases

Potential confounding by indication due to the health status of statin users.

Limitations

The study may have been underpowered to detect a modest benefit of statins, and it only included hospitalized patients.

Participant Demographics

Patients aged 35 years and older, with a mean age of 52 years, 44% male.

Statistical Information

Confidence Interval

0.38–1.33

Digital Object Identifier (DOI)

10.1371/journal.pone.0018120

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