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Yan, Huadong; Valdes, Ana M; Vijay, Amrita; Wang, Shanbo; Liang, Lili; Yang, Shiqing; Wang, Hongxia; Tan, Xiaoyan; Du, Jingyuan; Jin, Susu; Huang, Kecheng; Jiang, Fanrong; Zhang, Shun; Zheng, Nanhong; Hu, Yaoren; Cai, Ting; Aithal, Guruprasad P
Role of drugs used for chronic disease management on susceptibility and severity of COVID-19: A large case-control study Journal Article
In: Clin. Pharmacol. Ther., vol. 108, no. 6, pp. 1185–1194, 2020.
Abstract | Tags: #Joint first authors, Antidiabetic medications, Antihypertensive medications, Calcium channel blockers, Corticosteroids, COVID-19, Risk, Severity
@article{Yan2020-vl,
title = {Role of drugs used for chronic disease management on
susceptibility and severity of COVID-19: A large case-control
study},
author = {Huadong Yan and Ana M Valdes and Amrita Vijay and Shanbo Wang and Lili Liang and Shiqing Yang and Hongxia Wang and Xiaoyan Tan and Jingyuan Du and Susu Jin and Kecheng Huang and Fanrong Jiang and Shun Zhang and Nanhong Zheng and Yaoren Hu and Ting Cai and Guruprasad P Aithal},
year = {2020},
date = {2020-12-01},
journal = {Clin. Pharmacol. Ther.},
volume = {108},
number = {6},
pages = {1185\textendash1194},
publisher = {Wiley},
abstract = {This study aimed to investigate whether specific medications
used in the treatment chronic diseases affected either the
development and/ or severity of coronavirus disease 2019
(COVID-19) in a cohort of 610 COVID-19 cases and 48,667
population-based controls from Zhejiang, China. Using a cohort
of 578 COVID-19 cases and 48,667 population-based controls from
Zhejiang, China, we tested the role of usage of cardiovascular,
antidiabetic, and other medications on risk and severity of
COVID-19. Analyses were adjusted for age, sex, and body mass
index and for presence of relevant comorbidities. Individuals
with hypertension taking calcium channel blockers had significantly increased risk (odds ratio (OR) = 1.73, 95%
confidence interval (CI) 1.2-2.3) of manifesting symptoms of
COVID-19, whereas those taking angiotensin receptor blockers and diuretics had significantly lower disease risk (OR = 0.22, 95% CI 0.15-0.30 and OR = 0.30, 95% CI 0.19-0.58, respectively).
Among those with type 2 diabetes, dipeptidyl peptidase-4 inhibitors (OR = 6.02, 95% CI 2.3-15.5) and insulin (OR = 2.71,
95% CI 1.6-5.5) were more and glucosidase inhibitors were less prevalent (OR = 0.11, 95% CI 0.1-0.3) among with patients with
COVID-19. Drugs used in the treatment of hypertension and
diabetes influence the risk of development of COVID-19, but, not
its severity.},
keywords = {#Joint first authors, Antidiabetic medications, Antihypertensive medications, Calcium channel blockers, Corticosteroids, COVID-19, Risk, Severity},
pubstate = {published},
tppubtype = {article}
}
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