Liabeuf (2020)
Association between renin–angiotensin system inhibitors and COVID-19 complications
https://doi.org/10.1093/ehjcvp/pvaa062
https://academic.oup.com/ehjcvp/article/doi/10.1093/ehjcvp/pvaa062/5856622
Comorbidities
Hypertension (Present vs. Not present)
COVID-19 (severe/fatal)
Odds ratio: 1.220 (0.630-1.730) Adjusted model

France

Retrospective observational study

Medical records

268

All consecutive hospitalized patients with laboratory-confirmed COVID-19 in a university hospital in Amiens (France) were included in this study.

A total of 499 local patients tested positive for SARS-CoV-2. Of these, 231 were not hospitalized [males 33%; median (IQR) age: 44 (32–54)] and 268 were hospitalized [males 58%; median (IQR) age: 73 (61–84)]. Among the hospitalized patients, 116 met the primary outcome (47 died before ICU admission and 69 were admitted to the ICU). The primary study outcome was a composite endpoint: ICU admission or death before ICU admission. The two events comprising the composite endpoint were also evaluated separately as secondary outcomes.

Median

32 Day


COVID-19 (severe/fatal)

116

composite endpoint: ICU admission or death before ICU admission.


Comorbidities

Hypertension

none

Not present

Present


Odds ratio

1.220 (0.630-1.730)

No

No

Yes

Risk was adjusted for the 1) primary endpoint - age, sex, coronary heart disease, hypertension, chronic obstructive pulmonary disease, antihypertensive agent, including beta-blockers, diuretics, renin–angiotensin system inhibitors (RASIs) and Anti-inflammatory drugs. 2) two secondary endpoints - [ICU admission and death before ICU admission].


Long-term treatment with a RASI was defined as a prescription of an ACE inhibitor or an angiotensin II type I receptor blocker (ARB) alone or combined with another antihypertensive agent.

Average

Yes