Mancia (2020)
Renin–Angiotensin–Aldosterone System Blockers and the Risk of Covid-19
10.1056/NEJMoa2006923
https://pubmed.ncbi.nlm.nih.gov/32356627/
Treatment
Treatment history (Treated with ARBs vs. Not received)
COVID-19 (any condition)
Odds ratio: 0.950 (0.870-1.070) Adjusted model

Italy

Case-control study

Medical records

37301

6272 case patients in whom infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was confirmed between February 21 and March 11, 2020, were matched to 30,759 beneficiaries of the Regional Health Service (controls) according to sex, age, and municipality of residence.

Age cases yr 68±13 ; Female sex — no. (%) 2303 (36.7)

0


COVID-19 (any condition)

6272

Diagnosis was based on the protocol released by the World Health Organization — that is, positive nasopharyngeal swab specimens tested with at least two real-time reverse-transcriptase–polymerase-chain-reaction assays targeting different genes (E, RdRp, and M) of SARSCov-2. patients with a diagnosis of Covid-19


Treatment

Treatment history

Treated with ARB in the last year (2019)

Not received

Treated with ARBs


Odds ratio

0.950 (0.870-1.070)

No

No

Yes

Estimates were fully adjusted for drug therapies and comorbidities


none

Average

No