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Statins for the treatment of COVID-19 patients: an updated meta-analysis of randomized controlled trials

  • Fatemeh Movahed,
  • Ehsan Heidari,
  • Masoud Dehbozorgi,
  • Saba Goodarzi,
  • Fatemeh Esmaeilpur Abianeh,
  • Mohammad Abbasi,
  • Aida Rezaei Nejad,
  • Mohammad Javad Amini,
  • Mahmood Bakhtiyari,
  • Mojtaba Hedayat Yaghoubi,
  • Arman Shafiee

摘要

Background

Statin is a low-cost and easily accessible therapeutic option for COVID-19 patients. Previous observational studies and meta-analyses suggest using statins for COVID-19 patients.

Methods

Databases including Medline, Scopus, Embase, Cochrane Library, and clinicaltrials.gov were systematically searched.

Results

After screening 754 records, 9 trials were included. Overall, the study demonstrated a non-significant reduction in all-cause mortality (p = 0.14, RR 0.90, 95% CI 0.79–1.03), no significant difference in the need for mechanical ventilation (p = 0.62, RR 0.95, 95% CI 0.77–1.17), and a non-significant reduction in length of hospitalization (p = 0.71, MD − 0.17 (95% CI − 1.09, 0.76)). The certainty of evidence varied across outcomes, with most demonstrating reasonable certainty.

Conclusion

Our study did not support clinical efficacy of statins for the treatment of COVID-19.