Effectiveness of Atorvastatin in Reducing Inflammatory Markers and Hospitalization Period in Adults With COVID-19: A Randomized Clinical Trial

Reihane Tabaraii, A. Asghari, Leila Jafari, M. Vahedian, M. Bagherzadeh, Jamshid Vafaee Manesh
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Abstract

Background and Objectives: Statins, which are primarily used for controlling blood cholesterol levels, have a well-known role in inhibiting the inflammatory process and reducing mortality rate of infectious diseases. This study aims to evaluate the effect of atorvastatin along with standard treatment protocol in hospitalized adults with COVID-19. Methods: This randomized controlled clinical trial was conducted on adults hospitalized due to COVID-19 infection at Shahid Beheshti Hospital in Qom, Iran from April to September 2020. They were randomly divided into groups of treatment (n=37, receiving atorvastatin 40 mg daily for 30 days plus standard treatment protocol) and control (n=37, receiving standard treatment protocol alone). The data were analyzed in SPSS v.22 software using chi-square, paired t-test, and ANOVA. P<0.05 was statistically significant. Results: The CRP level in the atorvastatin-treated group decreased significantly such that there was a significant difference between the two groups after 30 days (P=0.01). There was no significant difference in Spo2 level on the discharge day. The length of hospitalization in the atorvastatin-treated group was significantly reduced compared to the control group (P<0.05). Conclusion: The use of atorvastatin as an adjunctive treatment method, can significantly reduce the length of hospitalization and CRP level after 30 days in hospitalized patients.
阿托伐他汀降低COVID-19成人炎症标志物和住院时间的有效性:一项随机临床试验
背景与目的:他汀类药物主要用于控制血胆固醇水平,在抑制炎症过程和降低传染病死亡率方面具有众所周知的作用。本研究旨在评估阿托伐他汀联合标准治疗方案对住院成人COVID-19的效果。方法:选取2020年4 - 9月在伊朗库姆市Shahid Beheshti医院因COVID-19感染住院的成人为研究对象,进行随机对照临床试验。随机分为治疗组(n=37,接受阿托伐他汀40 mg /天,连续30天加标准治疗方案)和对照组(n=37,单独接受标准治疗方案)。数据在SPSS v.22软件中使用卡方、配对t检验和方差分析进行分析。P<0.05差异有统计学意义。结果:阿托伐他汀治疗组CRP水平明显降低,30 d后两组比较差异有统计学意义(P=0.01)。各排放日Spo2水平无显著差异。与对照组相比,阿托伐他汀治疗组住院时间明显缩短(P<0.05)。结论:采用阿托伐他汀作为辅助治疗方法,可显著降低患者住院时间及30 d后CRP水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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