In:
Frontiers in Medicine, Frontiers Media SA, Vol. 9 ( 2022-2-28)
Abstract:
Apha-1-adrenergic receptor antagonists (α 1 -blockers) can suppress pro-inflammatory cytokines, thereby potentially improving outcomes among patients with COVID-19. Accordingly, we evaluated the association between α 1 -blocker exposure (before or during hospitalization) and COVID-19 in-hospital mortality. We identified 2,627 men aged 45 or older who were admitted to Mount Sinai hospitals with COVID-19 between February 24 and May 31, 2020, in New York. Men exposed to α 1 -blockers ( N = 436) were older (median age 73 vs. 64 years, P & lt; 0.001) and more likely to have comorbidities than unexposed men ( N = 2,191). Overall, 777 (29.6%) patients died in hospital, and 1,850 (70.4%) were discharged. Notably, we found that α 1 -blocker exposure was independently associated with improved in-hospital mortality in a multivariable logistic analysis (OR 0.699; 95% CI, 0.498-0.982; P = 0.039) after adjusting for patient demographics, comorbidities, and baseline vitals and labs. The protective effect of α 1 -blockers was stronger among patients with documented inpatient exposure to α 1 -blockers (OR 0.624; 95% CI 0.431-0.903; P = 0.012). Finally, age-stratified analyses suggested variable benefit from inpatient α 1 -blocker across age groups: Age 45-65 OR 0.483, 95% CI 0.216-1.081 ( P = 0.077); Age 55-75 OR 0.535, 95% CI 0.323-0.885 ( P = 0.015); Age 65-89 OR 0.727, 95% CI 0.484-1.092 ( P = 0.124). Taken together, clinical trials to assess the therapeutic value of α 1 -blockers for COVID-19 complications are warranted.
Type of Medium:
Online Resource
ISSN:
2296-858X
DOI:
10.3389/fmed.2022.849222
DOI:
10.3389/fmed.2022.849222.s001
Language:
Unknown
Publisher:
Frontiers Media SA
Publication Date:
2022
detail.hit.zdb_id:
2775999-4
