Statin administration did not influence the progression of lung injury or associated organ failures in a cohort of patients with acute lung injury - PubMed (original) (raw)
. 2009 Jun;35(6):1039-46.
doi: 10.1007/s00134-009-1421-8. Epub 2009 Jan 31.
Affiliations
- PMID: 19183945
- DOI: 10.1007/s00134-009-1421-8
Statin administration did not influence the progression of lung injury or associated organ failures in a cohort of patients with acute lung injury
Daryl J Kor et al. Intensive Care Med. 2009 Jun.
Abstract
Purpose: Preclinical studies suggest that HMG-CoA reductase inhibitors (statins) may attenuate organ dysfunction. We evaluated whether statins are associated with attenuation of lung injury and prevention of associated organ failure in patients with ALI/ARDS.
Methods: From a database of patients with ALI/ARDS, we determined the presence and timing of statin administration. Main outcome measures were the development and progression of pulmonary and nonpulmonary organ failures as assessed by changes in PaO(2)/FiO(2) ratio and Sequential Organ Failure Assessment score (SOFA) between days 1 and 7 after the onset of ALI/ARDS. Secondary outcomes included ventilator free days, ICU and hospital mortality, and lengths of ICU and hospital stay.
Results: From 178 patients with ALI/ARDS, 45 (25%) received statin therapy. From day 1 to day 7, the statin group showed less improvement in their PaO(2)/FiO(2) ratio (27 vs. 55, P = 0.042). Ventilator free days (median 21 vs. 16 days, P = 0.158), development or progression of organ failures (median DeltaSOFA 1 vs. 2, P = 0.275), ICU mortality (20% vs. 23%, P = 0.643), and hospital mortality (27 vs. 37%, P = 0.207) were not significantly different in the statin and non-statin groups. After adjustment for baseline characteristics and propensity for statin administration, there were no differences in ICU or hospital lengths of stay.
Conclusion: In this retrospective cohort study, statin use was not associated with improved outcome in patients with ALI/ARDS. We were unable to find evidence for protection against pulmonary or nonpulmonary organ dysfunction.
Comment in
- Comment on "Statin administration did not influence the progression of lung injury or associated organ failures in a cohort of patients with acute lung injury".
Shyamsundar M, Craig T, O'Kane C, McAuley D. Shyamsundar M, et al. Intensive Care Med. 2009 Aug;35(8):1494-5; author reply 1496. doi: 10.1007/s00134-009-1506-4. Epub 2009 May 14. Intensive Care Med. 2009. PMID: 19440692 No abstract available.
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