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Table 3 Adjusted rates and risk differences for adverse inpatient outcomes according to statin intensity, Northwestern Medical Group, March 2020-September 2022

From: Association of statin use with outcomes of patients admitted with COVID-19: an analysis of electronic health records using superlearner

Outcome

Estimated Rate per 100 admitted Patients (95% CI)

Risk Difference (vs non-user) (95% CI)

A. Adjusting Baseline covariates only

 Composite

  

  Non-user

18.84 (18.07, 19.61)

NA

  Low-moderate intensity

15.17 (13.34, 17)

 − 3.67 (− 5.65, − 1.7)*

  High intensity

15.96 (13.84, 18.08)

 − 2.88 (− 5.12, − 0.63)*

 ICU admission

  

  Non-user

17.89 (17.14, 18.64)

NA

  Low-moderate intensity

14.09 (12.32, 15.87)

 − 3.8 (− 5.72, − 1.87)*

  High intensity

15.5 (13.42, 17.58)

 − 2.39 (− 4.6, − 0.18)*

 Intubation

  

  Non-user

7.76 (7.24, 8.27)

NA

  Low-moderate intensity

6.02 (4.73, 7.31)

 − 1.74 (− 3.11, − 0.36)*

  High intensity

5.68 (4.31, 7.06)

 − 2.07 (− 3.54, − 0.61)*

 Inpatient Death

  

  Non-user

5.14 (4.71, 5.57)

NA

  Low-moderate intensity

4.7 (3.77, 5.62)

 − 0.44 (− 1.45, 0.56)

  High intensity

3.93 (2.95, 4.91)

 − 1.21 (− 2.28, − 0.15)*

B. Adjusting for Baseline and site variables

 Composite

  

  Non-user

18.83 (18.07, 19.6)

NA

  Low-moderate intensity

15.14 (13.35, 16.92)

 − 3.7 (− 5.63, − 1.77)*

  High intensity

15.9 (13.82, 17.98)

 − 2.93 (− 5.14, − 0.72)*

 ICU admission

  

  Non-user

17.88 (17.13, 18.63)

NA

  Low-moderate intensity

14.23 (12.49, 15.97)

 − 3.65 (− 5.53, − 1.76)*

  High intensity

15.67 (13.58, 17.77)

 − 2.21 (− 4.43, 0.02)

 Intubation

  

  Non-user

7.71 (7.2, 8.21)

NA

  Low-moderate intensity

6.06 (4.79, 7.33)

 − 1.65 (− 3.01, − 0.28)*

  High intensity

5.68 (4.34, 7.03)

 − 2.02 (− 3.46, − 0.59)*

 Inpatient Death

  

  Non-user

5.11 (4.69, 5.54)

NA

  Low-moderate intensity

4.79 (3.84, 5.74)

 − 0.33 (− 1.36, 0.7)

  High intensity

3.87 (2.93, 4.82)

 − 1.24 (− 2.27, − 0.21)*

C. Adjusting for Baseline, site, and clinical variables

 Composite

  

  Non-user

18.64 (17.89, 19.39)

NA

  Low-moderate intensity

15.53 (13.72, 17.34)

 − 3.11 (− 5.05, − 1.17)*

  High intensity

16.01 (14, 18.03)

 − 2.62 (− 4.75, − 0.5)*

 ICU admission

  Non-user

17.88 (17.13, 18.62)

NA

  Low-moderate intensity

14.13 (12.39, 15.88)

 − 3.74 (− 5.63, − 1.85)*

  High intensity

15.47 (13.4, 17.54)

 − 2.4 (− 4.59, − 0.22)*

 Intubation

  Non-user

7.71 (7.2, 8.22)

NA

  Low-moderate intensity

6.21 (4.88, 7.53)

 − 1.5 (− 2.91, − 0.09)*

  High intensity

5.65 (4.31, 6.98)

 − 2.06 (− 3.49, − 0.64)*

 Inpatient Death

  Non-user

5.09 (4.66, 5.51)

NA

  Low-moderate intensity

4.82 (3.88, 5.77)

 − 0.26 (− 1.29, 0.76)

  High intensity

3.88 (2.95, 4.82)

 − 1.2 (− 2.22, − 0.19)*

  1. CI – confidence interval *—95% CI lies on the same side of null (zero) suggesting significant difference between the two groups. High intensity statin was defined as atorvastatin ≥ 40 mg or rosuvastatin ≥ 20 mg. Any other prescription was considered low-to-moderate intensity. Assessment was based on the prescription closest to 30 days before the admission of interest. Sample size for each group are as follows: 11,112 non-users, 2657 low-to-moderate intensity users, and 1755 high intensity users. Baseline covariates include age, gender, body mass index (BMI) 25 or higher (binary), race, Hispanic ethnicity, county of residence, co-morbidities (asthma, cancer, cardiovascular disease, chronic obstructive pulmonary disease, chronic liver disease, diabetes, hypertension, and renal disease), and month of admission. Site variables are dummies for hospital facility and clinical variables include baseline measures of heart rate, respiratory rate, systolic and diastolic blood pressure, and oxygen saturation