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Statins Now Associated With Lowering Deaths from Pneumonia

July 25, 2005 – Add one more to the benefits of taking statins, the widely used cholesterol-lowering drugs. The latest news is that patients hospitalized with pneumonia were less likely to die if they had been taking statins before they were admitted. Statins have already been shown to be beneficial in treating diabetes, heart disease, vascular disease and high cholesterol.

Pneumonia is the seventh most common cause of death and the leading cause of death from infection in the USA, where it kills up to 40,000 people every year – those most at risk are very young children, elderly people and patients with underlying health problems such as AIDS or chronic obstructive pulmonary disease (CPOD). The disease is caused by viruses or bacteria, which are becoming resistant to the antibiotics used to treat bacterial pneumonia.

These results are published today in the Open Access journal Respiratory Research.

Eric Mortensen and colleagues, from the University of Texas Health Centre at San Antonio measured the risk of dying from pneumonia in patients admitted with pneumonia who were taking statins prior to their entry into hospital.

They compared it with the risk of dying from the disease in pneumonia patients who were not taking statins. The authors used the Pneumonia Severity Index to rate the risk of dying within 30 days of admission to hospital in the two groups of patients. The results of their statistical analysis show that patients who were on a statin when they entered hospital were 2.8 times less likely to die than patients who were not on statins.

"Prior outpatient statin use was associated with decreased mortality in patients hospitalized with community-acquired pneumonia despite their use being associated with comorbid illnesses likely to contribute to increased mortality", write the authors.

“Our results add an additional potential benefit of statin use to the already compelling data for their use in patients with coronary artery disease, hypercholesterolemia, diabetes, and peripheral vascular disease,” say the authors..  “Additionally, patients with diabetes and vascular disease are at higher risk for either contracting pneumonia or dying from pneumonia when they do contract it.

More research is needed to explain the protective effect of statins on patients suffering from pneumonia, they say. Statins act on the cholesterol-regulating enzyme HMG-CoA reductase, but they are also known to affect the immune system and this might explain their effect on pneumonia patients.

About the source:

The effect of prior statin use on 30-day mortality for patients hospitalized with community-acquired pneumonia Eric M. Mortensen, Marcos I. Restrepo, Antonio Anzueto, Jacqueline Pugh Respiratory Research in press (25 july 2005)

This article is available free of charge, according to Respiratory Research's Open Access policy at: http://respiratory-research.com/

 

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