The impact of asprin use on the outcome of patients admitted to the intensive care unit with COVID-19 infection
Ghizlane El Aidouni, Amine Bouchlarhem, Houssam Bkiyar, Nabila Ismaili, Noha El Ouafi, Brahim Housni
doi:10.21203/rs.3.rs-2313880/v1
Background Our objective in this study is to know the impact of the use of asprin in anti-aggregation dose on the evolution during hospitalization of patients admitted in intensive care unit for a severe infection by SARS-COV-2.
Methods We conducted a prospective study of patients admitted to our department with severe COVID-19 infection during the period between March 2020 and March 2022, analyzing the difference between the placebo group and the aspirin group on the primary endpoint of all-cause hospital mortality and the composite secondary endpoint of use of mechanical ventilation and thromboembolic events.
Results Out of 1124 patients included, 32.6% died, with a protective effect of aspirin against placebo (Hazardratio = 0.691, p = 0.003), for thrombo-embolic complications, 104 events were observed, with a protective effect of aspirin (Hazard-Ratio = 0.448 and p = 0.001), nally regarding mechanical ventilation, there was no remarkable bene t on our sample.
Conclusion Given the divergence of results of studies published in the literature, the availability of results of large randomized controlled trials is a necessity.
References
Abani, Aspirin in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial, Lancet,
doi:10.1016/S0140-6736(21)01825-0
Botton, No association of low-dose aspirin with severe COVID-19 in France: A cohort of 31.1 million people without cardiovascular disease, Res. Pract. Thromb. Haemost,
doi:10.1002/rth2.12743
Formiga, Does admission acetylsalicylic acid uptake in hospitalized COVID-19 patients have a protective role? Data from the Spanish SEMI-COVID-19 Registry, Intern. Emerg. Med,
doi:10.1007/s11739-021-02870-1
Glatthaar-Saalmüller, Mair, Saalmüller, Antiviral activity of aspirin against RNA viruses of the respiratory tract-an in vitro study, uenza Other Respi. Viruses,
doi:10.1111/irv.12421
Sahai, Effect of aspirin on short-term outcomes in hospitalized patients with COVID-19, Vasc. Med. (United Kingdom),
doi:10.1177/1358863X211012754
Talasaz, Recent Randomized Trials of Antithrombotic Therapy for Patients With COVID-19: JACC State-of-the-Art Review, J. Am. Coll. Cardiol,
doi:10.1016/j.jacc.2021.02.035
{ 'institution': [{'name': 'Research Square'}],
'indexed': {'date-parts': [[2022, 12, 1]], 'date-time': '2022-12-01T06:01:35Z', 'timestamp': 1669874495833},
'posted': {'date-parts': [[2022, 11, 30]]},
'group-title': 'In Review',
'reference-count': 15,
'publisher': 'Research Square Platform LLC',
'license': [ { 'start': { 'date-parts': [[2022, 11, 30]],
'date-time': '2022-11-30T00:00:00Z',
'timestamp': 1669766400000},
'content-version': 'unspecified',
'delay-in-days': 0,
'URL': 'https://creativecommons.org/licenses/by/4.0/'}],
'content-domain': {'domain': [], 'crossmark-restriction': False},
'accepted': {'date-parts': [[2022, 11, 25]]},
'abstract': '<jats:title>Abstract</jats:title>\n'
' <jats:p>Background\n'
' Our objective in this study is to know the impact of the use of asprin in anti-aggregation '
'dose on the evolution during hospitalization of patients admitted in intensive care unit for '
'a severe infection by SARS-COV-2.\n'
'Methods\n'
' We conducted a prospective study of patients admitted to our department with severe COVID-19 '
'infection during the period between March 2020 and March 2022, analyzing the difference '
'between the placebo group and the aspirin group on the primary endpoint of all-cause hospital '
'mortality and the composite secondary endpoint of use of mechanical ventilation and '
'thromboembolic events.\n'
'Results\n'
' Out of 1124 patients included, 32.6% died, with a protective effect of aspirin against '
'placebo (Hazard-ratio\u2009=\u20090.691, p\u2009=\u20090.003), for thrombo-embolic '
'complications, 104 events were observed, with a protective effect of aspirin '
'(Hazard-Ratio\u2009=\u20090.448 and p\u2009=\u20090.001), finally regarding mechanical '
'ventilation, there was no remarkable benefit on our sample.\n'
'Conclusion\n'
' Given the divergence of results of studies published in the literature, the availability of '
'results of large randomized controlled trials is a necessity.</jats:p>',
'DOI': '10.21203/rs.3.rs-2313880/v1',
'type': 'posted-content',
'created': { 'date-parts': [[2022, 11, 30]],
'date-time': '2022-11-30T19:44:40Z',
'timestamp': 1669837480000},
'source': 'Crossref',
'is-referenced-by-count': 0,
'title': 'The impact of asprin use on the outcome of patients admitted to the intensive care unit with '
'COVID-19 infection',
'prefix': '10.21203',
'author': [ { 'given': 'Ghizlane El',
'family': 'Aidouni',
'sequence': 'first',
'affiliation': [{'name': 'Mohammed I st University'}]},
{ 'given': 'Amine',
'family': 'Bouchlarhem',
'sequence': 'additional',
'affiliation': [{'name': 'Mohammed I st University'}]},
{ 'given': 'Houssam',
'family': 'Bkiyar',
'sequence': 'additional',
'affiliation': [{'name': 'Mohammed I st University'}]},
{ 'given': 'Nabila',
'family': 'Ismaili',
'sequence': 'additional',
'affiliation': [{'name': 'Mohammed I st University'}]},
{ 'given': 'Noha El',
'family': 'Ouafi',
'sequence': 'additional',
'affiliation': [{'name': 'Mohammed I st University'}]},
{ 'given': 'Brahim',
'family': 'housni',
'sequence': 'additional',
'affiliation': [{'name': 'Mohammed I st University'}]}],
'member': '8761',
'reference': [ { 'issue': '3',
'key': 'ref1',
'doi-asserted-by': 'publisher',
'first-page': '100742',
'DOI': '10.1016/j.cpcardiol.2020.100742',
'article-title': 'Thrombosis and Coagulopathy in COVID-19',
'volume': '46',
'author': 'Gómez-Mesa JE',
'year': '2021',
'unstructured': 'Gómez-Mesa JE, Galindo-Coral S, Montes MC, Muñoz Martin AJ. Thrombosis '
'and Coagulopathy in COVID-19. Curr Probl Cardiol. Mar. '
'2021;46(3):100742. doi:10.1016/j.cpcardiol.2020.100742. “ ,”, , .',
'journal-title': 'Curr Probl Cardiol'},
{ 'issue': '2',
'key': 'ref2',
'doi-asserted-by': 'publisher',
'DOI': '10.1136/fmch-2020-000741',
'article-title': 'Rationales and uncertainties for aspirin use in COVID-19: A narrative '
'review',
'volume': '9',
'author': 'Ahmed HAS',
'year': '2021',
'unstructured': 'Ahmed HAS, et al., “Rationales and uncertainties for aspirin use in '
'COVID-19: A narrative review,” Fam Med Community Heal, 9, 2, 2021, '
'doi:10.1136/fmch-2020-000741.',
'journal-title': 'Fam Med Community Heal'},
{ 'issue': '3',
'key': 'ref3',
'doi-asserted-by': 'publisher',
'first-page': '143',
'DOI': '10.1016/j.tcm.2020.12.004',
'article-title': '“COVID-19 and thrombosis: From bench to bedside',
'volume': '31',
'author': 'Ali MAM',
'year': '2021',
'unstructured': 'Ali MAM, Spinler SA. “COVID-19 and thrombosis: From bench to bedside. ” '
'Trends Cardiovasc Med. Apr. 2021;31(3):143–60. '
'doi:10.1016/j.tcm.2020.12.004.',
'journal-title': '” Trends Cardiovasc Med'},
{ 'issue': '1',
'key': 'ref4',
'doi-asserted-by': 'publisher',
'first-page': '111',
'DOI': '10.1007/s11239-020-02374-3',
'article-title': '“SARS-CoV-2 infection and thrombotic complications: a narrative review',
'volume': '52',
'author': 'Moschonas IC',
'year': '2021',
'unstructured': 'Moschonas IC, Tselepis AD. “SARS-CoV-2 infection and thrombotic '
'complications: a narrative review. ” J Thromb Thrombolysis. Jul. '
'2021;52(1):111–23. doi:10.1007/s11239-020-02374-3.',
'journal-title': '” J Thromb Thrombolysis'},
{ 'issue': '7',
'key': 'ref5',
'doi-asserted-by': 'publisher',
'first-page': '479',
'DOI': '10.1016/j.semerg.2020.07.007',
'article-title': '“[COVID-19 and thromboprophylaxis: Recommendations for our clinical '
'practice in Primary Care]',
'volume': '46',
'author': 'Piera Carbonell A',
'year': '2020',
'unstructured': 'Piera Carbonell A, et al. “[COVID-19 and thromboprophylaxis: '
'Recommendations for our clinical practice in Primary Care]. ” Semergen. '
'Oct. 2020;46(7):479–86. doi:10.1016/j.semerg.2020.07.007.',
'journal-title': '” Semergen'},
{ 'key': 'ref6',
'doi-asserted-by': 'publisher',
'author': 'Birnhuber A',
'year': '2021',
'unstructured': 'Birnhuber A, et al., “Between inflammation and thrombosis: endothelial '
'cells in COVID-19.,” The European respiratory journal, vol.\xa058, no. '
'3. Sep. 2021, doi: 10.1183/13993003.00377-2021.',
'DOI': '10.1183/13993003.00377-2021'},
{ 'issue': '11',
'key': 'ref7',
'doi-asserted-by': 'publisher',
'first-page': '83',
'DOI': '10.1007/s11906-016-0688-8',
'article-title': 'Effects of Aspirin on Endothelial Function and Hypertension',
'volume': '18',
'author': 'Dzeshka MS',
'year': '2016',
'unstructured': 'Dzeshka MS, Shantsila A, Lip GYH. Effects of Aspirin on Endothelial '
'Function and Hypertension. ” Curr Hypertens Rep. Nov. 2016;18(11):83. '
'doi:10.1007/s11906-016-0688-8. “, ,, .',
'journal-title': '” Curr Hypertens Rep'},
{ 'issue': '1',
'key': 'ref8',
'doi-asserted-by': 'publisher',
'first-page': '85',
'DOI': '10.1111/irv.12421',
'article-title': 'Antiviral activity of aspirin against RNA viruses of the respiratory '
'tract-an in vitro study',
'volume': '11',
'author': 'Glatthaar-Saalmüller B',
'year': '2017',
'unstructured': 'Glatthaar-Saalmüller B, Mair KH, Saalmüller A. Antiviral activity of '
'aspirin against RNA viruses of the respiratory tract-an in vitro study. '
'” Influenza Other Respi Viruses. Jan. 2017;11(1):85–92. '
'doi:10.1111/irv.12421. “, ,, .',
'journal-title': '” Influenza Other Respi Viruses'},
{ 'key': 'ref9',
'doi-asserted-by': 'publisher',
'first-page': '143',
'DOI': '10.1016/S0140-6736(21)01825-0',
'article-title': 'Aspirin in patients admitted to hospital with COVID-19 (RECOVERY): a '
'randomised, controlled, open-label, platform trial',
'volume': '399',
'author': 'Abani O',
'year': '2022',
'unstructured': 'Abani O, et al. Aspirin in patients admitted to hospital with COVID-19 '
'(RECOVERY): a randomised, controlled, open-label, platform trial. '
'Lancet. 2022;399:10320, pp.\xa0143–51. '
'doi:10.1016/S0140-6736(21)01825-0. “,”, no.',
'journal-title': 'Lancet'},
{ 'key': 'ref10',
'doi-asserted-by': 'publisher',
'author': 'Ma S',
'year': '2022',
'unstructured': 'Ma S, et al., “Does aspirin have an effect on risk of death in patients '
'with COVID-19? A meta-analysis.,” Eur. J. Clin. Pharmacol., vol.\xa078, '
'no. 9, pp.\xa01403–1420, Sep. 2022, doi: 10.1007/s00228-022-03356-5.',
'DOI': '10.1007/s00228-022-03356-5'},
{ 'key': 'ref11',
'doi-asserted-by': 'publisher',
'author': 'Salah HM',
'year': '2021',
'unstructured': 'Salah HM, Mehta JL, “Meta-Analysis of the Effect of Aspirin on Mortality '
'in COVID-19.,” The American journal of cardiology, vol.\xa0142. pp.\xa0'
'158–159, Mar. 2021, doi: 10.1016/j.amjcard.2020.12.073.',
'DOI': '10.1016/j.amjcard.2020.12.073'},
{ 'issue': '4',
'key': 'ref12',
'doi-asserted-by': 'publisher',
'first-page': '1',
'DOI': '10.1002/rth2.12743',
'article-title': 'No association of low-dose aspirin with severe COVID‐19 in France: A '
'cohort of 31.1 million people without cardiovascular disease',
'volume': '6',
'author': 'Botton J',
'year': '2022',
'unstructured': 'Botton J, et al. No association of low-dose aspirin with severe COVID‐19 '
'in France: A cohort of 31.1 million people without cardiovascular '
'disease. Res Pract Thromb Haemost. 2022;6(4):1–6. '
'doi:10.1002/rth2.12743. “,”, , .',
'journal-title': 'Res Pract Thromb Haemost'},
{ 'key': 'ref13',
'doi-asserted-by': 'publisher',
'author': 'Talasaz AH',
'year': '2021',
'unstructured': 'Talasaz AH, et al., “Recent Randomized Trials of Antithrombotic Therapy '
'for Patients With COVID-19: JACC State-of-the-Art Review.,” J. Am. Coll. '
'Cardiol., vol.\xa077, no. 15, pp.\xa01903–1921, Apr. 2021, doi: '
'10.1016/j.jacc.2021.02.035.',
'DOI': '10.1016/j.jacc.2021.02.035'},
{ 'issue': '3',
'key': 'ref14',
'doi-asserted-by': 'publisher',
'first-page': '761',
'DOI': '10.1007/s11739-021-02870-1',
'article-title': 'Does admission acetylsalicylic acid uptake in hospitalized COVID-19 '
'patients have a protective role? Data from the Spanish SEMI-COVID-19 '
'Registry',
'volume': '17',
'author': 'Formiga F',
'year': '2022',
'unstructured': 'Formiga F, et al. Does admission acetylsalicylic acid uptake in '
'hospitalized COVID-19 patients have a protective role? Data from the '
'Spanish SEMI-COVID-19 Registry. Intern Emerg Med. 2022;17(3):761–75. '
'doi:10.1007/s11739-021-02870-1. “,”, , .',
'journal-title': 'Intern Emerg Med'},
{ 'issue': '6',
'key': 'ref15',
'doi-asserted-by': 'publisher',
'first-page': '626',
'DOI': '10.1177/1358863X211012754',
'article-title': 'Effect of aspirin on short-term outcomes in hospitalized patients with '
'COVID-19',
'volume': '26',
'author': 'Sahai A',
'year': '2021',
'unstructured': 'Sahai A, et al. Effect of aspirin on short-term outcomes in hospitalized '
'patients with COVID-19. Vasc Med (United Kingdom). 2021;26(6):626–32. '
'doi:10.1177/1358863X211012754. “,”, , .',
'journal-title': 'Vasc Med (United Kingdom)'}],
'container-title': [],
'original-title': [],
'link': [ { 'URL': 'https://www.researchsquare.com/article/rs-2313880/v1',
'content-type': 'text/html',
'content-version': 'vor',
'intended-application': 'text-mining'},
{ 'URL': 'https://www.researchsquare.com/article/rs-2313880/v1.html',
'content-type': 'unspecified',
'content-version': 'vor',
'intended-application': 'similarity-checking'}],
'deposited': { 'date-parts': [[2022, 11, 30]],
'date-time': '2022-11-30T19:44:42Z',
'timestamp': 1669837482000},
'score': 1,
'resource': {'primary': {'URL': 'https://www.researchsquare.com/article/rs-2313880/v1'}},
'subtitle': [],
'short-title': [],
'issued': {'date-parts': [[2022, 11, 30]]},
'references-count': 15,
'URL': 'http://dx.doi.org/10.21203/rs.3.rs-2313880/v1',
'relation': {},
'published': {'date-parts': [[2022, 11, 30]]},
'subtype': 'preprint'}