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Hyperlipidemia, statin use and dengue severity

Authors: Tsin W. Yeo; Tsin W. Yeo; Htet Lin Htun; Yee Sin Leo; David C. Lye; David C. Lye; David C. Lye; +2 Authors

Hyperlipidemia, statin use and dengue severity

Abstract

AbstractMultiple in vitro and mice model studies suggest statins may attenuate dengue severity. However, little is known about statin use and dengue severity in adult dengue patients with hyperlipidemia. We conducted a retrospective cohort study from 2004–2008 and 2012–2013 in Tan Tock Seng Hospital, Singapore on adult dengue patients with hyperlipidemia, comparing those with and without statin usage at hospitalization in terms of primary outcome of dengue hemorrhagic fever (DHF) or shock syndrome (DSS), and severe dengue (SD). Of 13,975 subjects screened, 257 dengue patients were included; 191 (74.3%) were statin users and 66 (25.7%) were non-users. Compared with non-users, statin use was not associated with decreased risk of DHF/DSS (adjusted risk ratio [aRR] = 0.66, 95%confidence interval [CI]: 0.41–1.08, P = 0.10) and SD (aRR = 1.43, 95%CI: 0.84–2.43, P = 0.19). Therefore, statin usage had minimal effect on dengue severity in our study population in Singapore.

Country
Singapore
Keywords

Adult, Male, retrospective study, very elderly, 610, Hyperlipidemias, Severity of Illness Index, Article, hydroxymethylglutaryl coenzyme A reductase inhibitor, Dengue, Mice, male, middle aged, 80 and over, hyperlipidemia, severity of illness index, Animals, Humans, animal, :Science::Medicine [DRNTU], human, mouse, Aged, Retrospective Studies, Aged, 80 and over, Singapore, adult, Dengue Severity, Middle Aged, dengue, Hospitalization, aged, female, Hyperlipidemia, pathology, Female, Hydroxymethylglutaryl-CoA Reductase Inhibitors, hospitalization

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
11
Top 10%
Average
Top 10%
Green
gold