Association of Metformin with Mortality in COVID-19 Patients: A Systematic Review and Meta-Analysis

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ANAMS2023v59n1p13.pdf (1 MB)
Date
2023-01
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Thieme Medical and Scientific Publishers Pvt. Ltd
Abstract
Studies have demonstrated high prevalence of mortality in coronavirus disease (COVID-19) patients with type 2 diabetes mellitus; however, the effects of antidiabetic pharmacotherapy on COVID-19 complications need further exploration. The aim of the study was to explore the association of metformin use and mortality in COVID-19 patients. A literature search was conducted using the databases Medline (via PubMed) and Cochrane Central Register of Controlled Trials until February 09, 2021. Nine studies were included in the meta-analysis, including 12,684 COVID-19 patients. The meta-analysis suggested 37% lower risk of mortality in patients receiving metformin (risk ratio: 0.63; 95% confidence interval: 0.50–0.78; p?<?0.001). However, no significant difference in hospitalization days between the two groups (p?=?0.197) was observed. The analysis revealed significantly lower risk of having obesity (p?<?0.001), hypertension (p?<?0.001), heart failure (p?<?0.001), and cerebrovascular disease (p?=?0.015) in the group receiving metformin. The analysis also demonstrated significantly lower risk of using anticoagulants (p?=?0.015), diuretics (p?<?0.001), and antiplatelets (p?=?0.010) in patients receiving metformin. Our findings suggest that metformin use decreases mortality in COVID-19 patients. However, randomized studies demonstrating the consequences of metformin use are needed to understand the magnitude of the beneficial effects of metformin
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Keywords
COVID-19, hospitalization, metformin, mortality, meta-analysis, type 2 diabetes, SARS-CoV-2
Citation
Parveen, Rizwana
Mishra, Pinki
Luthra, Reva
Bajpai, Ram
Agarwal, Nidhi. Association of Metformin with Mortality in COVID-19 Patients: A Systematic Review and Meta-Analysis. Annals of the National Academy of Medical Sciences. 2023 Jan; 59(1): 13-20
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https://imsear.searo.who.int/handle/123456789/220215
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Annals of the National Academy of Medical Sciences (India)