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Statins Linked to 39% Drop in 28-Day Mortality for Sepsis Patients

Propensity score matching of more than 12,000 ICU patients revealed a 39% reduction in 28-day mortality with statin therapy, prompting calls for large randomized trials.

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Overview

  • In matched cohorts of 6,070 statin users and 6,070 non-users drawn from the MIMIC-IV database, 28-day all-cause mortality was 14.3% with statins versus 23.4% without.
  • The study employed propensity score matching to balance patient characteristics and reduce confounding in treatment allocation.
  • Researchers point to statins’ anti-inflammatory, immunomodulatory, antioxidative and antithrombotic effects as potential mechanisms for improved survival.
  • Survivors who received statins experienced slightly longer durations of mechanical ventilation and renal replacement therapy, suggesting extended recovery support.
  • Investigators and sepsis specialists underline the urgent need for large, rigorously designed randomized trials to confirm these observational findings and establish causality.