According to the results of a new study
featured in the October 27 issue of Archives
of Internal Medicine, people who used statin drugs and were hospitalized
with pneumonia were less likely to die within 90 days of discharge.
The study coordinated by Reimar Thomsen,
MD, PhD, of Aarhus University and Aalborg
Hospital in Aalborg, Denmark,
and colleagues, analyzed data from 29,900 adults hospitalized with pneumonia
between 1997 and 2004. Of those, 1,371 (4.65) were taking cholesterol-reducing
medications before developing pneumonia, an inflammation of the lungs generally
caused by an infection.
The differences between the two groups
became apparent during the first weeks of hospitalization, when a high number
of pneumonia-related deaths occurred, and they increased minimally between 30
and 90 days after admission, the study’s authors wrote in their report. The
death rate was more than 5 percent lower for those on statins after 30 days (10
percent to 15.7 percent), but after 90 days the differences were less
significant (16.8 percent versus 22.4 percent). These results suggest that
statin use is beneficial, primarily in the early phase of infection, according
to the report.
Other studies have suggested that statins
may benefit patients with sepsis or bacteremia, or infection of the
bloodstream. Patients with infections of the bloodstream may benefit from the
ability of stains to act against clotting, inflammation, and modification of
immune functions.
A study found that people who use statin
drugs are less likely to develop dementia. One of the leading causes for
dementia is believed to be the poor blood supply to the brain; statin drugs,
among other effects, are known to be bringing down the cholesterol level.
“Our study adds to the accumulating
evidence that statin use is associated with improved prognosis after severe
infections,” the study’s authors said. Many people with pneumonia die of
overwhelming inflammation and these drugs may help dampen this inflammation.
It is estimated that about 10 to 15% of
pneumonia patients die from the disease.
“These data suggest a substantial decrease
in mortality with statin use,” Kasturi Haldar, Ph.D. (University of Notre Dame,
South Bend., Ind.)
writes in an accompanying editorial. The editorial highlights the fact that the
study raises the question of whether statins should be used to develop therapies
effective against both acute and persistent infections.
In a separate study, researchers at Albert Einstein
Medical Center
in Philadelphia
found that statins may help prevent the development of deep vein thrombosis, or
DVT. Patients with cancer who didn’t take statins were more likely to develop
DVT and pulmonary embolism, compared to those who took statins. Being fairly
difficult to diagnose, such a clot that forms in the leg or the groin and goes
by the medical name of deep vein thrombosis (DVT), could easily become deadly
if it manages to travel to the lungs, where it becomes a pulmonary embolism.
Statins stop the blood from clotting and
lower inflammation. They also lower levels of “bad cholesterol” and raise
levels of “good cholesterol,” keep the blood vessels healthy, allowing blood to
flow freely to the brain.