Type 2 & other diabetes

Sodium–glucose co-transporter-2 inhibitors for hospitalised patients with COVID-19: a prospective meta-analysis of randomised trials

Lancet Diabetes EndocrinolPublished Prospective meta-analysis of randomised trials

Pooled result · All-cause mortalityResult — go to the resultSummary OR 0.93 95% CI 0.79–1.08

Authors' conclusion

Although administration of SGLT2 inhibitor was safe, we found no clear evidence that adding SGLT2 inhibitor therapy improved outcomes in patients hospitalised with COVID-19 compared with usual care or placebo. These data do not support the use of SGLT2 inhibitors as standard treatment in adults hospitalised for COVID-19.

Study context

Population
Adults hospitalised with COVID-19; 39% women, 25% T2D at randomisation
Participants
6,096 adults3 randomised control trials (RCTs)
Comparison
Oral SGLT2 inhibitors vs usual care or placebo
  • SGLT2 inhibitorn = 3,025
  • Usual care or placebon = 3,071reference
Outcome
All-cause mortality
Follow-up
28 days
Methodological detailsinverse variance weighted meta-analysis, prespecified summary outcome data, Risk of bias assessed with Cochrane tool: low
  • Inverse variance weighted meta-analysis
  • Prespecified summary outcome data
  • Risk of bias assessed with Cochrane tool: low

Pooled result

As reported in the abstract

Summary OR

0.93

95% CI 0.79–1.08

P = 0.33

Events by group

SGLT2 inhibitor

351

events

Usual care or placebo

382

events

SGLT2 inhibitorvs Usual care or placebo
summary OR 0.93 (95% CI 0.79–1.08); P = 0.33

Safety

Events

OutcomeSGLT2 inhibitorUsual care or placebo
Ketoacidosis (primary safety outcome) · 28 days72

Original publication

Sodium–glucose co-transporter-2 inhibitors for hospitalised patients with COVID-19: a prospective meta-analysis of randomised trials. Lancet Diabetes Endocrinol. Published 6 September 2024. doi:10.1016/s2213-8587(24)00219-5

Composed by AI from the published abstract and checked against it. How Briefs are made →

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