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Point and Counterpoint |

POINT: Should Patients Receiving Statins Prior to ICU Admission Be Continued on Statin Therapy? YesContinued Statins in ICU? Yes

Alexander H. Flannery, PharmD, BCPS; Peter S. Kruger, MBBS, PhD
Author and Funding Information

From the Medical Intensive Care Unit/Pulmonary (Dr Flannery), College of Pharmacy, University of Kentucky HealthCare; Intensive Care (Dr Kruger), Princess Alexandra Hospital, Woolloongabba; and Discipline of Anaesthesiology and Critical Care (Dr Kruger), University of Queensland.

CORRESPONDENCE TO: Alexander H. Flannery, PharmD, BCPS, University of Kentucky HealthCare, 800 Rose St, H110, Lexington, KY 40536; e-mail: alex.flannery@uky.edu


FINANCIAL/NONFINANCIAL DISCLOSURES: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(6):1431-1433. doi:10.1378/chest.14-2223
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With the release of updated guidelines for the treatment of cholesterol, an additional 13 million Americans may be eligible for or prescribed statin therapy, possibly bringing the overall total to 56 million.1,2 Already, as many as 30% of acute hospital admissions are prescribed statins.3 More patients than ever before are likely to present to the hospital receiving statins prior to admission, making the decision to continue a patient’s home statin regimen an almost daily occurrence for practicing critical care physicians. Unintentional discontinuation of medications for chronic disease is a risk with hospitalization and an even greater risk with ICU admission.4 As such, the clinical question related to continued statin therapy in the ICU provides an opportunity to influence both short- and long-term outcomes from critical illness.

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