Sepsis & infection

Continuing vs. Withholding Home Beta-Blockers at Admission for Suspected Infection: A Target Trial Emulation

Crit Care MedPublished Retrospective cohort study

Main findingResult — go to the resultHazard ratio 0.77 95% CI 0.61–0.98

Authors' conclusion

Continuation of chronic beta-blockers in a broad population of patients admitted with suspected infection was associated with improved clinical outcomes.

Study context

Population
Adults (≥18 y) on beta-blockers before admission, hospitalised from the ED for suspected infection (blood cultures and broad-spectrum antibiotics ordered), excluding shock, heart rate <40 or >120, or need for IV beta- or calcium channel blocker; single academic tertiary ED, Midwest USeligible
Participants
4,635 adults
Exposure
Continuation vs No continuation
  • Continuationn = 1,172
  • No continuationn = 3,463reference
Methodological detailstarget trial emulation, inverse probability of treatment weighting, single-centre
  • Target trial emulation
  • Inverse probability of treatment weighting
  • Single-centre

Main finding

As reported in the abstract

Hazard ratio

0.77

95% CI 0.61–0.98

P = 0.03

Continuation vs No continuation
HR 0.77 (95% CI 0.61–0.98); P = 0.03

Observational data: associations, not effects.

Further findings

OutcomeEstimateP value
Hospital LOSIRR 0.39 (95% CI 0.38–0.41)P < 0.001
In-hospital mortalityOR 0.60 (95% CI 0.30–1.20)P = 0.15

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Continuing vs. Withholding Home Beta-Blockers at Admission for Suspected Infection: A Target Trial Emulation. Crit Care Med. Published 9 June 2026. doi:10.1097/ccm.0000000000007229

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

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