Evidence map›Paper›PMID 32173574›Full record

SynthesisInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2020

Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis.

Jing Yang, Ya Zheng, Xi Gou, Ke Pu, Zhaofeng Chen, Qinghong Guo, Rui Ji, Haojia Wang, Yuping Wang, Yongning Zhou

8 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 2,117 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2,117citing papers in PubMed, 7 pooled it
103.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04321928 naterminatednot on this map

Personalized Health Education Against the Health Damage of COVID-19 Epidemic in Hungary (PROACTIVE-19)

TypeinterventionalSponsorUniversity of PecsRan2020 to 2021Enrolled449ConditionsSARS-CoV-2, Coronavirus, COVID-19, 2019-nCoVArmsPersonalized health education, General health education
NCT04349982 completednot on this map

Prospective Observational ICU Trial in Critical Ill COVID-19 Patients (POINT-C) Cardiovascular Risk and the Effects on Myocardial Events in Critical Ill COVID-19 Patients

Typeobservational_patient_registrySponsorMedical University of GrazRan2020 to 2022Enrolled31ConditionsRisk Factor, Cardiovascular, Covid19, Critical Illness, Course IllnessArmsBiomarker (TropT, Myoglobin, CK, CK-MB, LDH, D-dimer, CRP, PCT)
NCT04373135 nacompletednot on this map

A Study to Evaluate Health Behavior and Access Impacts Due to COVID-19 and for Community Engagement of Stakeholders Surrounding Scarce Resource Allocation Policy.

TypeinterventionalSponsorUniversity of California, Los AngelesRan2020 to 2021Enrolled1,971ConditionsCovid-19, Critical Illness, Attitude of Health Personnel, Attitude to HealthArmsBrief educational video
NCT04407182 phase2completednot on this map

Safety and Efficacy of Viusid and Asbrip in Hospitalized Patients in Teodoro Maldonado Carbo Specialty's Hospital Infected and Diagnosed by SARS-Cov-2 With COVID-19

TypeinterventionalSponsorCatalysis SLRan2020 to 2020Enrolled60ConditionsCovid-19, Sars-CoV2, Diabete Mellitus, CardiopathyArmsViusid and Asbrip
NCT04459390 unknown statusnot on this map

Impact of Comorbidities on COVID19 Outcome

TypeobservationalSponsorAssiut UniversityRan2020 to 2020Enrolled100ConditionsCOVID19Armsrealtime PCR
NCT04475471 unknown statusnot on this map

WHF COVID-19 and Cardiovascular Disease Survey

TypeobservationalSponsorPublic Health Foundation of IndiaRan2020 to 2023Enrolled5,200ConditionsCOVID-19, Cardiovascular Diseases
NCT04670094 completednot on this map

Comorbidities and Risk Score for Severity and Outcome in Patients With Infection by SARS-CoV-2.

TypeobservationalSponsorUniversity of Milano BicoccaRan2020 to 2021Enrolled4,555ConditionsCovid19
NCT04704544 nacompletednot on this mapstarted 2021, after this paper: background citation

Effectiveness of Tele-rheumatology for Delivering High Quality Rheumatology Care During the COVID-19 Crisis

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2021 to 2026Enrolled652ConditionsRheumatic DiseasesArmsTele-rheumatology
3 · Its place in the literature

Who cites it

2,117 citing papers in PubMed, 7 syntheses or guidelines pooled it, 4,426 citations in OpenAlex.

  1. Pooled it
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  5. Pediatric endocrinopathies related to COVID-19: an update.World journal of pediatrics : WJP · 2023
    Pooled it
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  8. Article
  9. Article
  10. Review
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  13. Profile of SARS-CoV-2/HIV-1 coinfection in patients from the extreme south of Brazil.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2026
    Article
  14. Article
  15. Microbiome-Metabolome Crosstalk as a Driver of COVID-19 Severity.Medical sciences (Basel, Switzerland) · 2026
    Article
  16. Article
  17. Ambient Air Pollution and COVID-19 in California.Research report (Health Effects Institute) · 2026
    Article
  18. Article
  19. Article
  20. Review

2,057 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Jing YangDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China; The First Clinical Medical School of Lanzhou University, Lanzhou, China.
Ya ZhengDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China; Key Laboratory for Gastrointestinal Diseases of Gansu Province, The First Hospital of Lanzhou University, Lanzhou, China.
Xi GouDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China; Gastrointestinal Endoscopy Center, Department of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China.
Ke PuDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China; The First Clinical Medical School of Lanzhou University, Lanzhou, China.
Zhaofeng ChenDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China; Gastrointestinal Endoscopy Center, Department of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China.
Qinghong GuoDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China; Key Laboratory for Gastrointestinal Diseases of Gansu Province, The First Hospital of Lanzhou University, Lanzhou, China; Gastrointestinal Endoscopy Center, Department of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China.
Rui JiDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China; Key Laboratory for Gastrointestinal Diseases of Gansu Province, The First Hospital of Lanzhou University, Lanzhou, China; Gastrointestinal Endoscopy Center, Department of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China.
Haojia WangThe First Clinical Medical School of Lanzhou University, Lanzhou, China.
Yuping WangDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China; Key Laboratory for Gastrointestinal Diseases of Gansu Province, The First Hospital of Lanzhou University, Lanzhou, China. Electronic address: wangyuping@lzu.edu.cn.
Yongning ZhouDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China; Key Laboratory for Gastrointestinal Diseases of Gansu Province, The First Hospital of Lanzhou University, Lanzhou, China; Gastrointestinal Endoscopy Center, Department of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China. Electronic address: zhouyn@lzu.edu.cn.
First Hospital of Lanzhou University · CNLanzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn outbreak of coronavirus disease 2019 (COVID-19) occurred in Wuhan, China; the epidemic is more widespread than initially estimated, with cases now confirmed in multiple countries.

aimsThe aim of this meta-analysis was to assess the prevalence of comorbidities in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infected patients and the risk of underlying diseases in severe patients compared to non-severe patients.

methodsA literature search was conducted using the databases PubMed, EMBASE, and Web of Science through February 25, 2020. Odds ratios (ORs) and 95% confidence intervals (CIs) were pooled using random-effects models.

resultsSeven studies were included in the meta-analysis, including 1 576 infected patients. The results showed the most prevalent clinical symptom was fever (91.3%, 95% CI: 86-97%), followed by cough (67.7%, 95% CI: 59-76%), fatigue (51.0%, 95% CI: 34-68%) and dyspnea (30.4%, 95% CI: 21-40%). The most prevalent comorbidities were hypertension (21.1%, 95% CI: 13.0-27.2%) and diabetes (9.7%, 95% CI: 7.2-12.2%), followed by cardiovascular disease (8.4%, 95% CI: 3.8-13.8%) and respiratory system disease (1.5%, 95% CI: 0.9-2.1%). When compared between severe and non-severe patients, the pooled OR of hypertension, respiratory system disease, and cardiovascular disease were 2.36 (95% CI: 1.46-3.83), 2.46 (95% CI: 1.76-3.44) and 3.42 (95% CI: 1.88-6.22) respectively.

conclusionWe assessed the prevalence of comorbidities in the COVID-19 patients and found that underlying disease, including hypertension, respiratory system disease and cardiovascular disease, may be risk factors for severe patients compared with non-severe patients.

Indexed as

BetacoronavirusComorbidityCoronavirus InfectionsCoughCOVID-19FeverHumansPandemicsPneumonia, ViralPrevalenceRisk FactorsSARS-CoV-2Clinical characteristicsComorbiditiesCOVID-19EpidemiologyMeta-analysisSARS-CoV-2

Identifiers

PMID32173574
PMCPMC7194638
OpenAlexW3023787531

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 2 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.