Evidence map›Paper›PMID 32451362›Full record

ArticleHeart (British Cardiac Society)2020

Do underlying cardiovascular diseases have any impact on hospitalised patients with COVID-19?

Jixiang Zhang, Shimin Lu, Xiaoli Wang, Xuemei Jia, Jiao Li, Hongbo Lei, Zhengru Liu, Fei Liao, Mengyao Ji, Xiaoguang Lv and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
1.2field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Observational
  6. Observational
  7. Article
  8. Article
  9. Comorbidities of COVID-19 Patients.Medicina (Kaunas, Lithuania) · 2023
    Review
  10. Orthopedic Manifestations and Post-COVID-19 Infection.Journal of pharmacy & bioallied sciences · 2023
    Article
  11. Review
  12. Article
  13. How Does COVID-19 Affect the Heart?Current cardiology reports · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Frequency of orthopedic manifestations in COVID-19 patients.Journal of Taibah University Medical Sciences · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Jixiang Zhang *Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Shimin Lu *Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Xiaoli WangDepartment of Plastic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Xuemei JiaDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Jiao LiDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Hongbo LeiDepartment of Oncology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Zhengru LiuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Fei LiaoDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Mengyao JiDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Xiaoguang LvDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Jian KangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Shan TianDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Jingjing MaDepartment of Geriatrics, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Dandan WuDepartment of Respirology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Yang GongDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Yu XuDepartment of Otorhinolaryngology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China dwg@whu.edu.cn xy37138@163.com.
Weiguo DongDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China dwg@whu.edu.cn xy37138@163.com.ORCID http://orcid.org/0000-0002-4228-6508
Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAn outbreak of the highly contagious severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has sickened thousands of people in China. The purpose of this study was to explore the early clinical characteristics of COVID-19 patients with cardiovascular disease (CVD).

methodsThis is a retrospective analysis of patients with COVID-19 from a single centre. All patients underwent real-time reverse transcription PCR for SARS-CoV-2 on admission. Demographic and clinical factors and laboratory data were reviewed and collected to evaluate for significant associations.

resultsThe study included 541 patients with COVID-19. A total of 144 (26.6%) patients had a history of CVD. The mortality of patients with CVD reached 22.2%, which was higher than that of the overall population of this study (9.8%). Patients with CVD were also more likely to develop liver function abnormality, elevated blood creatinine and lactic dehydrogenase (p<0.05). Symptoms of sputum production were more common in patients with CVD (p=0.026). Lymphocytes, haemoglobin and albumin below the normal range were pervasive in the CVD group (p<0.05). The proportion of critically ill patients in the CVD group (27.8%) was significantly higher than that in the non-CVD group (8.8%). Multivariable logistic regression analysis revealed that CVD (OR: 2.735 (95% CI 1.495 to 5.003), p=0.001) was associated with critical COVID-19 condition, while patients with coronary heart disease were less likely to reach recovery standards (OR: 0.331 (95% CI 0.125 to 0.880), p=0.027).

conclusionsConsidering the high prevalence of CVD, a thorough CVD assessment at diagnosis and early intervention are recommended in COVID-19 patients with CVD. Patients with CVD are more vulnerable to deterioration.

Indexed as

BetacoronavirusHospitalizationSeverity of Illness IndexAge FactorsAlanine TransaminaseAspartate AminotransferasesCardiovascular DiseasesChinaClinical DeteriorationCoronavirus InfectionsCOVID-19CreatinineCritical IllnessFemaleHemoglobinsHumansAlanine TransaminaseAspartate AminotransferasesCreatinineHemoglobinsL-Lactate DehydrogenaseSerum Albumincardiac rehabilitationcardiac risk factors and preventionelectronic medical recordshypertension

Identifiers

PMID32451362
PMCPMC7253226
OpenAlexW3027140419

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.