Evidence map›Paper›PMID 32933762›Full record

Observational studyL'Encephale2021

Increased in-hospital mortality from COVID-19 in patients with schizophrenia.

G Fond, V Pauly, V Orleans, F Antonini, C Fabre, M Sanz, S Klay, M-T Jimeno, M Leone, C Lancon and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in L'Encephale, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
6.8field-weighted citation impact, top 2% 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

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

  1. Pooled it
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  3. Asthma in patients with coronavirus disease 2019: A systematic review and meta-analysis.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Pooled it
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  17. Schizophrenia during the COVID-19 pandemic.Current opinion in psychiatry · 2021
    Review
  18. The Collateral Damage of the COVID-19 Outbreak on Mental Health and Psychiatry.International journal of environmental research and public health · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

G FondAix-Marseille Université, Health Service Research and Quality of Life Center (CEReSS), 27, boulevard Jean-Moulin, 13005 Marseille, France; Department of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France. Electronic address: guillaume.fond@ap-hm.fr.
V PaulyAix-Marseille Université, Health Service Research and Quality of Life Center (CEReSS), 27, boulevard Jean-Moulin, 13005 Marseille, France; Department of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France.
V OrleansDepartment of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France.
F AntoniniDepartment of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille Université, Assistance publique-Hôpitaux Universitaires de Marseille, Hôpital Nord, Service d'Anesthésie et de Réanimation, Marseille, France.
C FabreDepartment of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France.
M SanzDepartment of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France.
S KlayDepartment of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France.
M-T JimenoDepartment of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France.
M LeoneAix-Marseille Université, Assistance publique-Hôpitaux Universitaires de Marseille, Hôpital Nord, Service d'Anesthésie et de Réanimation, Marseille, France.
C LanconAix-Marseille Université, Health Service Research and Quality of Life Center (CEReSS), 27, boulevard Jean-Moulin, 13005 Marseille, France; Department of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France.
P AuquierAix-Marseille Université, Health Service Research and Quality of Life Center (CEReSS), 27, boulevard Jean-Moulin, 13005 Marseille, France; Department of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France.
L BoyerAix-Marseille Université, Health Service Research and Quality of Life Center (CEReSS), 27, boulevard Jean-Moulin, 13005 Marseille, France; Department of Medical Information, Assistance publique-Hôpitaux de Marseille, Marseille, France.
Assistance Publique Hôpitaux de Marseille · FRAix-Marseille Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited information describing the presenting characteristics and outcomes of patients with schizophrenia (SCZ) requiring hospitalization for coronavirus disease 2019 (COVID-19).

aimsWe aimed to compare the clinical characteristics and outcomes of COVID-19 SCZ patients with those of non-SCZ patients.

methodThis was a case-control study of COVID-19 patients admitted to 4 AP-HM/AMU acute care hospitals in Marseille, southern France. COVID-19 infection was confirmed by a positive result on polymerase chain reaction testing of a nasopharyngeal sample and/or on chest computed scan among patients requiring hospital admission. The primary outcome was in-hospital mortality. The secondary outcome was intensive care unit (ICU) admission.

resultsA total of 1092 patients were included. The overall in-hospital mortality rate was 9.0%. The SCZ patients had an increased mortality compared to the non-SCZ patients (26.7% vs. 8.7%, P=0.039), which was confirmed by the multivariable analysis after adjustment for age, sex, smoking status, obesity and comorbidity (adjusted odds ratio 4.36 [95% CI: 1.09-17.44]; P=0.038). In contrast, the SCZ patients were not more frequently admitted to the ICU than the non-SCZ patients. Importantly, the SCZ patients were mostly institutionalized (63.6%, 100% of those who died), and they were more likely to have cancers and respiratory comorbidities.

conclusionsThis study suggests that SCZ is not overrepresented among COVID-19 hospitalized patients, but SCZ is associated with excess COVID-19 mortality, confirming the existence of health disparities described in other somatic diseases.

Indexed as

AdultCase-Control StudiesCause of DeathComorbidityCOVID-19Cross-Sectional StudiesFemaleFranceHealth Status DisparitiesHospitalizationHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedMultivariate AnalysisCOVID-19Étude d’observationMaladie mentaleMortalitéObservational studyPsychiatriePsychiatrySanté mentaleSchizophreniaSchizophrénie

Identifiers

PMID32933762
PMCPMC7392112
OpenAlexW3045957373

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.