Evidence map›Paper›PMID 32965728›Full record

SynthesisInternational journal of clinical practice2021

Clinical features and outcomes of adults with coronavirus disease 2019: A systematic review and pooled analysis of the literature.

Sadie Bennett, Jacopo Tafuro, Joseph Mayer, Daniel Darlington, Chun Wai Wong, Elena-Andra Muntean, Nicholas Wong, Christian Mallen, Chun Shing Kwok

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in International journal of clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. COVID-19 under 19: A meta-analysis.Pediatric pulmonology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Sadie BennettDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Jacopo TafuroDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Joseph MayerDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Daniel DarlingtonDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Chun Wai WongDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Elena-Andra MunteanSmart Innovation Hub, Keele University, Stoke-on-Trent, UK.
Nicholas WongDepartment of Infectious Disease and Tropical Medicine, Leicester Royal Infirmary, Leicester, UK.
Christian MallenKeele School of Medicine, Keele University, Stoke-on-Trent, UK.
Chun Shing KwokDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent, UK.ORCID https://orcid.org/0000-0001-7047-1586
Royal Stoke University Hospital · GBKeele University · GBLeicester Royal Infirmary · GB

Funding

Department of Health RP_2014-04-026Department of Health RP-PG-0617-20005
6 · The paper itself

Abstract

backgroundThe 2019 coronavirus disease (COVID-19) has become a global pandemic and the published literature describing the virus has grown exponentially.

methodsWe conducted a systematic review of the literature to identify the symptoms, comorbidities present, radiological features and outcomes for adults testing positive for COVID-19 admitted to hospital. The results across multiple studies were numerically pooled to yield total estimated.

resultsA total of 45 studies were included in this review with 14 358 adult participants (average age 51 years, male 51%). The pooled findings suggest that the most common symptom among patients was fever (81.2%) followed by cough (62.9%), fatigue (38.0%) and anorexia/loss of appetite (33.7%). The comorbidities that were most prevalent among patients with the virus were hypertension (19.1%), cardiovascular disease (17.9%), endocrine disorder (9.3%) and diabetes (9.2%). Abnormal chest X-ray findings were present in 27.7% of patients and ground-glass opacity was demonstrated on chest computerized tomography in 63.0% of patients. The most frequent adverse outcomes were acute respiratory distress syndrome (27.4%), acute cardiac injury (16.2%) and acute kidney injury (12.6%). Death occurred in 8.2% of patients and 16.3% required intensive care admission and 11.7% had mechanical ventilation. Bacterial or secondary infections affected 8.5% of patients and 6.9% developed shock.

conclusionsCOVID-19 most commonly presents with fever, cough, fatigue and anorexia and among patients with existing hypertension and cardiovascular disease. It is important as serious adverse outcomes can develop such as acute respiratory distress syndrome, acute cardiac injury, acute kidney injury and death.

Indexed as

COVID-19AdultCoughFeverHumansMaleMiddle AgedPandemicsSARS-CoV-2

Identifiers

PMID32965728
PMCPMC7536970
OpenAlexW3087126478

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.