Evidence map›Paper›PMID 33092664›Full record

SynthesisEpidemiology and infection2020

Clinical characteristics of COVID-19 with cardiac injury: a systematic review and meta-analysis.

Linwen Zeng, Shihui Wang, Jianing Cai, Shaoqing Sun, Suhuai Wang, Jingjie Li, Lin Sun

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Epidemiology and infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. The controversial effect of smoking and nicotine in SARS-CoV-2 infection.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Review
  6. Review
  7. Prognostic significance of CHADSJournal of cardiovascular and thoracic research · 2022
    Article
  8. Article
  9. Review
  10. Review
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

7 authors.

Linwen ZengDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.ORCID 0000-0003-2127-7888
Shihui WangDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.ORCID 0000-0002-4177-3320
Jianing CaiDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Shaoqing SunDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Suhuai WangDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Jingjie LiDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.ORCID 0000-0001-5211-8068
Lin SunDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCardiac injury is associated with poor prognosis of 2019 novel coronavirus disease 2019 (COVID-19), but the risk factors for cardiac injury have not been fully studied. In this study, we carried out a systematic analysis of clinical characteristics in COVID-19 patients to determine potential risk factors for cardiac injury complicated COVID-19 virus infection.

methodsWe systematically searched relevant literature published in Pubmed, Embase, Europe PMC, CNKI and other databases. All statistical analyses were performed using STATA 16.0.

resultsWe analysed 5726 confirmed cases from 17 studies. The results indicated that compared with non-cardiac-injured patients, patients with cardiac injury are older, with a greater proportion of male patients, with higher possibilities of existing comorbidities, with higher risks of clinical complications, need for mechanical ventilation, ICU transfer and mortality. Moreover, C-reactive protein, procalcitonin, D-dimer, NT-proBNP and blood creatinine in patients with cardiac injury are also higher while lymphocyte counts and platelet counts decreased. However, we fortuitously found that patients with cardiac injury did not present higher clinical specificity for chest distress (P = 0.304), chest pain (P = 0.334), palpitations (P = 0.793) and smoking (P = 0.234). Similarly, the risk of concomitant arrhythmia (P = 0.103) did not increase observably either.

conclusionAge, male gender and comorbidities are risk factors for cardiac injury complicated COVID-19 infection. Such patients are susceptible to complications and usually have abnormal results of laboratory tests, leading to poor outcomes. Contrary to common cardiac diseases, cardiac injury complicated COVID-19 infection did not significantly induce chest distress, chest pain, palpitations or arrhythmias. Our study indicates that early prevention should be applied to COVID-19 patients with cardiac injury to reduce adverse outcomes.

Indexed as

Age FactorsBetacoronavirusComorbidityCoronavirus InfectionsCOVID-19Heart DiseasesHumansPandemicsPneumonia, ViralRisk FactorsSARS-CoV-2Sex FactorsCardiac injurycoronavirusCOVID-19meta analysis

Identifiers

PMID33092664
PMCPMC7653493

What OpenQuestion holds

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LicenceCC BY
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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.