Evidence map›Paper›PMID 33116550›Full record

ReviewTherapeutics and clinical risk management2020

The Double Burden of the COVID-19 Pandemic and Polypharmacy on Geriatric Population - Public Health Implications.

Sayeeda Rahman, Keerti Singh, Sameer Dhingra, Jaykaran Charan, Paras Sharma, Salequl Islam, Dilshad Jahan, Katia Iskandar, Nandeeta Samad, Mainul Haque

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutics and clinical risk management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Association of Polypharmacy and Burden of Comorbidities on COVID-19 Adverse Outcomes in People with Type 1 or Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

10 authors at 8 institutions in 8 countries.

Sayeeda RahmanSchool of Medicine, American University of Integrative Sciences, Bridgetown, Barbados.ORCID 0000-0002-7005-8801
Keerti SinghFaculty of Medical Science, The University of the West Indies, Cave Hill Campus, Wanstead, Barbados.ORCID 0000-0001-7532-1229
Sameer DhingraSchool of Pharmacy, Faculty of Medical Sciences, The University of the West Indies, St. Augustine Campus, Eric Williams Medical Sciences Complex, Mount Hope, Trinidad & Tobago.ORCID 0000-0003-2537-8889
Jaykaran CharanDepartment of Pharmacology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.ORCID 0000-0002-4857-6725
Paras SharmaDepartment of Pharmacognosy, BVM College of Pharmacy, Gwalior, India.ORCID 0000-0003-0107-2666
Salequl IslamDepartment of Microbiology, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh.ORCID 0000-0001-6131-4132
Dilshad JahanDepartment of Hematology, Asgar Ali Hospital, Dhaka 1204, Bangladesh.ORCID 0000-0002-3939-9093
Katia IskandarSchool of Pharmacy, Lebanese University, Beirut, Lebanon.ORCID 0000-0001-5544-6681
Nandeeta SamadDepartment of Public Health, North South University, Bashundhara, Dhaka 1229, Bangladesh.ORCID 0000-0002-3623-0743
Mainul HaqueThe Unit of Pharmacology, Faculty of Medicine and Defence Health Universiti Pertahanan, Nasional Malaysia (National Defence University of Malaysia), Kuala Lumpur, Kem Perdana Sungai Besi, Malaysia.ORCID 0000-0002-6124-7993
University of the West · USAll India Institute of Medical Sciences Jodhpur · INAmerican University of Integrative Sciences · SXJahangirnagar University · BDLebanese University · LBNational Defence University of Malaysia · MYNorth South University · BDSeva Mandir · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 pandemic is inducing acute respiratory distress syndrome, multi-organ failure, and eventual death. Respiratory failure is the leading cause of mortality in the elderly population with pre-existing medical conditions. This group is particularly vulnerable to infections due to a declined immune system, comorbidities, geriatric syndrome, and potentially inappropriate polypharmacy. These conditions make the elderly population more susceptible to the harmful effects of medications and the deleterious consequences of infections, including MERS-CoV, SARS-CoV, and SARS-CoV-2. Chronic diseases among elderlies, including respiratory diseases, hypertension, diabetes, and coronary heart diseases, present a significant challenge for healthcare professionals. To comply with the clinical guidelines, the practitioner may prescribe a complex medication regimen that adds up to the burden of pre-existing treatment, potentially inducing adverse drug reactions and leading to harmful side-effects. Consequently, the geriatric population is at increased risk of falls, frailty, and dependence that enhances their susceptibility to morbidity and mortality due to SARS-CoV-2 respiratory syndrome, particularly interstitial pneumonia. The major challenge resides in the detection of infection that may present as atypical manifestations in this age group. Healthy aging can be possible with adequate preventive measures and appropriate medication regimen and follow-up. Adherence to the guidelines and recommendations of WHO, CDC, and other national/regional/international agencies can reduce the risks of SARS-CoV-2 infection. Better training programs are needed to enhance the skill of health care professionals and patient's caregivers. This review explains the public health implications associated with polypharmacy on the geriatric population with pre-existing co-morbidities during the COVID-19 pandemic.

Indexed as

co-morbidityCOVID-19elderlypandemicpolypharmacypublic healthviral infection

Identifiers

PMID33116550
PMCPMC7586020
OpenAlexW3094341387

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.