Evidence map›Paper›PMID 33197882›Full record

ArticleAging2020

Clinical characteristics and fatal outcomes of hypertension in patients with severe COVID-19.

Xiaocheng Cheng, Guoqiang Cai, Xuesong Wen, Lei Gao, Dan Jiang, Min Sun, Shu Qin, Jianzhong Zhou, Dongying Zhang

Abstract read
In one paragraph

Article in Aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
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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.

Xiaocheng ChengDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Guoqiang CaiDepartment of Emergency, Traditional Chinese Medicine Hospital Dianjiang Chongqing, Chongqing 408300, China.
Xuesong WenDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Lei GaoDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Dan JiangDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Min SunDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Shu QinDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Jianzhong ZhouDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Dongying ZhangDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study is to investigate clinical characteristics and fatal outcomes of hypertension as well as the role of angiotensin-converting enzyme inhibitors/angiotensin receptor blockers (ACEI/ARB) use in patients with severe coronavirus disease 2019 (COVID-19). A total of 220 (female: 51.8%) patients with severe COVID-19 were included. The mean age of included patients was 59.5 years and 70 (31.8%) patients had a history of hypertension. There were 23 patients (32.9%) receiving ACEI/ARB therapy. Patients with hypertension were older and had more comorbidities, and were more likely to suffer from severe inflammatory response and acute cardiac injury. Moreover, patients with hypertension were associated with significantly higher risk of in-hospital mortality than patients without hypertension. After adjustment of potential confounders, the independent correlation was still observed. In addition, ACEI/ARB users were associated with lower level of high-sensitivity cardiac troponin I and creatinine kinase-myocardial band, and lower risk of acute cardiac injury than ACEI/ARB non-users. In conclusion, patients with hypertension were more likely to suffer from severe inflammatory response, acute cardiac injury and had high risk of in-hospital mortality in severe COVID-19. The use of ACEI/ARB may protect patients with COVID-19 from acute cardiac injury.

Indexed as

SARS-CoV-2AgedAged, 80 and overComorbidityCOVID-19Disease ManagementFemaleHumansHypertensionMaleMiddle AgedMortalitySeverity of Illness IndexSymptom AssessmentACEI/ARBcardiac injuryCOVID-19hypertensionmortality

Identifiers

PMID33197882
PMCPMC7762496

What OpenQuestion holds

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Registered trials

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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.