Evidence map›Paper›PMID 33346365›Full record

ArticleCardiology journal2021

Underlying heart diseases and acute COVID-19 outcomes.

Iván J Núñez-Gil, Antonio Fernández-Ortiz, Charbel Maroud Eid, Jia Huang, Rodolfo Romero, Victor Manuel Becerra-Muñoz, Aitor Uribarri, Gisela Feltes, Daniela Trabatoni, Inmaculada Fernandez-Rozas and 18 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Cardiology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04334291 (International COVID19 Clinical Evaluation Registry), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 16% 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.

NCT04334291 completednot on this map

International COVID19 Clinical Evaluation Registry: HOPECOVID19. (Health Outcome Predictive Evaluation for COVID19)

Typeobservational_patient_registrySponsorIVAN J NUÑEZ GILRan2020 to 2020Enrolled8,168ConditionsCOVID 19ArmsObservational (registry)
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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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

28 authors at 20 institutions in 5 countries.

Iván J Núñez-GilHospital Clinico San Carlos, Prof Martin Lagos, sn, 28040 Madrid, Spain. ibnsky@yahoo.es.
Antonio Fernández-OrtizHospital Clinico San Carlos, Prof Martin Lagos, sn, 28040 Madrid, Spain.
Charbel Maroud EidH La Paz, Madrid, Spain.
Jia HuangThe Second People's Hospital of Shenzhen, Shenzhen, China.
Rodolfo RomeroHospital Universitario Getafe, Madrid, Spain.
Victor Manuel Becerra-MuñozUnidad de Gestión Clínica Área del Corazón, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Universitario Virgen de la Victoria, Universidad de Málaga (UMA), Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Málaga, Spain.
Aitor UribarriHospital Clínico Universitario de Valladolid, Valladolid, Spain.
Gisela FeltesHospital Nuestra Señora de América.
Daniela TrabatoniCentro Cardiologico Monzino, IRCCS, Milano, Italy.
Inmaculada Fernandez-RozasHospital Severo Ochoa, Leganés, Spain.
Maria C Viana-LlamasHospital Universitario Guadalajara, Guadalajara, Spain.
Martino PepeAzienda ospedaliero-universitaria consorziale policlinico di Bari.
Enrico CerratoSan Luigi Gonzaga University Hospital, Rivoli, Turin. Italy.
Maurizio BertainaMartini Hospital,via Tofane, Turin. Italy.
Thamar Capel AstruaHospital Virgen del Mar, Madrid, Spain.
Emilio AlfonsoInstituto de Cardiología y Cirugía Cardiovascular, Havana, Cuba.
Alex F Castro-MejíaHospital General del norte de Guayaquil IESS Los Ceibos.
Sergio Raposeiras-RoubinUniversity Hospital Álvaro Cunqueiro, Vigo. Spain.
Fabrizio D'AscenzoSan Giovanni Battista.
Carolina Espejo PaeresH Principe Asturias, Alcalá de Henares, Spain.
Jaime Signes-CostaHospital Clínico Universitario, Incliva, Universidad de Valencia, Valencia, Spain.
Alfredo BardajiUniversity Hospital Joan XXIII. Tarragona. Spain.
Cristina Fernandez-PérezHospital Clinico San Carlos, Prof Martin Lagos, sn, 28040 Madrid, Spain.
Francisco MarinHospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Oscar Fabregat-AndresHospital IMED, Valencia, Spain.
Ibrahim AkinFirst Department of Medicine, Medical Faculty Mannheim, University Heidelberg, Mannheim, 68167, Germany, DZHK (German Center for Cardiovascular Research), Partner Site, Heidelberg-Mannheim, Mannheim, Germany.
Vicente EstradaHospital Clinico San Carlos, Prof Martin Lagos, sn, 28040 Madrid, Spain.
Carlos MacayaHospital Clinico San Carlos, Prof Martin Lagos, sn, 28040 Madrid, Spain.
Hospital Clínico San Carlos · ESAzienda Ospedaliero Universitaria San Giovanni Battista · ITAzienda Universitaria Ospedaliera Consorziale - Policlinico Bari · ITCentro Cardiologico Monzino · ITCentro de Investigación en Red en Enfermedades Cardiovasculares · ESHeidelberg University · DEHospital Clínico Universitario de Valencia · ESHospital Clínico Universitario de Valladolid · ESHospital Nuestra Señora de Alarcos · ESHospital Universitari Joan XXIII de Tarragona · ESHospital Universitario de Getafe · ESHospital Universitario de Guadalajara · ESHospital Universitario Príncipe de Asturias · ESHospital Universitario Sanitas Virgen del Mar · ESHospital Universitario Severo Ochoa · ESInstituto de Cardiología y Cirugía Cardiovascular · CUOspedale San Luigi Gonzaga · ITShenzhen Second People's Hospital · CNUniversidad de Málaga · ESUniversity Hospital Complex Of Vigo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of any underlying heart condition could influence outcomes during the coronavirus disease 2019 (COVID-19).

methodsThe registry HOPE-COVID-19 (Health Outcome Predictive Evaluation for COVID-19, NCT04334291) is an international ambispective study, enrolling COVID-19 patients discharged from hospital, dead or alive.

resultsHOPE enrolled 2798 patients from 35 centers in 7 countries. Median age was 67 years (IQR: 53.0-78.0), and most were male (59.5%). A relevant heart disease was present in 682 (24%) cases. These were older, more frequently male, with higher overall burden of cardiovascular risk factors (hypertension, dyslipidemia, diabetes mellitus, smoking habit, obesity) and other comorbidities such renal failure, lung, cerebrovascular disease and oncologic antecedents (p < 0.01, for all). The heart cohort received more corticoids (28.9% vs. 20.4%, p < 0.001), antibiotics, but less hydroxychloroquine, antivirals or tocilizumab. Considering the epidemiologic profile, a previous heart condition was independently related with shortterm mortality in the Cox multivariate analysis (1.62; 95% CI 1.29-2.03; p < 0.001). Moreover, heart patients needed more respiratory, circulatory support, and presented more in-hospital events, such heart failure, renal failure, respiratory insufficiency, sepsis, systemic infammatory response syndrome and clinically relevant bleedings (all, p < 0.001), and mortality (39.7% vs. 15.5%; p < 0.001).

conclusionsAn underlying heart disease is an adverse prognostic factor for patients suffering COVID-19. Its presence could be related with different clinical drug management and would benefit from maintaining treatment with angiotensin converting enzyme inhibitors or angiotensin receptor blockers during in-hospital stay.

Indexed as

PandemicsRegistriesAgedComorbidityCOVID-19FemaleGlobal HealthHeart DiseasesHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsSARS-CoV-2cardiologyCOVID-19heart diseasemortalityprognosisregistry

Identifiers

PMID33346365
PMCPMC8078951
OpenAlexW3111212945

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Registered trials

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.