Evidence map›Paper›PMID 33431495›Full record

SynthesisBMJ open2021

Demographic risk factors for COVID-19 infection, severity, ICU admission and death: a meta-analysis of 59 studies.

Bart G Pijls, Shahab Jolani, Anique Atherley, Raissa T Derckx, Janna I R Dijkstra, Gregor H L Franssen, Stevie Hendriks, Anke Richters, Annemarie Venemans-Jellema, Saurabh Zalpuri and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 332 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
332citing papers in PubMed, 8 pooled it
35.4field-weighted citation impact, top 1% 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

332 citing papers in PubMed, 8 syntheses or guidelines pooled it, 611 citations in OpenAlex.

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  10. The characteristics of chemosensory losses in the symptomatology of long-COVID.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  14. Utilizing theInternational journal of environmental research and public health · 2026
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  17. Viral co-infection with SARS-CoV-2 in hospitalized Peruvian patients during 2020-2021.Revista peruana de medicina experimental y salud publica · 2026
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  20. Article

272 more citing papers are in PubMed but not listed here.

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

11 authors at 5 institutions in 1 country.

Bart G PijlsDepartment of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands b.g.c.w.pijls@lumc.nl.ORCID 0000-0001-5351-5057
Shahab JolaniDepartment of Methodology and Statistics, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Anique AtherleyDepartment of Educational Research and Development, School of Health Professions Education, Maastricht University, Maastricht, The Netherlands.
Raissa T DerckxDepartment of General Practice, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Janna I R DijkstraAmsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands.
Gregor H L FranssenMaastricht University Library, Maastricht University, Maastricht, The Netherlands.
Stevie HendriksSchool of Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, The Netherlands.
Anke RichtersDepartment of Research and Development, The Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.ORCID 0000-0002-1580-1543
Annemarie Venemans-JellemaDe Onderzoekerij, Leiden, The Netherlands.
Saurabh ZalpuriUCB Pharma B.V, Breda, The Netherlands.
Maurice P ZeegersNUTRIM School of Translational Research in Metabolism, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Maastricht University · NLAmsterdam University Medical Centers · NLLeiden University Medical Center · NLNetherlands Comprehensive Cancer Organisation · NLUCB Pharma (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to describe the associations of age and sex with the risk of COVID-19 in different severity stages ranging from infection to death.

designSystematic review and meta-analysis. DATA SOURCES: PubMed and Embase through 4 May 2020. STUDY SELECTION: We considered cohort and case-control studies that evaluated differences in age and sex on the risk of COVID-19 infection, disease severity, intensive care unit (ICU) admission and death. DATA EXTRACTION AND SYNTHESIS: We screened and included studies using standardised electronic data extraction forms and we pooled data from published studies and data acquired by contacting authors using random effects meta-analysis. We assessed the risk of bias using the Newcastle-Ottawa Scale.

resultsWe screened 11.550 titles and included 59 studies comprising 36.470 patients in the analyses. The methodological quality of the included papers was high (8.2 out of 9). Men had a higher risk for infection with COVID-19 than women (relative risk (RR) 1.08, 95% CI 1.03 to 1.12). When infected, they also had a higher risk for severe COVID-19 disease (RR 1.18, 95% CI 1.10 to 1.27), a higher need for intensive care (RR 1.38, 95% CI 1.09 to 1.74) and a higher risk of death (RR 1.50, 95% CI 1.18 to 1.91). The analyses also showed that patients aged 70 years and above have a higher infection risk (RR 1.65, 95% CI 1.50 to 1.81), a higher risk for severe COVID-19 disease (RR 2.05, 95% CI 1.27 to 3.32), a higher need for intensive care (RR 2.70, 95% CI 1.59 to 4.60) and a higher risk of death once infected (RR 3.61, 95% CI 2.70 to 4.84) compared with patients younger than 70 years.

conclusionsMeta-analyses on 59 studies comprising 36.470 patients showed that men and patients aged 70 and above have a higher risk for COVID-19 infection, severe disease, ICU admission and death. PROSPERO REGISTRATION NUMBER: CRD42020180085.

Indexed as

Critical CareAge FactorsCOVID-19HospitalizationHumansPandemicsRisk FactorsSARS-CoV-2Severity of Illness IndexSex FactorsCOVID-19epidemiologyinfectious diseases

Identifiers

PMID33431495
PMCPMC7802392
OpenAlexW3119604045

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.