Evidence map›Paper›PMID 33447021›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2020

Clinical Characteristics and Prognosis of COPD Patients Hospitalized with SARS-CoV-2.

María Gómez Antúnez, Antonio Muiño Míguez, Alejandro David Bendala Estrada, Guillermo Maestro de la Calle, Daniel Monge Monge, Ramón Boixeda, Javier Ena, Carmen Mella Pérez, Juan Miguel Anton Santos, Carlos Lumbreras Bermejo and 1 more

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 5 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

45 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  4. Pre-existing atrial fibrillation is associated with increased mortality in COVID-19 Patients.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021
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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

11 authors.

María Gómez AntúnezInternal Medicine Department, Gregorio Marañón University Hospital, Madrid, Spain.
Antonio Muiño MíguezInternal Medicine Department, Gregorio Marañón University Hospital, Madrid, Spain.
Alejandro David Bendala EstradaInternal Medicine Department, Gregorio Marañón University Hospital, Madrid, Spain.
Guillermo Maestro de la CalleInternal Medicine Department, 12 de Octubre University Hospital, Madrid, Spain.ORCID 0000-0002-7317-5157
Daniel Monge MongeInternal Medicine Department, Segovia Hospital Complex, Segovia, Spain.
Ramón BoixedaInternal Medicine Department, Mataró Hospital, Mataró, Barcelona, Spain.ORCID 0000-0002-5330-9971
Javier EnaInternal Medicine Department, Marina Baixa Hospital, Villajoyosa, Alicante, Spain.ORCID 0000-0002-1181-7396
Carmen Mella PérezInternal Medicine Department, Ferrol University Hospital Complex, Ferrol, A Coruña, Spain.
Juan Miguel Anton SantosInternal Medicine Department, Infanta Cristina University Hospital, Parla, Madrid, Spain.ORCID 0000-0003-3443-1100
Carlos Lumbreras BermejoInternal Medicine Department, 12 de Octubre University Hospital, Madrid, Spain.
SEMI-COVID-19 Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To describe the characteristics and prognosis of patients with COPD admitted to the hospital due to SARS-CoV-2 infection. Methods: The SEMI-COVID registry is an ongoing retrospective cohort comprising consecutive COVID-19 patients hospitalized in Spain since the beginning of the pandemic in March 2020. Data on demographics, clinical characteristics, comorbidities, laboratory tests, radiology, treatment, and progress are collected. Patients with COPD were selected and compared to patients without COPD. Factors associated with a poor prognosis were analyzed. Results: Of the 10,420 patients included in the SEMI-COVID registry as of May 21, 2020, 746 (7.16%) had a diagnosis of COPD. Patients with COPD are older than those without COPD (77 years vs 68 years) and more frequently male. They have more comorbidities (hypertension, hyperlipidemia, diabetes mellitus, atrial fibrillation, heart failure, ischemic heart disease, peripheral vascular disease, kidney failure) and a higher Charlson Comorbidity Index (2 vs 1, p<0.001). The mortality rate in COPD patients was 38.3% compared to 19.2% in patients without COPD (p<0.001). Male sex, a history of hypertension, heart failure, moderate-severe chronic kidney disease, presence of cerebrovascular disease with sequelae, degenerative neurological disease, dementia, functional dependence, and a higher Charlson Comorbidity Index have been associated with increased mortality due to COVID-19 in COPD patients. Survival was higher among patients with COPD who were treated with hydroxychloroquine (87.1% vs 74.9%, p<0.001) and with macrolides (57.9% vs 50%, p<0.037). Neither prone positioning nor non-invasive mechanical ventilation, high-flow nasal cannula, or invasive mechanical ventilation were associated with a better prognosis. Conclusion: COPD patients admitted to the hospital with SARS-CoV-2 infection have more severe disease and a worse prognosis than non-COPD patients.

Indexed as

AgedCOVID-19FemaleHumansMalePandemicsPneumonia, ViralPrognosisPulmonary Disease, Chronic ObstructiveRegistriesRetrospective StudiesRisk FactorsSARS-CoV-2SpainSurvival RateCOPDcoronavirusCOVID-19SARS-CoV-2

Identifiers

PMID33447021
PMCPMC7801905

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LicenceCC BY-NC
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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.