Evidence map›Paper›PMID 33472729›Full record

ArticleBiomedical and environmental sciences : BES2020

Association of Overlapped and Un-overlapped Comorbidities with COVID-19 Severity and Treatment Outcomes: A Retrospective Cohort Study from Nine Provinces in China.

Yan Ma, Dong Shan Zhu, Ren Bo Chen, Nan Nan Shi, Si Hong Liu, Yi Pin Fan, Gui Hui Wu, Pu Ye Yang, Jiang Feng Bai, Hong Chen and 55 more

Open access · greenAbstract read
In one paragraph

Article in Biomedical and environmental sciences : BES, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 pooled it
0.4field-weighted citation impact, top 24% 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

15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Hyperlipidemia, COVID-19 and acute pancreatitis: A tale of three entities.The American journal of the medical sciences · 2022
    Review
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  11. Article
  12. Article
  13. Review
  14. Article
  15. Qingfei Paidu Decoction for COVID-19: A Bibliometric Analysis.Biomedical and environmental sciences : BES · 2021
    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

65 authors at 2 institutions in 1 country.

Yan MaInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Dong Shan ZhuCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China.
Ren Bo ChenInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Nan Nan ShiInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Si Hong LiuInstitute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Yi Pin FanInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Gui Hui WuDepartment of Tuberculosis, The Public Health Clinical Center of Chengdu, Chengdu 610066, Sichuan, China.
Pu Ye YangDepartment of Infectious Disease, Shaanxi Infectious Disease Hospital, Xi'an 610113, Shaanxi, China.
Jiang Feng BaiDepartment of Infectious Disease, Yulin Chinese Medicine Hospital, Yulin 719000, Shaanxi, China.
Hong ChenPresident's Office, The First Hospital of Qiqihar, Qiqihar 161005, Heilongjiang, China.
Li Ying ChenDepartment of Traditional Chinese Medicine, Shangluo Central Hospital, Shangluo 726000, Shaanxi, China.
Qiao FengDepartment of Traditional Chinese Medicine, The People's Hospital of Qitaihe, Qitaihe 154603, Heilongjiang, China.
Tuan Mao GuoDepartment of Scientific Research, Xianyang Central Hospital, Xianyang 712000, Shaanxi, China.
Yong HouDepartment of traditional Chinese medicine, The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230012, Anhui, China.
Gui Fen HuDepartment of Infectious Disease, Heping Hospital Affiliated to Changzhi Medical College, Changzhi 046000, Shanxi, China.
Xiao Mei HuDepartment of Traditional Chinese Medicine, Langfang Hospital of Chinese Medicine, Langfang 065000, Heibei, China.
Yun Hong HuDepartment of Traditional Chinese Medicine, Xingtai Hospital of Chinese Medicine, Xingtai 054001, Heibei, China.
Jin HuangDepartment of Traditional Chinese Medicine, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 168600, Guangxi, China.
Qiu Hua HuangDepartment of Traditional Chinese Medicine, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 168600, Guangxi, China.
Shao Zhen HuangDepartment of Traditional Chinese Medicine, The First People's Hospital of Fangchenggang, Fangchenggang 538001, Guangxi, China.
Liang JiDepartment of Traditional Chinese Medicine, Mianyang Hospital of Traditional Chinese Medicine, Mianyang 621000, Sichuan, China.
Hai Hao JinDepartment of Traditional Chinese Medicine, Liuzhou People's Hospital, Liuzhou 545006, Gansu, China.
Xiao LeiDepartment of Traditional Chinese Medicine, Affiliated Hospital of North Sichuan Medical College, Nanyun 637000, Sichuan, China.
Chun Yan LiDepartment of Infectious Disease, Yan'an Second People's Hospital, Yan'an 716000, Shaanxi, China.
Min Qing LiDepartment of Traditional Chinese Medicine, Dazhou Central Hospital, Dazhou 635000, Sichuan, China.
Qun Tang LiChongqing Traditional Chinese Medicine Hospital, Chongqing 400011, China.
Xian Yong LiThe Second People's Hospital of Neijiang, Neijiang 641000, Sichuan, China.
Hong De LiuShijiazhuang Fifth Hospital, Shijiazhuang 050021, Hebei, China.
Jin Ping LiuDepartment of Infectious Disease, The Fourth People's Hospital of Taiyuan, Taiyuan 030053, Shanxi, China.
Zhang LiuDepartment of Traditional Chinese Medicine, The First Hospital of Suihua City, Suihua 152053, Heilongjiang, China.
Yu Ting MaDepartment of Traditional Chinese Medicine, The Fourth People's Hospital of Nanning, Nanning 530023, Guangxi, China.
Ya MaoDepartment of Infectious Disease, Ankang Hospital of Traditional Chinese Medicine, Ankang 725000, Shaanxi, China.
Liu Fen MoDepartment of Infectious Disease, Beihai Hospital of Chinese Medicine, Beihai 536000, Guangxi, China.
Hui NaDepartment of Infectious Disease, Harbin Infectious Disease Hospital, Harbin 150036, Heilongjiang, China.
Jing Wei WangDepartment of Infectious Disease, Harbin Infectious Disease Hospital, Harbin 150036, Heilongjiang, China.
Fang Li SongDepartment of Infectious Disease, The Third People's Hospital of Linfen, Linfen 041000, Shanxi, China.
Sheng SunDepartment of Traditional Chinese Medicine, Chengde Hospital of Traditional Chinese Medicine, Chengde 067000, Hehei, China.
Dong Ting WangDepartment of Infectious Disease, Datong Fourth Hospital, Datong 037008, Shanxi, China.
Ming Xuan WangDepartment of Traditional Chinese Medicine, Suining Central Hospital, Suining 629000, Sichuan, China.
Xiao Yan WangDepartment of Infectious Disease, Jinzhong Infectious Disease Hospital, Jinzhong 030600, Shanxi, China.
Yin Zhen WangDepartment of Infectious Disease, Jincheng People's Hospital, Jincheng 048026, Shanxi, China.
Yu Dong WangHengshui Hospital of Chinese Medicine, Hengshui 053000, Heibei, China.
Wei WuPresident's office, Hanzhong Central Hospital, Hanzhong 723000, Hubei, China.
Lan Ping WuDepartment of Infectious Disease, Shuozhou People's Hospital, Shuozhou 036002, Shanxi, China.
Yan Hua XiaoDepartment of Traditional Chinese Medicine, Mudanjiang Kangan Hospital, Mudanjiang 157011, Heilongjiang, China.
Hai Jun XieDepartment of Infectious Disease, Xinzhou People's Hospital, Xinzhou 034000, Shanxi, China.
Hong Ming XuDepartment of Infectious Disease, Daqing Second Hospital, Daqing 163000, Heilongjiang, China.
Shou Fang XuDepartment of Traditional Chinese Medicine,Jiamusi Infectious Disease Hospital, Jiamusi 154007, Heilongjiang, China.
Rui Xia XueDepartment of Infectious Disease, Yuncheng Second Hospital, Yuncheng 044000, Shanxi, China.
Chun YangDepartment of Traditional Chinese Medicine, Hanzhong Hospital for Infectious Diseases, Hanzhong 723000, Hubei, China.
Kai Jun YangDepartment of medical administration, The Third People's Hospital of Yangquan, Yangquan 045000, Shanxi, China.
Sheng Li YuanDepartment of Traditional Chinese Medicine, Zhangjiakou Hospital of Traditional Chinese Medicine, Zhangjiakou 075000, Hebei, China.
Gong Qi ZhangDepartment of Traditional Chinese Medicine, Baoji Central Hospital, Baoji 721000, Shaanxi, China.
Jin Bo ZhangDepartment of Infectious Disease, Xi'an Chest Hospital, Xi'an 710100, Shaanxi, China.
Lin Song ZhangDepartment of Traditional Chinese Medicine, Hospital (T·C·M) Affiliated to Southwest Medical University, Luzhou 646000, Sichuan, China.
Shu Sen ZhaoDepartment of Traditional Chinese Medicine, Qiqihar Institute for The Prevention and Treatment of Infectious Diseases, Qiqihar 161006, Heilongjiang, China.
Wan Ying ZhaoDepartment of Traditional Chinese Medicine, Hegang Infectious Hospital, Hegang 154000, Heilongjiang, China.
Kai ZhengFenyang Hospital of Shanxi Province, Fenyang 032200, Shanxi, China.
Ying Chun ZhouDepartment of Infectious Disease, Shuangyashan People's Hospital, Shuangyashan 230502, Heilongjiang, China.
Jun Teng ZhuDepartment of Rehabilitation Medicine, The Affiliated Hospital of Putian College, Putian 351100, Fujian, China.
Tian Qing ZhuDepartment of Infectious Disease, The Greater Khingan Range People's Hospital, Great Khingan 165000, Heilongjiang, China.
Hua Min ZhangInstitute of Chinese Materia Medical, China; Academy of Chinese Medical Sciences, Beijing 100000, China.
Yan Ping WangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Yong Yan WangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
'lung cleansing & detoxifying decoction' emergency project expert group for covid-19
Chinese Academy of Medical Sciences & Peking Union Medical College · CNFirst People's Hospital of Chongqing · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSeveral COVID-19 patients have overlapping comorbidities. The independent role of each component contributing to the risk of COVID-19 is unknown, and how some non-cardiometabolic comorbidities affect the risk of COVID-19 remains unclear.

methodsA retrospective follow-up design was adopted. A total of 1,160 laboratory-confirmed patients were enrolled from nine provinces in China. Data on comorbidities were obtained from the patients' medical records. Multivariable logistic regression models were used to estimate the odds ratio (

resultsOverall, 158 (13.6%) patients were diagnosed with severe illness and 32 (2.7%) had unfavorable outcomes. Hypertension (2.87, 1.30-6.32), type 2 diabetes (T2DM) (3.57, 2.32-5.49), cardiovascular disease (CVD) (3.78, 1.81-7.89), fatty liver disease (7.53, 1.96-28.96), hyperlipidemia (2.15, 1.26-3.67), other lung diseases (6.00, 3.01-11.96), and electrolyte imbalance (10.40, 3.00-26.10) were independently linked to increased odds of being severely ill. T2DM (6.07, 2.89-12.75), CVD (8.47, 6.03-11.89), and electrolyte imbalance (19.44, 11.47-32.96) were also strong predictors of unfavorable outcomes. Women with comorbidities were more likely to have severe disease on admission (5.46, 3.25-9.19), while men with comorbidities were more likely to have unfavorable treatment outcomes (6.58, 1.46-29.64) within two weeks.

conclusionBesides hypertension, diabetes, and CVD, fatty liver disease, hyperlipidemia, other lung diseases, and electrolyte imbalance were independent risk factors for COVID-19 severity and poor treatment outcome. Women with comorbidities were more likely to have severe disease, while men with comorbidities were more likely to have unfavorable treatment outcomes.

Indexed as

AdultAgedChinaComorbidityCOVID-19FemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexTreatment OutcomeAgeComorbiditiesCOVID-19GenderSeverityTreatment outcome

Identifiers

PMID33472729
PMCPMC7817475
OpenAlexW3125606855

What OpenQuestion holds

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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.