Evidence map›Paper›PMID 33527079›Full record

ArticleERJ open research2021

Severe outcomes of COVID-19 among patients with COPD and asthma.

Erik Soeren Halvard Hansen, Amalie Lykkemark Moeller, Vibeke Backer, Mikkel Porsborg Andersen, Lars Kober, Kristian Kragholm, Christian Torp-Pedersen

Abstract read
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Long-Term Effects of COVID-19 on Chronic Obstructive Pulmonary Disease.International journal of chronic obstructive pulmonary disease · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The Complex Association between COPD and COVID-19.Journal of clinical medicine · 2023
    Review
  9. Review
  10. Adult Severe Asthma Registries: A Global and Growing Inventory.Pragmatic and observational research · 2023
    Article
  11. Review
  12. Sleep disorders and COVID-19.Sleep medicine · 2022
    Article
  13. Frontiers in pharmacology · 2022
    Article
  14. Article
  15. Asthma and COVID-19: a dangerous liaison?Asthma research and practice · 2021
    Review
  16. Article
  17. 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

7 authors.

Erik Soeren Halvard HansenCentre for Physical Activity Research, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.ORCID https://orcid.org/0000-0001-5259-5171
Amalie Lykkemark MoellerDept of Clinical Research, Nordsjaellands Hospital, Hillerød, Denmark.
Vibeke BackerCentre for Physical Activity Research, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Mikkel Porsborg AndersenDept of Clinical Research, Nordsjaellands Hospital, Hillerød, Denmark.ORCID https://orcid.org/0000-0001-6162-5205
Lars KoberDept of Cardiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-6635-1466
Kristian KragholmUnit of Clinical Epidemiology and Biostatistics, and Dept of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
Christian Torp-PedersenDept of Clinical Research, Nordsjaellands Hospital, Hillerød, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with obstructive lung diseases are possibly at risk of developing severe outcomes of coronavirus disease 2019 (COVID-19). Therefore, the aim of this study was to determine the risk of severe outcomes of COVID-19 among patients with asthma and COPD.

methodsWe performed a nationwide cohort study of patients with COVID-19 from 1 February to 10 July 2020. All patients with COVID-19 registered in the Danish registers were included. Using International Classification of Diseases (ICD) codes and medication history, patients were divided into asthma, COPD or no asthma or COPD. Primary outcome was a combined outcome of severe COVID-19, intensive care or death.

resultsOut of 5104 patients with COVID-19 (median age 54.8 years (25-75th percentile 40.5 to 72.3); women, 53.0%), 354 had asthma and 432 COPD. The standardised absolute risk of the combined end-point was 21.2% (95% CI 18.8-23.6) in patients with COPD, 18.5% (95% CI 14.3-22.7) in patients with asthma and 17.2% (95% CI 16.1-18.3) in patients with no asthma or COPD. Patients with COPD had a slightly increased risk of the combined end-point compared with patients without asthma or COPD (risk difference 4.0%; 95% CI 1.3-6.6; p=0.003). In age standardised analyses, there were no differences between the disease groups. Low blood eosinophil counts (<0.3×10

conclusionPatients with COPD have a slightly increased risk of developing severe outcomes of COVID-19 compared with patients without obstructive lung diseases. However, in age-standardised analysis, the risk difference disappears.

Identifiers

PMID33527079
PMCPMC7701881

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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.