Evidence map›Paper›PMID 33761654›Full record

SynthesisMedicine2021

Comorbidities' potential impacts on severe and non-severe patients with COVID-19: A systematic review and meta-analysis.

Sixiang Cheng, Yuxin Zhao, Fenxiao Wang, Yan Chen, Atipatsa Chiwanda Kaminga, Huilan Xu

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 69 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 2 institutions in 1 country.

Sixiang ChengDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan Province.
Yuxin ZhaoDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan Province.
Fenxiao WangDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan Province.
Yan ChenCollege of Data Science and Information Engineering, Guizhou Minzu University, Guiyang, Guizhou Province.
Atipatsa Chiwanda KamingaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Huilan XuDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan Province.
Central South University · CNGuizhou Minzu University · CN

Funding

Science Technology and Lianhe Foundation of Guizhou Province LH[2015] 7204
6 · The paper itself

Abstract

backgroundAn ongoing outbreak of pneumonia associated with the severe acute respiratory coronavirus (SARS-CoV-2) emerged in December 2019 in Wuhan, China. Epidemiologic evidence suggests that patients with comorbidities and novel coronavirus disease 2019 (COVID-19) infection may have poor survival outcomes. However, the risk of these coexisting medical conditions in severe and non-severe cases has not been systematically reported. PURPOSE: The present study aimed to estimate the association of chronic comorbidities in severe and non-severe cases.

methodsA literature search was conducted using the databases PubMed, Embase, China National Knowledge Infrastructure (CNKI), and Wanfang Database, Chinese Scientific Journals Full-text Database (CQVIP) from the inception dates to April 1, 2020, to identify cohort studies assessing comorbidity and risk of adverse outcome. Either a fixed- or random-effects model was used to calculate the overall combined risk estimates.

resultsA total of 22 studies involving 3286 patients with laboratory-confirmed COVID-19 were included in the analysis. Overall, compared with the patients with non-severe cases, the pooled odds ratios (ORs) of hypertension, diabetes mellitus, and cardiovascular, cerebrovascular, and respiratory diseases in patients with severe cases were 2.79 (95% confidence intervals [95% CI]: 1.66-4.69), 1.64 (95% CI: 2.30-1.08), 1.79 (95% CI: 1.08-2.96), 3.92 (95% CI: 2.45-6.28), and 1.98 (95% CI: 1.26-3.12), respectively.

conclusionsThis meta-analysis supports the finding that chronic comorbidities may contribute to severe outcome in patients with COVID-19. According to the findings of the present study, old age and 2 or more comorbidities are significantly impactful to COVID-19 outcomes in hospitalized patients in China.

Indexed as

ComorbidityAge FactorsCardiovascular DiseasesCerebrovascular DisordersChronic DiseaseCOVID-19Diabetes MellitusHospitalizationHumansRespiratory Tract DiseasesSARS-CoV-2Severity of Illness Index

Identifiers

PMID33761654
PMCPMC9281964
OpenAlexW3138868375

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.