Evidence map›Paper›PMID 34027212›Full record

ArticleArchives of medical sciences. Atherosclerotic diseases2021

Hypertension, diabetes mellitus, and cerebrovascular disease predispose to a more severe outcome of COVID-19.

Kamleshun Ramphul, Petras Lohana, Yogeshwaree Ramphul, Yun Park, Stephanie Mejias, Balkiranjit Kaur Dhillon, Shaheen Sombans, Renuka Verma

Open access · diamondAbstract read
In one paragraph

Article in Archives of medical sciences. Atherosclerotic diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Liver injury in COVID-19 patients with non-alcoholic fatty liver disease: an update.Archives of medical sciences. Atherosclerotic diseases · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Observational
  15. Article
  16. Article
  17. Review
  18. Acute myocardial infarction in COVID-19 patients. A review of cases in the literature.Archives of medical sciences. Atherosclerotic diseases · 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

8 authors at 6 institutions in 4 countries.

Kamleshun RamphulDepartment of Pediatrics, Shanghai Xin Hua Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Petras LohanaDepartment of Medicine, Liaquat University of Medical and Health Sciences Hospital, Jamshroo, Pakistan.
Yogeshwaree RamphulDepartment of Medicine, Sir Seewoosagur Ramgoolam National Hospital, Pamplemousses, Mauritius.
Yun ParkDepartment of Orthodontics, Affiliation: Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Stephanie MejiasDepartment of Medicine, University Iberoamericana UNIBE, School of Medicine, Santo Domingo, Dominican Republic.
Balkiranjit Kaur DhillonDepartment of Medicine, Baba Farid University of Health Sciences, Punjab Medical, India.
Shaheen SombansDepartment of Medicine, Bharati Vidyapeeth University Medical College and Hospital, Pune, India.
Renuka VermaDepartment of Medicine, Guru Gobind Singh Medical College, Punjab, India.
Shanghai Jiao Tong University · CNBaba Farid University of Health Sciences · INBharati Vidyapeeth Deemed University · INGuru Gobind Singh Medical College and Hospital · INLiaquat University of Medical & Health Sciences · PKUniversidad Iberoamericana · DO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe world is currently facing the pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The total number of cases of coronavirus disease 2019 (COVID-19) is rising daily and no vaccine has yet been approved. While the pathophysiology behind the virus is still being studied, many possible several risk factors using small sample sizes have been found. MATERIAL AND

methodsWe conducted a pooled analysis using several databases such as Medline, Scopus, Wangfang, Web of Science, Research Square, medrxiv, and Google Scholar to identify studies reporting severe and non-severe groups of COVID-19 patients. The odds ratios as well as the 95% confidence intervals for hypertension, diabetes, and cerebrovascular disease leading to severe COVID-19 were calculated using R-software.

resultsFifty-three articles were used for our analysis and they involved 30,935 confirmed cases of COVID-19 from several countries across the world. The odds ratio for severe COVID-19 in hypertensive patients, diabetics, and patients with a history of cerebrovascular disease was 2.58 (95% confidence interval (CI): 2.16-3.08, from 53 studies), 2.17 (95% CI: 1.72-2.74, from 44 studies), and 2.63 (95% CI: 1.80-3.85, from 25 studies), respectively.

conclusionsOur analysis confirms that patients with hypertension, diabetes, or cerebrovascular disease are at a higher risk of a severe outcome of COVID-19. It is thus vital for physicians to identify the main risk factors for a severe outcome of this disease.

Indexed as

cerebrovascular diseasecoronavirus 2019COVID-19diabeteshypertensionmeta-analysispooled analysisSARS-CoV-2severitystroke

Identifiers

PMID34027212
PMCPMC8117084
OpenAlexW3158241854

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.