Evidence map›Paper›PMID 34434913›Full record

ArticleFrontiers in public health2021

Preexisting Mental Disorders Increase the Risk of COVID-19 Infection and Associated Mortality.

Yongjun Wang, Yang Yang, Lina Ren, Yuan Shao, Weiqun Tao, Xi-Jian Dai

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. SARS-CoV-2 infection and sleep health in Military Health System beneficiaries.Sleep advances : a journal of the Sleep Research Society · 2026
    Article
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  13. Review
  14. [Health of homeless individuals during the COVID-19 pandemic].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023
    Review
  15. Article
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  20. Observational
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 3 institutions in 1 country.

Yongjun WangShenzhen Mental Health Centre, Shenzhen Kangning Hospital, Shenzhen, China.
Yang YangDepartment of Radiology, Suining Central Hospital, Suining, China.
Lina RenShenzhen Mental Health Centre, Shenzhen Kangning Hospital, Shenzhen, China.
Yuan ShaoShenzhen Mental Health Centre, Shenzhen Kangning Hospital, Shenzhen, China.
Weiqun TaoShenzhen Mental Health Centre, Shenzhen Kangning Hospital, Shenzhen, China.
Xi-Jian DaiShenzhen Mental Health Centre, Shenzhen Kangning Hospital, Shenzhen, China.
Shenzhen KangNing Hospital · CNJinzhou Kangning Hospital · CNSuizhou Central Hospital · CN

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19), a respiratory disease of unknown origin, has a high rate of morbidity and mortality. Individuals with mental disorders may have a higher risk of infection and worse clinical outcomes because of a variety of factors such as poorer general resilience and lower immune function. However, there have been no studies to date specifically investigating the risk of COVID-19 and associated mortality in these patients. This was addressed in the present study by analyzing the data of 473,958 subjects included in the UK Biobank, 14,877 of whom tested positive for COVID-19 infection. Logistic regression analysis was performed to evaluate the associations between mental disorders and risks of COVID-19 infection and associated mortality. The results showed that subjects who were diagnosed with a mental disorder had a significantly higher risk of developing COVID-19 and a worse outcome as evidenced by higher rates of COVID-19-related mortality, with the strongest effects observed for dementia. Among dementia subtypes, Alzheimer disease patients had the highest risks of COVID-19 infection (7.39-fold increase) and associated mortality (2.13-fold increase). Late-life anxiety only increased the risk of developing COVID-19 while late-life depression not only was associated with a higher risk of infection but also a worse outcome. These findings highlight the need to prioritize patients with mental disorders-especially those who experience these disorders later in life-when implementing preventive strategies such as vaccinations.

Indexed as

COVID-19Mental DisordersAnxietyHumansSARS-CoV-2COVID-19dementialate-lifemental disordersParkinson's diseaseSARS-CoV-2

Identifiers

PMID34434913
PMCPMC8381336
OpenAlexW3188457882

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.