Evidence map›Paper›PMID 34768074›Full record

ArticleRespiratory medicine2021

Smoking status related to Covid-19 mortality and disease severity in a veteran population.

Laura A Wilkinson, Kari A Mergenhagen, Michael T Carter, Hubert Chua, Collin Clark, Bethany A Wattengel, John A Sellick, Ali A El-Solh

Abstract read
In one paragraph

Article in Respiratory medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Examining Male Predominance of Severe COVID-19 Outcomes: A Systematic Review.Androgens: clinical research and therapeutics · 2022
    Review
  4. Oxidative Stress-Related Mechanisms in SARS-CoV-2 Infections.Oxidative medicine and cellular longevity · 2022
    Review
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.

Laura A WilkinsonVeteran Affairs Western New York Healthcare System, Department of Pharmacy, Buffalo, NY, United States.
Kari A MergenhagenVeteran Affairs Western New York Healthcare System, Department of Pharmacy, Buffalo, NY, United States. Electronic address: Kari.Mergenhagen@va.gov.
Michael T CarterVeteran Affairs Western New York Healthcare System, Department of Pharmacy, Buffalo, NY, United States.
Hubert ChuaVeteran Affairs Western New York Healthcare System, Department of Pharmacy, Buffalo, NY, United States.
Collin ClarkUniversity at Buffalo School of Pharmacy and Pharmaceutical Sciences, United States.
Bethany A WattengelVeteran Affairs Western New York Healthcare System, Department of Pharmacy, Buffalo, NY, United States.
John A SellickVeteran Affairs Western New York Healthcare System, Department of Infectious Diseases, Buffalo, NY, United States; Jacobs School of Medicine and Biomedical Sciences, Department of Internal Medicine, Buffalo, NY, United States.
Ali A El-SolhVeteran Affairs Western New York Healthcare System, Department of Research and Development, Buffalo, NY, United States.

Funding

CSRD VA I01 CX001656
6 · The paper itself

Abstract

introductionCigarette smoking is associated with development of significant comorbidities. Patients with underlying comorbidities have been found to have worse outcomes associated with Coronavirus Disease 2019 (Covid-19). This study evaluated 30-day mortality in Covid-19 positive patients based on smoking status.

methodsThis retrospective study of veterans nationwide examined Covid-19 positive inpatients between March 2020 and January 2021. Bivariate analysis compared patients based on smoking history. Propensity score matching adjusted for age, gender, race, ethnicity, Charlson comorbidity index (0-5 and 6-19) and dexamethasone use was performed. A multivariable logistic regression with backwards elimination and Cox Proportional Hazards Ratio was utilized to determine odds of 30-day mortality.

resultsThe study cohort consisted of 25,958 unique Covid-19 positive inpatients. There was a total of 2,995 current smokers, 12,169 former smokers, and 8,392 non-smokers. Death was experienced by 13.5% (n = 3503) of the cohort within 30 days. Former smokers (OR 1.15; 95% CI, 1.05-1.27) (HR 1.13; 95% CI, 1.03-1.23) had higher risk of 30-day mortality compared with non-smokers. Former smokers had a higher risk of death compared to current smokers (HR 1.16 95% CI 1.02-1.33). The odds of death for current vs. non-smokers did not significantly differ.

conclusionCompared to veteran non-smokers with Covid-19, former, but not current smokers with Covid-19 had a significantly higher risk of 30-day mortality.

Indexed as

AgedAged, 80 and overComorbidityCOVID-19FemaleHumansInpatientsLogistic ModelsMaleMiddle AgedPatient AcuityPropensity ScoreProportional Hazards ModelsRetrospective StudiesSmokersSmokingCoronavirusCovid-19Infectious diseaseSmokingVeterans

Identifiers

PMID34768074
PMCPMC8556076

What OpenQuestion holds

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Registered trials

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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.