Evidence map›Paper›PMID 36797482›Full record

ReviewNature medicine2023

Comorbidities, multimorbidity and COVID-19.

Clark D Russell, Nazir I Lone, J Kenneth Baillie

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 196 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
196citing papers in PubMed, 1 pooled it
69.2field-weighted citation impact, top 1% 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

196 citing papers in PubMed, 1 synthesis or guideline pooled it, 356 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. TMEM16F deficiency alleviates sepsis-induced acute lung injury through regulating macrophage polarization.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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136 more citing papers are in PubMed but not listed here.

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

3 authors at 3 institutions in 1 country.

Clark D RussellCentre for Inflammation Research, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh BioQuarter, Edinburgh, UK.
Nazir I Lone *Usher Institute, University of Edinburgh, Edinburgh BioQuarter, Edinburgh, UK. nazir.lone@ed.ac.uk.ORCID http://orcid.org/0000-0003-2707-2779
J Kenneth Baillie *Intensive Care Unit, Royal Infirmary of Edinburgh, Little France Crescent, Edinburgh, UK. j.k.baillie@ed.ac.uk.ORCID http://orcid.org/0000-0001-5258-793X
Centre for Inflammation Research · GBEdinburgh Royal Infirmary · GBRoslin Institute · GB

Funding

Biotechnology and Biological Sciences Research Council BB/P013732/1Biotechnology and Biological Sciences Research Council BB/P013759/1Medical Research Council MC_PC_19025Medical Research Council MC_PC_20004Medical Research Council MC_PC_20029Wellcome Trust 223164/Z/21/Z
6 · The paper itself

Abstract

The influence of comorbidities on COVID-19 outcomes has been recognized since the earliest days of the pandemic. But establishing causality and determining underlying mechanisms and clinical implications has been challenging-owing to the multitude of confounding factors and patient variability. Several distinct pathological mechanisms, not active in every patient, determine health outcomes in the three different phases of COVID-19-from the initial viral replication phase to inflammatory lung injury and post-acute sequelae. Specific comorbidities (and overall multimorbidity) can either exacerbate these pathological mechanisms or reduce the patient's tolerance to organ injury. In this Review, we consider the impact of specific comorbidities, and overall multimorbidity, on the three mechanistically distinct phases of COVID-19, and we discuss the utility of host genetics as a route to causal inference by eliminating many sources of confounding. Continued research into the mechanisms of disease-state interactions will be crucial to inform stratification of therapeutic approaches and improve outcomes for patients.

Indexed as

COVID-19ComorbidityHumansMultimorbidity

Identifiers

PMID36797482
OpenAlexW4321076741

What OpenQuestion holds

Textmetadata
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.