Evidence map›Paper›PMID 37649300›Full record

ArticleJournal of diabetes2023

A network meta-analysis of association between cardiometabolic risk factors and COVID-19 outcome severity.

Alina Binbin Li, Bo Yang, Yufei Li, Rachel Huynh, Samuel Shim, Kenneth Lo, Jie Li, Andrew Zullo, Wen-Chih Wu, Simin Liu

Abstract readNetwork Meta-Analysis
In one paragraph

Article in Journal of diabetes, 2023. 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. Treatment with Sulodexide Downregulates Biomarkers for Endothelial Dysfunction in Convalescent COVID-19 Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Trial
  2. Article
  3. Article
  4. Cardiovascular Symposium on Perspectives in Long COVID.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

10 authors.

Alina Binbin LiDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA.
Bo YangDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA.ORCID https://orcid.org/0000-0002-9809-4599
Yufei LiDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA.
Rachel HuynhDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA.
Samuel ShimDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA.
Kenneth LoCentre for Global Cardiometabolic Health, Departments of Epidemiology, Medicine, and Surgery, Brown University, Providence, Rhode Island, USA.
Jie LiDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA.
Andrew ZulloDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA.
Wen-Chih WuDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA.ORCID https://orcid.org/0000-0002-2834-2024
Simin LiuDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA.

Funding

A nested case-control study of exposure to toxic metals, essential metals and their interaction on the risk of type 2 diabetesR01ES029082 · NIEHS · BROWN UNIVERSITY · PI LIU, SIMIN, YANA, BAI · 2019 to 2022
$2.1M
Asprosin, body weight, and risk of type 2 diabetes in U.S. men and womenR01DK125403 · NIDDK · UNIVERSITY OF CALIFORNIA-IRVINE · PI CHOPRA, ATUL, LIU, SIMIN · 2020 to 2022
$2.1M
Environmental heavy metals and risk of ischemic heart disease and stroke in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)R01ES031391 · NIEHS · BROWN UNIVERSITY · PI LIU, SIMIN, LOTUFO, PAULO ANDRADE · 2020 to 2023
$695k
NIDDK NIH HHS R01 DK125403NIEHS NIH HHS R01 ES029082NIEHS NIH HHS R01 ES031391NIH HHS R01DK125403NIH HHS R01ES029082NIH HHS R01ES031391
6 · The paper itself

Abstract

backgroundCardiometabolic comorbidities have been associated with a higher risk of COVID-19 severity and mortality, but more investigations are needed to determine which comorbidity is more detrimental.

methodsEmbase, Emcare, and MEDLINE were searched systematically for prospective and retrospective studies assessing the associations of cardiometabolic risk factors and COVID-19 outcomes of hospitalization, severity, and mortality among COVID-19-diagnosed patients. Literature search was performed from first publication to May 19, 2021. Study quality was assessed by the Newcastle-Ottawa Scale.

resultsFrom the literature search, 301 studies suggested that all included cardiometabolic risk factors were associated with a higher risk of COVID-19 hospitalization, severity, and mortality, except that overweight was associated with a decreased risk of mortality (relative risk [RR] 0.88; 95% CI, 0.80-0.98). Patients with diabetes (RR 1.46; 95% CI, 1.45-1.47) were most likely to be hospitalized; patients with heart failure had the highest risk for severe COVID-19 outcomes (RR 1.89; 95% CI, 1.71-2.09); while patients with stroke were most susceptible to overall mortality (RR 1.99; 95% CI, 1.90-2.08). In the network meta-analysis, cerebrovascular disease had the highest impact (RR 1.69; 95% CI, 1.65-1.73) on COVID-19 outcomes compared to other cardiometabolic risk factors. For different combinations of risk factors, cardiovascular disease and diabetes combined (RR 6.98; 95% CI, 5.28-9.22) was more detrimental than others.

conclusionsConsidering the high prevalence of cardiometabolic comorbidities and risk of all severe outcomes, patients with cardiometabolic comorbidities should be prioritized in vaccination and treatment development of COVID-19.

Indexed as

Cardiovascular DiseasesCOVID-19Diabetes MellitusCardiometabolic Risk FactorsHumansProspective StudiesRetrospective StudiesRisk Factors2019冠状病毒病cardiometabolic risk factorsCOVID-19network meta-analysis心血管代谢危险因素网络meta分析

Identifiers

PMID37649300
PMCPMC10667650

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.