Evidence map›Paper›PMID 38961350›Full record

ArticleBMC infectious diseases2024

Association between asthma and COVID-19 severity during Omicron epidemic: a retrospective cohort study using real-world data.

Huwen Wang, Xiaoting Jiang, Kate Ching Ching Chan, Yuchen Wei, Chi Tim Hung, Renee Wan Yi Chan, Conglu Li, Eman Yee Man Leung, Carrie Ho Kwan Yam, Tsz Yu Chow and 6 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

16 authors.

Huwen Wang *School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Xiaoting Jiang *School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Kate Ching Ching ChanDepartment of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Yuchen WeiSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Chi Tim HungSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Renee Wan Yi ChanDepartment of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Conglu LiSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Eman Yee Man LeungSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Carrie Ho Kwan YamSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Tsz Yu ChowSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Shi ZhaoSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Zihao GuoSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Kehang LiSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Ziqing WangSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Eng Kiong YeohSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China. yeoh_ek@cuhk.edu.hk.
Ka Chun ChongSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China. marc@cuhk.edu.hk.

Funding

Collaborative Research Fund of University Grants Committee C4139-20GHealth and Medical Research Fund COVID190105National Natural Science Foundation of China 71974165
6 · The paper itself

Abstract

backgroundThe available evidence presented inconsistencies and inconclusive findings regarding the associations between co-existing asthma and mortality among COVID-19 patients. The objective of the current study is to investigate the relationship between asthma and severe outcomes after SARS-CoV-2 Omicron infection in an infection-naïve population.

methodsA retrospective cohort study using propensity score matching was conducted. The COVID-19 patients requiring hospitalisation in Hong Kong from January 1, 2022, to November 13, 2022, an Omicron-predominated period, were identified. Severe clinical outcomes were defined as ICU admission and inpatient death after the first positive PCR results as well as a composite outcome of both.

resultsOf the 74,396 hospitalised COVID-19 patients admitted, 1,290 asthma patients and 18,641 non-asthma patients were included in the matched cohort. The rates of death and the composite outcome were 15·3% and 17·2%, respectively, among the non-asthma patients,12·2% and 13·6%, respectively, among the asthma patients, with adjusted hazard ratios equal to 0·775 (95% CI: 0·660-0·909) and 0·770 (95% CI: 0·662-0·895), respectively. The negative association was more apparent in the elderly and female groups. Asthma remained a factor that lowered the risk of disease severity even though the patients were not fully vaccinated with at least two doses.

conclusionsWe used real-world data to demonstrate that asthma was not a risk factor for COVID-19 severity of the infections of Omicron variant, even though the patients were not fully vaccinated.

Indexed as

AsthmaCOVID-19HospitalizationSARS-CoV-2Severity of Illness IndexAdultAgedFemaleHong KongHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk FactorsAsthmaCOVID-19 severityInhaled corticosteroidsOmicron

Identifiers

PMID38961350
PMCPMC11223378

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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.