Evidence map›Paper›PMID 42087095›Full record

ArticleBMC infectious diseases2026

Age and comorbidity in COVID-19 mortality: a retrospective cohort study using multivariable regression and interaction analyses.

Nuha Al-Aghbari, Arif Maldar, Mubashir Angolkar

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Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Nuha Al-AghbariCommunity Medicine Department, Faculty of Medicine and Health Sciences, University of Science and Technology, Sana'a, Yemen. noha472@yahoo.com.
Arif MaldarDepartment Medicine, J.N Medical College, KLE Academy of Higher Education and Research (KAHER), Belagavi, India.
Mubashir AngolkarDepartment of Public Health, J. N. Medical College, KLE Academy of Higher Education and Research (KAHER), Belagavi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) has significantly increased mortality worldwide, with advanced age and comorbidity burden has been identified as a major risk factors. However, the combined effect of age and comorbidity burden on COVID-19 mortality remains unclear. This study aimed to assess the independent and interactive effects of age and comorbidity burden on in-hospital mortality from COVID-19.

methodsA retrospective cohort study was conducted among 642 laboratory-confirmed COVID-19 patients admitted to a tertiary care hospital in Belagavi, Karnataka, India, between October 2020 and September 2021. Bivariate analysis, multivariable logistic regression, and interaction analysis were performed to examine associations with mortality.

resultsPatients aged ≥ 50 years had significantly higher odds of mortality compared to those aged < 50 years (AOR = 2.01, 95% CI: 1.27-3.16, p = 0.002). Dyspnea (AOR = 2.88, 95% CI: 1.85-4.48, p < 0.001) and kidney disease (AOR = 6.56, 95% CI: 2.39-18.02, p < 0.001) were significant predictors of mortality. Blood glucose (per 10 mg/dL increase; AOR = 1.03, 95% CI: 1.01-1.05, p < 0.001) and pulse rate (per bpm increase; AOR = 1.02, 95% CI: 1.01-1.03, p < 0.001) were also significantly associated with mortality. Multimorbidity was not independently associated with mortality in the main model (AOR = 1.63, 95% CI: 0.67-4.00, p = 0.278). In the interaction model, no statistically significant interaction between age and multimorbidity was observed. However, predicted probabilities suggested a higher mortality risk among older patients with multimorbidity compared to other groups.

conclusionAdvanced age, dyspnea, kidney disease, elevated blood glucose, and pulse rate are significant predictors of COVID-19 mortality. While multimorbidity may contribute to mortality risk, no strong evidence of interaction between age and comorbidity burden was observed. These findings highlight the importance of comprehensive risk stratification using multiple clinical factors in hospitalized COVID-19 patients. CLINICAL TRIAL: Not applicable.

Indexed as

COVID-19AdultAgedAge FactorsComorbidityFemaleHospital MortalityHumansIndiaMaleMiddle AgedMultivariate AnalysisRetrospective StudiesRisk FactorsSARS-CoV-2AgeCOVID-19IndiaMortalityMultimorbidity

Identifiers

PMID42087095
PMCPMC13326435

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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.