Effect of Underlying Comorbidities on the Infection and Severity of COVID-19 in Korea: a Nationwide Case-Control

Wonjun Ji1, Kyungmin Huh2, Minsun Kang3

  • 1Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Insights

Certain comorbidities like diabetes and schizophrenia increase COVID-19 risk. These conditions, along with hypertension and chronic renal failure, are also linked to severe coronavirus disease 2019 (COVID-19) outcomes.

Area of Science:

  • Epidemiology
  • Public Health
  • Infectious Diseases

Background:

  • The COVID-19 pandemic presents a global health challenge.
  • Understanding the impact of pre-existing conditions on COVID-19 risk and severity is crucial.

Purpose of the Study:

  • To investigate the association between various comorbidities and the likelihood of contracting COVID-19.
  • To determine which comorbidities are linked to increased severity of COVID-19.

Main Methods:

  • A nationwide retrospective case-control study involving 219,961 adults was conducted.
  • COVID-19 diagnosis and severity (based on respiratory support) were identified from medical reimbursement data.
  • Multiple logistic regression analysis was used to estimate odds ratios, adjusting for demographic and healthcare utilization factors.

Main Results:

  • Diabetes, osteoporosis, rheumatoid arthritis, substance use, and schizophrenia were significantly associated with a higher risk of COVID-19 infection.
  • Diabetes, hypertension, chronic lower respiratory disease, and chronic renal failure (including end-stage renal disease) were associated with increased COVID-19 severity.

Conclusions:

  • Several comorbidities are confirmed to be associated with both COVID-19 infection and its severity.
  • Healthcare providers should exercise heightened vigilance when managing COVID-19 patients with identified comorbidities.
Abstract

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