The potential association between common comorbidities and severity and mortality of coronavirus disease 2019: A

Liman Luo1,2,3, Menglu Fu1,3, Yuanyuan Li1,3

  • 1Department of Geriatric Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Clinical Cardiology
|October 7, 2020
PubMed

Insights

Comorbidities and cardiac injury significantly worsen prognosis for COVID-19 patients. Monitoring organ injury indicators and managing comorbidities are crucial for improving outcomes in coronavirus disease 2019 patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • Investigated the link between pre-existing conditions and cardiac issues in COVID-19 patients.
  • Assessed the impact of comorbidities and cardiac injury on coronavirus disease 2019 prognosis.

Purpose of the Study:

  • To determine if underlying comorbidities and cardiac injury are associated with prognosis in COVID-19 patients.
  • To evaluate the risk of severity and mortality in coronavirus disease 2019 patients with various comorbidities and cardiac injury.

Main Methods:

  • Systematic literature search across major databases (PubMed, EMBASE, Web of Science, Cochrane Library) from December 2019 to July 2020.
  • Utilized odds ratios (OR) and 95% confidence intervals (95% CI) to quantify associations.
  • Analyzed data from 124 included studies.

Main Results:

  • COVID-19 patients with comorbidities faced a higher risk of severity and mortality.
  • Specific comorbidities like hypertension, diabetes, cardiovascular diseases, COPD, CKD, and cancer showed significantly increased risks.
  • Acute cardiac injury was more prevalent in severe cases and linked to higher in-hospital mortality.

Conclusions:

  • Both comorbidities and acute cardiac injury are strongly associated with poor prognosis in coronavirus disease 2019.
  • Continuous monitoring of organ injury markers and attention to comorbidities are essential for managing COVID-19 patients.
Abstract

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