Factors associated with disease severity and mortality among patients with COVID-19: A systematic review and

Vignesh Chidambaram1, Nyan Lynn Tun1, Waqas Z Haque1

  • 1Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.

Plos One
|November 18, 2020
PubMed

Insights

Older age, male gender, diabetes, and hypertension increase COVID-19 mortality risk. Factors like dyspnea, bilateral lung involvement, and elevated inflammatory markers indicate severe disease and higher mortality in Coronavirus disease (COVID-19) patients.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Critical Care Medicine

Background:

  • Understanding factors influencing Coronavirus disease (COVID-19) severity and mortality is crucial for patient triage.
  • A systematic review was conducted to identify demographic, clinical, laboratory, and radiological predictors.

Purpose of the Study:

  • To systematically review and identify factors associated with disease severity and mortality in COVID-19 patients.
  • To inform clinical decision-making and resource allocation for COVID-19 care.

Main Methods:

  • Systematic literature search of PubMed, Embase, and WHO databases up to May 8, 2020.
  • Inclusion of observational studies comparing clinical characteristics of non-survivors vs. survivors and severe vs. non-severe cases.
  • Independent data extraction and quality assessment by two authors.

Main Results:

  • Increasing age, male gender, dyspnea, diabetes, and hypertension were associated with higher mortality risk.
  • Severe disease was linked to congestive heart failure, hilar lymphadenopathy, bilateral lung involvement, and reticular patterns on imaging.
  • Leukocytosis, lymphopenia, elevated C-reactive protein, LDH, and D-dimer levels correlated with increased odds of severe disease and mortality.

Conclusions:

  • Identified factors can aid in clinical decision-making for COVID-19 patient management.
  • Knowledge of these predictors supports critical-care resource allocation during the pandemic.
Abstract

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