Related Experiment Video
Updated: Nov 19, 2025

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses
Published on: November 10, 2023
The Association between Presence of Comorbidities and COVID-19 Severity: A Systematic Review and Meta-Analysis
Maryam Honardoost1,2, Laila Janani3, Rokhsareh Aghili1
1Endocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran.
Insights
Comorbidities significantly increase COVID-19 severity. Cerebrovascular disease, cardiovascular disease, and chronic lung disease showed the strongest associations with severe COVID-19 outcomes.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Several studies suggest a link between severe COVID-19 and comorbidities, but a comprehensive analysis is lacking.
- Understanding these associations is crucial for risk stratification and patient management during pandemics.
Approach:
- This meta-analysis systematically evaluated the association between various comorbidities and COVID-19 infection severity.
- Data from 28 studies involving 6,270 individuals were analyzed using fixed-effects or random-effects models.
Key Points:
- Comorbidities were present in approximately 41% of COVID-19 patients.
- The strongest association with severe COVID-19 was observed for cerebrovascular disease (OR 4.85).
- Other significant comorbidities included cardiovascular disease (OR 4.81), chronic lung disease (OR 4.19), cancer (OR 3.18), diabetes (OR 2.61), and hypertension (OR 2.37).
Conclusions:
- The presence of comorbidities is significantly associated with increased COVID-19 severity.
- Cerebrovascular disease, cardiovascular disease, and chronic lung disease represent the highest risk factors for severe COVID-19.
- These findings highlight the importance of managing underlying health conditions to mitigate COVID-19 complications.
Aim:
Several studies reported the accompaniment of severe COVID-19 with comorbidities. However, there is not a systematic evaluation of all aspects of this association. Therefore, this meta-analysis aimed to assess the association between all underlying comorbidities in COVID-19 infection severity.
Methods:
Electronic literature search was performed via scientific search engines. After the removal of duplicates and selection of articles of interest, 28 studies were included. A fixed-effects model was used; however, if heterogeneity was high (I2 > 50%) a random-effects model was applied to combine the data.
Results:
A total of 6,270 individuals were assessed (1,615 severe and 4,655 non-severe patients). The median age was 63 (95% confidence interval [CI]: 49-74) and 47 (95% CI: 19-63) years in the severe and non-severe groups, respectively. Moreover, about 41% of patients had comorbidities. Severity was higher in patients with a history of cerebrovascular disease: OR 4.85 (95% CI: 3.11-7.57). The odds of being in a severe group increase by 4.81 (95% CI: 3.43-6.74) for a history of cardiovascular disease (CVD). This was 4.19 (95% CI: 2.84-6.19) for chronic lung disease and 3.18, 95% CI: 2.09-4.82 for cancer. The odds ratios of diabetes and hypertension were 2.61 (95% CI: 2.02-3.3) and 2.37 (95% CI: 1.80-3.13), respectively.
Conclusions:
The presence of comorbidities is associated with severity of COVID-19 infection. The strongest association was observed for cerebrovascular disease, followed by CVD, chronic lung disease, cancer, diabetes, and hypertension.
More Related Videos
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
06:29Comparing Objective Conjunctival Hyperemia Grading and the Ocular Surface Disease Index Score in Dry Eye Syndrome During COVID-19
Published on: May 25, 2022
Related Concept Videos
COPD: Pathogenesis and Clinical Features
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
Factors Affecting Illness
For instance, risk factors are connected to illness,...
Bias in Epidemiological Studies
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Medical History
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
Chronic Inflammation