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.
Abstract

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