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Coronary heart disease and COVID-19: A meta-analysis.
- Source :
-
Medicina clinica (English ed.) [Med Clin (Engl Ed)] 2021 Jun 11; Vol. 156 (11), pp. 547-554. Date of Electronic Publication: 2021 Jun 05. - Publication Year :
- 2021
-
Abstract
- Objective: Since the World Health Organization (WHO) announced coronavirus disease 2019 (COVID-19) had become a global pandemic on March 11, 2020, the number of infections has been increasing. The purpose of this meta-analysis was to investigate the prognosis of COVID-19 in patients with coronary heart disease.<br />Method: Pubmed, Embase, and Cochrane Library databases were searched to collect the literature concerning coronary heart disease and COVID-19. The retrieval time was from inception to Nov 20, 2020, using Stata version 14.0 for meta-analysis.<br />Results: A total of 22,148 patients from 40 studies were included. The meta-analysis revealed that coronary heart disease was associated with poor prognosis of COVID-19 (OR=3.42, 95%CI [2.83, 4.13], P  < 0.001). After subgroup analysis, coronary heart disease was found to be related to mortality (OR = 3.75, 95%CI [2.91, 4.82], P  < 0.001), severe/critical COVID-19 (OR = 3.23, 95%CI [2.19, 4.77], P  < 0.001), ICU admission (OR = 2.25, 95%CI [1.34, 3.79], P  = 0.002), disease progression (OR = 3.01, 95%CI [1.46, 6.22], P  = 0.003); Meta-regression showed that the association between coronary heart disease and poor prognosis of COVID-19 was affected by hypertension ( P  = 0.004), and subgroup analysis showed that compared with the proportion of hypertension >30% (OR = 2.85, 95%CI [2.33, 3.49]), the proportion of hypertension <30% (OR = 4.78, 95%CI [3.50, 6.51]) had a higher risk of poor prognosis.<br />Conclusion: Coronary heart disease is a risk factor for poor prognosis in patients with COVID-19.<br /> (© 2021 Elsevier España, S.L.U. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 2387-0206
- Volume :
- 156
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Medicina clinica (English ed.)
- Publication Type :
- Academic Journal
- Accession number :
- 34109276
- Full Text :
- https://doi.org/10.1016/j.medcle.2020.12.021