Impact of cerebrovascular and cardiovascular diseases on mortality and severity of COVID-19-systematic review, meta-analysis, and meta-regression.
Identifieur interne : 000274 ( Main/Corpus ); précédent : 000273; suivant : 000275Impact of cerebrovascular and cardiovascular diseases on mortality and severity of COVID-19-systematic review, meta-analysis, and meta-regression.
Auteurs : Raymond Pranata ; Ian Huang ; Michael Anthonius Lim ; Eka Julianta Wahjoepramono ; Julius JulySource :
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [ 1532-8511 ] ; 2020.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Betacoronavirus (pathogenicity), Cardiovascular Diseases (diagnosis), Cardiovascular Diseases (mortality), Cardiovascular Diseases (therapy), Cerebrovascular Disorders (diagnosis), Cerebrovascular Disorders (therapy), Cerebrovascular Disorders (virology), Comorbidity (MeSH), Coronavirus Infections (diagnosis), Coronavirus Infections (mortality), Coronavirus Infections (therapy), Coronavirus Infections (virology), Female (MeSH), Health Status (MeSH), Host Microbial Interactions (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (diagnosis), Pneumonia, Viral (mortality), Pneumonia, Viral (therapy), Pneumonia, Viral (virology), Prognosis (MeSH), Risk Assessment (MeSH), Risk Factors (MeSH), Severity of Illness Index (MeSH).
- MESH :
- diagnosis : Cardiovascular Diseases, Cerebrovascular Disorders, Coronavirus Infections, Pneumonia, Viral.
- mortality : Cardiovascular Diseases, Coronavirus Infections, Pneumonia, Viral.
- pathogenicity : Betacoronavirus.
- therapy : Cardiovascular Diseases, Cerebrovascular Disorders, Coronavirus Infections, Pneumonia, Viral.
- virology : Cerebrovascular Disorders, Coronavirus Infections, Pneumonia, Viral.
- Adult, Aged, Comorbidity, Female, Health Status, Host Microbial Interactions, Humans, Male, Middle Aged, Pandemics, Prognosis, Risk Assessment, Risk Factors, Severity of Illness Index.
Abstract
BACKGROUND
We conducted a systematic review and meta-analysis to evaluate the latest evidence on the association between cerebrovascular, and cardiovascular diseases and poor outcome in patients with Coronavirus Disease 2019 (COVID-19) pneumonia.
METHODS
A comprehensive systematic literature search was performed using PubMed, SCOPUS, EuropePMC, and Cochrane Central Database. The outcome of interest was composite poor outcome that comprised of mortality and severe COVID-19.
RESULTS
A total of 4448 patients were obtained from 16 studies. Cerebrovascular disease was associated with an increased composite poor outcome (RR 2.04 [1.43,2.91], p<0.001; I
CONCLUSION
Cerebrovascular and cardiovascular diseases were associated with an increased risk for poor outcome in patients with COVID-19.
DOI: 10.1016/j.jstrokecerebrovasdis.2020.104949
PubMed: 32410807
PubMed Central: PMC7221373
Links to Exploration step
pubmed:32410807Le document en format XML
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Electronic address: raymond_pranata@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Huang, Ian" sort="Huang, Ian" uniqKey="Huang I" first="Ian" last="Huang">Ian Huang</name><affiliation><nlm:affiliation>Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia; Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.</nlm:affiliation></affiliation></author><author><name sortKey="Lim, Michael Anthonius" sort="Lim, Michael Anthonius" uniqKey="Lim M" first="Michael Anthonius" last="Lim">Michael Anthonius Lim</name><affiliation><nlm:affiliation>Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia.</nlm:affiliation></affiliation></author><author><name sortKey="Wahjoepramono, Eka Julianta" sort="Wahjoepramono, Eka Julianta" uniqKey="Wahjoepramono E" first="Eka Julianta" last="Wahjoepramono">Eka Julianta Wahjoepramono</name><affiliation><nlm:affiliation>Department of Neurosurgery, Medical Faculty of Pelita Harapan University, Lippo Village Tangerang, Neuroscience Centre Siloam Hospital, Lippo Village Tangerang, Indonesia.</nlm:affiliation></affiliation></author><author><name sortKey="July, Julius" sort="July, Julius" uniqKey="July J" first="Julius" last="July">Julius July</name><affiliation><nlm:affiliation>Department of Neurosurgery, Medical Faculty of Pelita Harapan University, Lippo Village Tangerang, Neuroscience Centre Siloam Hospital, Lippo Village Tangerang, Indonesia.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32410807</idno><idno type="pmid">32410807</idno><idno type="doi">10.1016/j.jstrokecerebrovasdis.2020.104949</idno><idno type="pmc">PMC7221373</idno><idno type="wicri:Area/Main/Corpus">000274</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000274</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of cerebrovascular and cardiovascular diseases on mortality and severity of COVID-19-systematic review, meta-analysis, and meta-regression.</title><author><name sortKey="Pranata, Raymond" sort="Pranata, Raymond" uniqKey="Pranata R" first="Raymond" last="Pranata">Raymond Pranata</name><affiliation><nlm:affiliation>Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia. Electronic address: raymond_pranata@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Huang, Ian" sort="Huang, Ian" uniqKey="Huang I" first="Ian" last="Huang">Ian Huang</name><affiliation><nlm:affiliation>Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia; Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.</nlm:affiliation></affiliation></author><author><name sortKey="Lim, Michael Anthonius" sort="Lim, Michael Anthonius" uniqKey="Lim M" first="Michael Anthonius" last="Lim">Michael Anthonius Lim</name><affiliation><nlm:affiliation>Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia.</nlm:affiliation></affiliation></author><author><name sortKey="Wahjoepramono, Eka Julianta" sort="Wahjoepramono, Eka Julianta" uniqKey="Wahjoepramono E" first="Eka Julianta" last="Wahjoepramono">Eka Julianta Wahjoepramono</name><affiliation><nlm:affiliation>Department of Neurosurgery, Medical Faculty of Pelita Harapan University, Lippo Village Tangerang, Neuroscience Centre Siloam Hospital, Lippo Village Tangerang, Indonesia.</nlm:affiliation></affiliation></author><author><name sortKey="July, Julius" sort="July, Julius" uniqKey="July J" first="Julius" last="July">Julius July</name><affiliation><nlm:affiliation>Department of Neurosurgery, Medical Faculty of Pelita Harapan University, Lippo Village Tangerang, Neuroscience Centre Siloam Hospital, Lippo Village Tangerang, Indonesia.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association</title><idno type="eISSN">1532-8511</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Betacoronavirus (pathogenicity)</term><term>Cardiovascular Diseases (diagnosis)</term><term>Cardiovascular Diseases (mortality)</term><term>Cardiovascular Diseases (therapy)</term><term>Cerebrovascular Disorders (diagnosis)</term><term>Cerebrovascular Disorders (therapy)</term><term>Cerebrovascular Disorders (virology)</term><term>Comorbidity (MeSH)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (mortality)</term><term>Coronavirus Infections (therapy)</term><term>Coronavirus Infections (virology)</term><term>Female (MeSH)</term><term>Health Status (MeSH)</term><term>Host Microbial Interactions (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (diagnosis)</term><term>Pneumonia, Viral (mortality)</term><term>Pneumonia, Viral (therapy)</term><term>Pneumonia, Viral (virology)</term><term>Prognosis (MeSH)</term><term>Risk Assessment (MeSH)</term><term>Risk Factors (MeSH)</term><term>Severity of Illness Index (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cardiovascular Diseases</term><term>Cerebrovascular Disorders</term><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Cardiovascular Diseases</term><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cardiovascular Diseases</term><term>Cerebrovascular Disorders</term><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Cerebrovascular Disorders</term><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Comorbidity</term><term>Female</term><term>Health Status</term><term>Host Microbial Interactions</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Prognosis</term><term>Risk Assessment</term><term>Risk Factors</term><term>Severity of Illness Index</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>We conducted a systematic review and meta-analysis to evaluate the latest evidence on the association between cerebrovascular, and cardiovascular diseases and poor outcome in patients with Coronavirus Disease 2019 (COVID-19) pneumonia.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A comprehensive systematic literature search was performed using PubMed, SCOPUS, EuropePMC, and Cochrane Central Database. The outcome of interest was composite poor outcome that comprised of mortality and severe COVID-19.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 4448 patients were obtained from 16 studies. Cerebrovascular disease was associated with an increased composite poor outcome (RR 2.04 [1.43,2.91], p<0.001; I</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Cerebrovascular and cardiovascular diseases were associated with an increased risk for poor outcome in patients with COVID-19.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32410807</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>29</Day></DateCompleted><DateRevised><Year>2020</Year><Month>07</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-8511</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association</Title><ISOAbbreviation>J Stroke Cerebrovasc Dis</ISOAbbreviation></Journal><ArticleTitle>Impact of cerebrovascular and cardiovascular diseases on mortality and severity of COVID-19-systematic review, meta-analysis, and meta-regression.</ArticleTitle><Pagination><MedlinePgn>104949</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1052-3057(20)30357-8</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jstrokecerebrovasdis.2020.104949</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We conducted a systematic review and meta-analysis to evaluate the latest evidence on the association between cerebrovascular, and cardiovascular diseases and poor outcome in patients with Coronavirus Disease 2019 (COVID-19) pneumonia.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A comprehensive systematic literature search was performed using PubMed, SCOPUS, EuropePMC, and Cochrane Central Database. The outcome of interest was composite poor outcome that comprised of mortality and severe COVID-19.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 4448 patients were obtained from 16 studies. Cerebrovascular disease was associated with an increased composite poor outcome (RR 2.04 [1.43,2.91], p<0.001; I<sup>2</sup>: 77%). Subgroup analysis revealed that cerebrovascular disease was associated with mortality (RR 2.38 [1.92,2.96], p<0.001; I<sup>2</sup>: 0%) and showed borderline significance for severe COVID-19 (RR 1.88 [1.00,3.51], p = 0.05; I<sup>2</sup>: 87%). Cardiovascular disease was associated with increased composite poor outcome (RR 2.23 [1.71,2.91], p<0.001; I<sup>2</sup>: 60%), mortality (RR 2.25 [1.53,3.29], p<0.001; I<sup>2</sup>: 33%) and severe COVID-19 (RR 2.25 [1.51,3.36], p<0.001; I<sup>2</sup>: 76%). Meta-regression demonstrate that the association was not influenced by gender, age, hypertension, diabetes, and respiratory comorbidities. Furthermore, the association between cerebrovascular disease and poor outcome was not affected by cardiovascular diseases and vice versa.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Cerebrovascular and cardiovascular diseases were associated with an increased risk for poor outcome in patients with COVID-19.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pranata</LastName><ForeName>Raymond</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia. Electronic address: raymond_pranata@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>Ian</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia; Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lim</LastName><ForeName>Michael Anthonius</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wahjoepramono</LastName><ForeName>Eka Julianta</ForeName><Initials>EJ</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Medical Faculty of Pelita Harapan University, Lippo Village Tangerang, Neuroscience Centre Siloam Hospital, Lippo Village Tangerang, Indonesia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>July</LastName><ForeName>Julius</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Medical Faculty of Pelita Harapan University, Lippo Village Tangerang, Neuroscience Centre Siloam Hospital, Lippo Village Tangerang, Indonesia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Stroke Cerebrovasc Dis</MedlineTA><NlmUniqueID>9111633</NlmUniqueID><ISSNLinking>1052-3057</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName><QualifierName UI="Q000472" MajorTopicYN="Y">pathogenicity</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002318" MajorTopicYN="N">Cardiovascular Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002561" MajorTopicYN="N">Cerebrovascular Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName><QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="N">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000076662" MajorTopicYN="N">Host Microbial Interactions</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Cardiovascular</Keyword><Keyword MajorTopicYN="N">Cerebrovascular</Keyword><Keyword MajorTopicYN="N">Mortality</Keyword><Keyword MajorTopicYN="N">Severity</Keyword></KeywordList><CoiStatement>Declaration of Competing Interest The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>05</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32410807</ArticleId><ArticleId IdType="doi">10.1016/j.jstrokecerebrovasdis.2020.104949</ArticleId><ArticleId IdType="pii">104949</ArticleId><ArticleId IdType="pmc">PMC7221373</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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