A comparison of mortality-related risk factors of COVID-19, SARS, and MERS : A systematic review and meta-analysis

Copyright © 2020. Published by Elsevier Ltd..

OBJECTIVE: Coronavirus Disease 2019 (COVID-19) is a pandemic. This systematic review compares mortality risk factors including clinical, demographic and laboratory features of COVID-19, Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). The aim is to provide new strategies for COVID-19 prevention and treatment.

METHODS: We performed a systematic review with meta-analysis, using five databases to compare the predictors of death for COVID-19, SARS and MERS. A random-effects model meta-analysis calculated odds ratios (OR) and 95% confidence intervals (95% CI).

RESULTS: 845 articles up through 11/4/2020 were retrieved, but only 28 studies were included in this meta-analysis. The results showed that males had a higher likelihood of death than females (OR = 1.82, 95% CI 1.56-2.13). Age (OR = 7.86, 95% CI 5.46-11.29), diabetes comorbidity (OR = 3.73, 95% CI 2.35-5.90), chronic lung disease (OR = 3.43, 95% CI 1.80-6.52) and hypertension (OR = 3.38, 95% CI 2.45-4.67) were the mortality risk factors. The laboratory indicators lactic dehydrogenase (OR = 37.52, 95% CI 24.68-57.03), C-reactive protein (OR = 12.11, 95% CI 5.24-27.98), and neutrophils (OR = 17.56, 95% CI 10.67-28.90) had stronger correlations with COVID-19 mortality than with SARS or MERS mortality. Consolidation and ground-glass opacity imaging features were similar among COVID-19, SARS, and MERS patients.

CONCLUSIONS: COVID-19's mortality factors are similar to those of SARS and MERS. Age and laboratory indicators could be effective predictors of COVID-19 mortality outcomes.

Errataetall:

CommentIn: J Infect. 2020 Nov;81(5):e3-e5. - PMID 32920063

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:81

Enthalten in:

The Journal of infection - 81(2020), 4 vom: 30. Okt., Seite e18-e25

Sprache:

Englisch

Beteiligte Personen:

Lu, Lvliang [VerfasserIn]
Zhong, Wenyu [VerfasserIn]
Bian, Ziwei [VerfasserIn]
Li, Zhiming [VerfasserIn]
Zhang, Ke [VerfasserIn]
Liang, Boxuan [VerfasserIn]
Zhong, Yizhou [VerfasserIn]
Hu, Manjiang [VerfasserIn]
Lin, Li [VerfasserIn]
Liu, Jun [VerfasserIn]
Lin, Xi [VerfasserIn]
Huang, Yuji [VerfasserIn]
Jiang, Junying [VerfasserIn]
Yang, Xingfen [VerfasserIn]
Zhang, Xin [VerfasserIn]
Huang, Zhenlie [VerfasserIn]

Links:

Volltext

Themen:

9007-41-4
C-Reactive Protein
COVID-19
Comparative Study
EC 1.1.1.27
Journal Article
L-Lactate Dehydrogenase
MERS
Meta-Analysis
Meta-analysis
Mortality
Research Support, Non-U.S. Gov't
Risk factors
SARS
Systematic Review

Anmerkungen:

Date Completed 05.10.2020

Date Revised 07.12.2022

published: Print-Electronic

CommentIn: J Infect. 2020 Nov;81(5):e3-e5. - PMID 32920063

Citation Status MEDLINE

doi:

10.1016/j.jinf.2020.07.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312120699