A brief-review of the risk factors for covid-19 severity

The World Health Organization has emphasized that one of the most important questions to address regarding the covid-19 pandemic is to understand risk factors for disease severity. We conducted a brief review that synthesizes the available evidence and provides a judgment on the consistency of the a...

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Bibliographic Details
Published in:Revista de saúde pública Vol. 54; p. 60
Main Authors: Rod, J. E., Oviedo-Trespalacios, Oscar, Cortes-Ramirez, Javier
Format: Journal Article
Language:English
Published: Brazil Faculdade de Saúde Pública da Universidade de São Paulo 01.01.2020
Universidade de São Paulo
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ISSN:0034-8910, 1518-8787, 1518-8787
Online Access:Get full text
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Summary:The World Health Organization has emphasized that one of the most important questions to address regarding the covid-19 pandemic is to understand risk factors for disease severity. We conducted a brief review that synthesizes the available evidence and provides a judgment on the consistency of the association between risk factors and a composite end-point of severe-fatal covid-19. Additionally, we also conducted a comparability analysis of risk factors across 17 studies. We found evidence supporting a total of 60 predictors for disease severity, of which seven were deemed of high consistency, 40 of medium and 13 of low. Among the factors with high consistency of association, we found age, C-reactive protein, D-dimer, albumin, body temperature, SOFA score and diabetes. The results suggest that diabetes might be the most consistent comorbidity predicting disease severity and that future research should carefully consider the comparability of reporting cases, factors, and outcomes along the different stages of the natural history of covid-19.
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Conflict of Interest: The authors declare no conflict of interest.
Authors’ Contribution: Study design: JER, OOT, JCR. Data collection, analysis and interpretation: JER, OOT, JCR. Writing of the manuscript and approval of the final version: JER, OOT, JCR. Public responsibility for the content of the article: JER, OOT, JCR.
ISSN:0034-8910
1518-8787
1518-8787
DOI:10.11606/s1518-8787.2020054002481