A Meta-Analysis: Correlation between Hypertension of Comorbidity on Mortality in Patients with COVID-19

Autor: Nanda Agustian Simatupang, Sumardiyono Sumardiyono, Vitri Widyaningsih
Rok vydání: 2021
Předmět:
Zdroj: Journal of Epidemiology Public Health. 6:60-69
ISSN: 2549-0273
DOI: 10.26911/jepublichealth.2021.06.01.07
Popis: Background: SARS-CoV-2 is a new type of coronavirus that has never been previously identified in humans. In severe cases of COVID-19 it can cause pneumonia, acute respiratory syndrome, kidney failure, and even death. Hypertension causes a number of patho­physiological changes in the cardiovascular system such as left ventricular hypertrophy and fibrosis. This can make a hypertensive heart particularly vulnerable to SARS-CoV-2. This study aims to analyze and estimate the effect of comorbid hypertension on mortality in COVID-19 patients. Subjects and Method: This was a systematic review and meta-analysis conducted with PRISMA flow diagram. Article searches through journal databases include: Google Scholar, PubMed, Science Direct, and Springer Link by selecting articles published in 2020 and 2021. The keywords used are “Hypertension” OR “Hypertensive Patient” OR “Blood Pres­sure”, “Systolic Pressure” OR “Diastolic Pres­sure” AND “Mortality”, OR “death” OR “loss” AND “COVID-19” OR “SARS-COV-2” OR “coro­navirus” AND “multivariate”. The inclusion criteria were full paper articles with observa­tional research methods, the results of the analysis used the aOR value, the exposure given was comorbid hypertension, the research sub­jects were COVID-19 patients, with mortality outcomes. Eligible articles were analyzed using the Revman 5.3 app. Results: A meta-analysis of 18 articles showed that confirmed COVID-19 patients who had comorbid hypertension had a 1.27 times risk of mortality compared to those without comorbid hypertension and were statistically significant (aOR= 1.27; 95% CI= 1.14 to 1.41; p
Databáze: OpenAIRE