Risk Factors of Hipertension and Diabetes Mellitus on COVID-19 Mortality
DOI:
https://doi.org/10.3889/oamjms.2022.6951Keywords:
Hypertension, Diabetes mellitus, Mortality, COVID-19Abstract
BACKGROUND: Case fatality rate (CFR) for global COVID-19 infections since June 14, 2021 was 2.17%, while CFR for Southest Asia were 1.39%. CFR in Indonesia so far were 3.05%. This missed from the target of the 2005-2025 RPJMK (Middle long run national health planning) in achieving healthy Indonesia; handling epidemic diseases must be able to reduce the mortality rate below 1%. The government issued the Decree of the Minister of Health Republic of Indonesia No. HK.01.07/Menkes/2020 concerning the Determination of Vaccine Types for the Management of COVID-19. However, the existence of this policy did not reduce the mortality rate trend of COVID-19 in Indonesia. Hypertension and diabetes mellitus were the larger risk factors for COVID-19 mortality. Guo et al. 2020 found comorbid COVID-19 sufferers were hypertension 24.7% and diabetes mellitus 21.2%. However, Mikami et al., 2020 stated differently that hypertension and diabetes mellitus were not at risk of COVID-19 mortality.
AIM: Objective of this study was to estimate the average tendency of hypertension and diabetes mellitus as risk factor for COVID-19 mortality.
METHODS: Meta-analysis with 16 articles analyzed by RevMan 5.4.
RESULTS: pHR for hypertension was 1.15 (95% CI 1.00 - 1.32) and diabetes mellitus was 1.21 (95% CI 1.13 - 1.29).
CONCLUSION: Hypertension had risk 1.15 times and diabetes mellitus had risk 1.21 times for COVID-19 mortality.Downloads
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References
World Health Organization. Coronavirus disease (COVID-19) Weekly Epidemiological Update and Weekly Operational Update. Geneva: World Health Organization; 2021. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/ [Last accessed on 2021 Jun 22].
Kemenkes Republik Indonesia. Situasi Terkini Perkembangan Coronavirus Disease (COVID-19). Infeksi Emerging; 2020. Available from: https://covid19.kemkes.go.id/situasi-infeksiemerging/info-corona-virus/situasi-terkini-perkembangancoronavirus-disease-covid-19-05-november-2020/#.X6hyQyNS82w [Last accessed on 2021 Jun 22].
Guo W, Li M, Dong Y, Zhou H, Zhang Z, Tian C, et al. Diabetes is a risk factor for the progression and prognosis of Covid-19. Diabetes Metab Res Rev. 2020;36:e3319. https://doi.org/10.1002/dmrr.3319 PMid:32233013 DOI: https://doi.org/10.1002/dmrr.3319
Mikami T, Miyashita H, Yamada T, Harrington M, Steinberg D, Dunn A, et al. Risk factors for mortality in patients with COVID-19 in New York city. J Gen Intern Med. 2020;36(1):17-26. https://doi.org/10.1007/s11606-020-05983-z PMid:32607928 DOI: https://doi.org/10.1007/s11606-020-05983-z
Bennett JE, Dolin R, Blaser MJ. Infectious Disease Essentials. United Kingdom: Elsevier; 2017.
Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet 2020;395(10229):1054-62. https://doi.org/10.1016/S0140-6736(20)30566-3 PMid:32171076 DOI: https://doi.org/10.1016/S0140-6736(20)30566-3
Albitar O, Ballouze R, Oi JP, Ghadzi SM. Risk factors for mortality among COVID-19 patients. Diabetes Res Clin Pract. 2020;166:108293. https://doi.org/10.1016/j.diabres.2020.108293 PMid:32623035 DOI: https://doi.org/10.1016/j.diabres.2020.108293
Wu R, Ai S, Cai J, Zhang S, Qian ZM, Zhang Y, et al. Predictive model and risk factors for case fatality of COVID-19: A cohort of 21,392 cases in Hubei, China. Innovation. 2020;1(2):100022. DOI: https://doi.org/10.1016/j.xinn.2020.100022
Ouchetto O, Bourhanbour AD. Risk factors of COVID-19 patients. Soc Disaster Med Public Health. 2021;1(1):1-3. https://doi.org/10.1017/dmp.2021.7 PMid:33413734 DOI: https://doi.org/10.1017/dmp.2021.7
Melsen WG, Bootsma MC, Rovers MM, Bonten MJ. The effects of clinical and statistical heterogeneity on the predictive values of results from meta-analyses. Clin Microbiol Infect 2013;20(2):123-9. https://doi.org/10.1111/1469-0691.12494 PMid:24320992 DOI: https://doi.org/10.1111/1469-0691.12494
Sterne JA, Sutton AJ, Ioannidis JP, Terrin N, Jones DR, Lau J. Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised. BMJ. 2011;342:d4002. https://doi.org/10.1136/bmj.d4002 PMid:21784880 DOI: https://doi.org/10.1136/bmj.d4002
Sedgwick P, Marston L. How to read a funnel plot in a metaanalysis. BMJ. 2015;351:h4718. https://doi.org/10.1136/bmj.h4718 PMid:26377337 DOI: https://doi.org/10.1136/bmj.h4718
Alfhad H, Saftarina F, Kurniawan B. Dampak infeksi SARSCov-2 terhadap penderita hipertensi the impact of SARS-Cov-2 infection on patients with hypertension. Majority. 2020;9(1):1-5.
Bienvenu LA, Noonan J, Peter K, Wang X. Higher mortality of COVID-19 in males: Sex differences in immune respone and cardiovascular comorbidities. Eur Soc Cardiol. 2020;116(14):2197-206. https://doi.org/10.1093/cvr/cvaa284 PMid:33063089 DOI: https://doi.org/10.1093/cvr/cvaa284
Berenguer J, Ryan P, Rodríguez-Baño J, et al. Characteristics and predictors of death among 4035 consecutively hospitalized patients with COVID-19 in Spain. Clin Microbiol Infect. 2020;2020:24. https://doi.org/10.1016/j.cmi.2020.07.024 DOI: https://doi.org/10.1016/j.cmi.2020.07.024
Rossi PG, Marino M, Formisano D, Venturelli F, Vicentini M, Grilli R, et al. Characteristics and outcomes of a cohort of COVID-19 patients in the Province of Reggio. PLoS One. 2020;15(8):e0238281. https://doi.org/10.1371/journal.pone.0238281 PMid:32853230 DOI: https://doi.org/10.1371/journal.pone.0238281
Yang Q, Zhou Y, Wang X, Gao S, Xiao Y, Zhang W, et al. Effect of hypertension on outcomes of adult inpatients with COVID-19 in Wuhan, China: A propensity score-matching analysis. Respir Res. 2020;21(1):1-9. DOI: https://doi.org/10.1186/s12931-020-01435-8
Alguwaihes AM, Al-Sofiani MA, Megdad M, Albader SS, Alsari MH, Alelayan A, et al. Diabetes and Covid-19 among hospitalized patients in Saudi Arabia: A single-centre retrospective study. Cardiovasc Diabetol. 2020;19(1):1-12. DOI: https://doi.org/10.1186/s12933-020-01184-4
Ioannou GN, Locke E, Green P, Berry K, O’Hare AM, Shah JA, et al. Risk factors for hospitalization, mechanical ventilation, or death among 10 131 US veterans with SARS-CoV-2 infection. JAMA Network Open. 2020;3(9):e2022310. https://doi.org/10.1001/jamanetworkopen.2020.22310 PMid:32965502 DOI: https://doi.org/10.1001/jamanetworkopen.2020.22310
Xie J, Covassin N, Fan Z, Singh P, Gao W, Li G, et al. Association between hypoxemia and mortality in patients with COVID-19. Mayo Clin Proc. 2020;95(6):1138-47. https://doi.org/10.1016/j.mayocp.2020.04.006 PMid:32376101 DOI: https://doi.org/10.1016/j.mayocp.2020.04.006
Roeroe PA, Sedli BP, Umboh O. Faktor risiko terjadinya coronavirus disease 2019 (Covid-19) pada penyandang diabetes melitus Tipe 2. E-CliniC. 2021;9(1):154-60. DOI: https://doi.org/10.35790/ecl.v9i1.32301
Zhang Y, Cui Y, Shen M, Zhang J, Liu B, Dai M. Association of diabetes mellitus with disease severity and prognosis in COVID-19: A retrospective cohort study. Diabetes Res Clin Pract. 2020;165:108227. 10.1016/j.diabres.2020. https://doi.org/108227 PMid:32446795 DOI: https://doi.org/10.1016/j.diabres.2020.108227
Li X, Xu S, Yu M, Wang K, Tao Y, Zhou Y. Risk factors for severity and mortality in adult COVID-19 inpatients in Wuhan. J Allergy Clin Immunol. 2020;146(1):110-8. https://doi.org/10.1016/j.jaci.2020.04.006 PMid:32294485 DOI: https://doi.org/10.1016/j.jaci.2020.04.006
Nachtigall I, Lenga P, Katarzyna J, Thürmann P, Meier-Hellmann A, Kuhlen R, et al. Clinical course and factors associated with outcomes among 1904 patients hospitalized with COVID-19 in Germany: An observational study. Clin Microbiol Infect. 2020;26(12):1663-9. https://doi.org/10.1016/j.cmi.2020.08.011 PMid:32822883 DOI: https://doi.org/10.1016/j.cmi.2020.08.011
Kementerian Kesehatan, R. Surat Edaran No. HK.02.01-MENKES-295-2020 tentang Klaim Penggantian Biaya Perawatan. pdf. Menteri Kesehatan Republik Indonesia; 2020. p. 1-5.
Arifin S. Police Brief: Rekomendasi kebijakan penanganan covid-19 di kalimantan selatan. Univ Lambung Mangkurat. 2020;1(3):14. DOI: https://doi.org/10.36387/jifi.v3i2.574
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Copyright (c) 2022 Rosihan Adhani, Deby Kania, Juli Harnida Purwaningayu, R. Harry Dharmawan Setyawardhana, Lisda Hayatie, Triawanti Triawanti, Husaini Husaini, Syamsul Arifin (Author)
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