The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysis

<h3>Background and Aim</h3><p dir="ltr">The impact of multiple risk factors on COVID-19 mortality has been previously reported in multiple systematic reviews and meta-analyses. The aim of this review is to provide a comprehensive update on the association between hyperten...

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Main Author: Ahmad R. Al-Qudimat (17337808) (author)
Other Authors: Ayisha Ameen (17807381) (author), Doaa M. Sabir (17807384) (author), Heba Alkharraz (17807387) (author), Mai Elaarag (17807390) (author), Aisha Althani (17807393) (author), Kalpana Singh (3838960) (author), Wassim M. Alhimoney (17807396) (author), Raed M. Al-Zoubi (2037490) (author), Omar M. Aboumarzouk (14779240) (author)
Published: 2023
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_version_ 1864513530435207168
author Ahmad R. Al-Qudimat (17337808)
author2 Ayisha Ameen (17807381)
Doaa M. Sabir (17807384)
Heba Alkharraz (17807387)
Mai Elaarag (17807390)
Aisha Althani (17807393)
Kalpana Singh (3838960)
Wassim M. Alhimoney (17807396)
Raed M. Al-Zoubi (2037490)
Omar M. Aboumarzouk (14779240)
author2_role author
author
author
author
author
author
author
author
author
author_facet Ahmad R. Al-Qudimat (17337808)
Ayisha Ameen (17807381)
Doaa M. Sabir (17807384)
Heba Alkharraz (17807387)
Mai Elaarag (17807390)
Aisha Althani (17807393)
Kalpana Singh (3838960)
Wassim M. Alhimoney (17807396)
Raed M. Al-Zoubi (2037490)
Omar M. Aboumarzouk (14779240)
author_role author
dc.creator.none.fl_str_mv Ahmad R. Al-Qudimat (17337808)
Ayisha Ameen (17807381)
Doaa M. Sabir (17807384)
Heba Alkharraz (17807387)
Mai Elaarag (17807390)
Aisha Althani (17807393)
Kalpana Singh (3838960)
Wassim M. Alhimoney (17807396)
Raed M. Al-Zoubi (2037490)
Omar M. Aboumarzouk (14779240)
dc.date.none.fl_str_mv 2023-06-15T03:00:00Z
dc.identifier.none.fl_str_mv 10.1007/s44197-023-00130-3
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_Association_of_Hypertension_with_Increased_Mortality_Rate_During_the_COVID-19_Pandemic_An_Update_with_Meta-analysis/25018013
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Public health
Mathematical sciences
Statistics
HTN
COVID-19
Mortality
Prevalence
Pandemic
Chronic disease
dc.title.none.fl_str_mv The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysis
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background and Aim</h3><p dir="ltr">The impact of multiple risk factors on COVID-19 mortality has been previously reported in multiple systematic reviews and meta-analyses. The aim of this review is to provide a comprehensive update on the association between hypertension (HTN) and mortality in patients with COVID-19.</p><h3>Methods</h3><p dir="ltr">A systematic review and meta-analysis were performed and followed the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. A search was achieved using PubMed, Scopus, and Cochrane Databases for research publications on hypertension, COVID-19, and mortality published between December 2019 and August 2022.</p><h3>Results</h3><p dir="ltr">A total of 23 observational studies involving 611,522 patients from 5 countries (China, Korea, the UK, Australia, and the USA) were included in our study. The confirmed number of COVID-19 with HTN cases in each study ranged from 5 to 9964. The mortality ranged from 0.17% to 31% in different studies. Pooled results show that the mortality rate of COVID-19 among the included studies ranges from a minimum of 0.39 (95% CI 0.13–1.12) to a maximum of 5.74 (95% CI 3.77–8.74). Out of the 611,522 patients, 3119 died which resulted in an overall mortality prevalence of 0.5%. Subgroup analyses indicated that patients with COVID-19 who have hypertension and male patients had slightly less risk of mortality than female patients [the percentage of men > 50%; OR 1.33: 95% CI (1.01, 1.76); the percentage of men ≤ 50%: OR 2.26; and 95% CI (1.15, 4.48)]. Meta-regression analysis results also showed a statistically significant association between hypertension and COVID-19 mortality.</p><h3>Conclusion</h3><p dir="ltr">This systematic review and meta-analysis suggest that hypertension may not be the only risk factor associated with the increased mortality rate during the COVID-19 pandemic. In addition, a combination of other comorbidities and old age appears to increase the risk of mortality from COVID-19.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Epidemiology and Global Health<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s44197-023-00130-3" target="_blank">https://dx.doi.org/10.1007/s44197-023-00130-3</a></p>
eu_rights_str_mv openAccess
id Manara2_673befa241bef0168b83a967e0251c4a
identifier_str_mv 10.1007/s44197-023-00130-3
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/25018013
publishDate 2023
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rights_invalid_str_mv CC BY 4.0
spelling The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysisAhmad R. Al-Qudimat (17337808)Ayisha Ameen (17807381)Doaa M. Sabir (17807384)Heba Alkharraz (17807387)Mai Elaarag (17807390)Aisha Althani (17807393)Kalpana Singh (3838960)Wassim M. Alhimoney (17807396)Raed M. Al-Zoubi (2037490)Omar M. Aboumarzouk (14779240)Biomedical and clinical sciencesClinical sciencesHealth sciencesEpidemiologyPublic healthMathematical sciencesStatisticsHTNCOVID-19MortalityPrevalencePandemicChronic disease<h3>Background and Aim</h3><p dir="ltr">The impact of multiple risk factors on COVID-19 mortality has been previously reported in multiple systematic reviews and meta-analyses. The aim of this review is to provide a comprehensive update on the association between hypertension (HTN) and mortality in patients with COVID-19.</p><h3>Methods</h3><p dir="ltr">A systematic review and meta-analysis were performed and followed the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. A search was achieved using PubMed, Scopus, and Cochrane Databases for research publications on hypertension, COVID-19, and mortality published between December 2019 and August 2022.</p><h3>Results</h3><p dir="ltr">A total of 23 observational studies involving 611,522 patients from 5 countries (China, Korea, the UK, Australia, and the USA) were included in our study. The confirmed number of COVID-19 with HTN cases in each study ranged from 5 to 9964. The mortality ranged from 0.17% to 31% in different studies. Pooled results show that the mortality rate of COVID-19 among the included studies ranges from a minimum of 0.39 (95% CI 0.13–1.12) to a maximum of 5.74 (95% CI 3.77–8.74). Out of the 611,522 patients, 3119 died which resulted in an overall mortality prevalence of 0.5%. Subgroup analyses indicated that patients with COVID-19 who have hypertension and male patients had slightly less risk of mortality than female patients [the percentage of men > 50%; OR 1.33: 95% CI (1.01, 1.76); the percentage of men ≤ 50%: OR 2.26; and 95% CI (1.15, 4.48)]. Meta-regression analysis results also showed a statistically significant association between hypertension and COVID-19 mortality.</p><h3>Conclusion</h3><p dir="ltr">This systematic review and meta-analysis suggest that hypertension may not be the only risk factor associated with the increased mortality rate during the COVID-19 pandemic. In addition, a combination of other comorbidities and old age appears to increase the risk of mortality from COVID-19.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Epidemiology and Global Health<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s44197-023-00130-3" target="_blank">https://dx.doi.org/10.1007/s44197-023-00130-3</a></p>2023-06-15T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s44197-023-00130-3https://figshare.com/articles/journal_contribution/The_Association_of_Hypertension_with_Increased_Mortality_Rate_During_the_COVID-19_Pandemic_An_Update_with_Meta-analysis/25018013CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/250180132023-06-15T03:00:00Z
spellingShingle The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysis
Ahmad R. Al-Qudimat (17337808)
Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Public health
Mathematical sciences
Statistics
HTN
COVID-19
Mortality
Prevalence
Pandemic
Chronic disease
status_str publishedVersion
title The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysis
title_full The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysis
title_fullStr The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysis
title_full_unstemmed The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysis
title_short The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysis
title_sort The Association of Hypertension with Increased Mortality Rate During the COVID-19 Pandemic: An Update with Meta-analysis
topic Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Public health
Mathematical sciences
Statistics
HTN
COVID-19
Mortality
Prevalence
Pandemic
Chronic disease