Association between hypertension and prognosis of patients with COVID-19: A systematic review and meta-analysis

Background To investigate the association between hypertension and clinical outcomes, including in-hospital mortality, intensive care unit (ICU) admission, and invasive ventilation in patients with coronavirus disease 2019 (COVID-19) pneumonia. Methods We implemented a systematic search of PubMed fo...

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Main Authors: Zhe Qian, Zhuohong Li, Jie Peng, Qiqing Gao, Shaohang Cai, Xuwen Xu
Format: Article
Language:English
Published: Taylor & Francis Group 2022-07-01
Series:Clinical and Experimental Hypertension
Subjects:
Online Access:http://dx.doi.org/10.1080/10641963.2022.2071914
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author Zhe Qian
Zhuohong Li
Jie Peng
Qiqing Gao
Shaohang Cai
Xuwen Xu
author_facet Zhe Qian
Zhuohong Li
Jie Peng
Qiqing Gao
Shaohang Cai
Xuwen Xu
author_sort Zhe Qian
collection DOAJ
description Background To investigate the association between hypertension and clinical outcomes, including in-hospital mortality, intensive care unit (ICU) admission, and invasive ventilation in patients with coronavirus disease 2019 (COVID-19) pneumonia. Methods We implemented a systematic search of PubMed for articles that assessed clinical outcomes of hypertensive patients infected with SARS-CoV-2. The primary outcomes evaluated included: in-hospital mortality, ICU admission, and the use of invasive ventilation. Results A total of 18 studies were included, involving 13,293 patients and covering from January 25, 2020, to April 20, 2020. The relationship between hypertension and prognosis in COVID-19 patients was evaluated. Results showed that hypertension was a risk factor for in-hospital mortality in COVID-19 patients (RR: 2.20, 95% CI, 1.83–2.65, P < .001). Moreover, patients with hypertension were more likely to be admitted to ICU (RR: 1.86, 95% CI, 1.13–3.07, P = .001) and to use invasive ventilation (RR: 2.99, 95% CI, 1.73–5.17, P < .001). Conclusions Among COVID-19 patients, those combined with hypertension had a significantly higher risk of in-hospital deaths, admission to ICU, and need for invasive ventilation.
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spelling doaj.art-f19a3a58f74a4438a1b070453f8fd3242023-09-19T16:04:07ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062022-07-0144545145810.1080/10641963.2022.20719142071914Association between hypertension and prognosis of patients with COVID-19: A systematic review and meta-analysisZhe Qian0Zhuohong Li1Jie Peng2Qiqing Gao3Shaohang Cai4Xuwen Xu5Nanfang Hospital, Southern Medical UniversityNanfang Hospital, Southern Medical UniversityNanfang Hospital, Southern Medical UniversityNanfang Hospital, Southern Medical UniversityNanfang Hospital, Southern Medical UniversityNanfang Hospital, Southern Medical UniversityBackground To investigate the association between hypertension and clinical outcomes, including in-hospital mortality, intensive care unit (ICU) admission, and invasive ventilation in patients with coronavirus disease 2019 (COVID-19) pneumonia. Methods We implemented a systematic search of PubMed for articles that assessed clinical outcomes of hypertensive patients infected with SARS-CoV-2. The primary outcomes evaluated included: in-hospital mortality, ICU admission, and the use of invasive ventilation. Results A total of 18 studies were included, involving 13,293 patients and covering from January 25, 2020, to April 20, 2020. The relationship between hypertension and prognosis in COVID-19 patients was evaluated. Results showed that hypertension was a risk factor for in-hospital mortality in COVID-19 patients (RR: 2.20, 95% CI, 1.83–2.65, P < .001). Moreover, patients with hypertension were more likely to be admitted to ICU (RR: 1.86, 95% CI, 1.13–3.07, P = .001) and to use invasive ventilation (RR: 2.99, 95% CI, 1.73–5.17, P < .001). Conclusions Among COVID-19 patients, those combined with hypertension had a significantly higher risk of in-hospital deaths, admission to ICU, and need for invasive ventilation.http://dx.doi.org/10.1080/10641963.2022.2071914covid-19epidemiologyhypertensionrespiratory infectionsvirology
spellingShingle Zhe Qian
Zhuohong Li
Jie Peng
Qiqing Gao
Shaohang Cai
Xuwen Xu
Association between hypertension and prognosis of patients with COVID-19: A systematic review and meta-analysis
Clinical and Experimental Hypertension
covid-19
epidemiology
hypertension
respiratory infections
virology
title Association between hypertension and prognosis of patients with COVID-19: A systematic review and meta-analysis
title_full Association between hypertension and prognosis of patients with COVID-19: A systematic review and meta-analysis
title_fullStr Association between hypertension and prognosis of patients with COVID-19: A systematic review and meta-analysis
title_full_unstemmed Association between hypertension and prognosis of patients with COVID-19: A systematic review and meta-analysis
title_short Association between hypertension and prognosis of patients with COVID-19: A systematic review and meta-analysis
title_sort association between hypertension and prognosis of patients with covid 19 a systematic review and meta analysis
topic covid-19
epidemiology
hypertension
respiratory infections
virology
url http://dx.doi.org/10.1080/10641963.2022.2071914
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