Review Age, Sex and Previous Comorbidities as Risk Factors Not Associated with SARS-CoV-2 Infection for Long COVID-19..., 2022, Notarte et al

Discussion in 'Long Covid research' started by Hutan, Nov 28, 2024.

  1. Hutan

    Hutan Moderator Staff Member

    Messages:
    29,604
    Location:
    Aotearoa New Zealand
    Age, Sex and Previous Comorbidities as Risk Factors Not Associated with SARS-CoV-2 Infection for Long COVID-19: A Systematic Review and Meta-Analysis


    Abstract
    Identification of predictors of long COVID-19 is essential for managing healthcare plans of patients. This systematic literature review and meta-analysis aimed to identify risk factors not associated with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection, but rather potentially predictive of the development of long COVID-19. MEDLINE, CINAHL, PubMed, EMBASE, and Web of Science databases, as well as medRxiv and bioRxiv preprint servers were screened through 15 September 2022. Peer-reviewed studies or preprints evaluating potential pre-SARS-CoV-2 infection risk factors for the development of long-lasting symptoms were included. The methodological quality was assessed using the Quality in Prognosis Studies (QUIPSs) tool. Random-effects meta-analyses with calculation of odds ratio (OR) were performed in those risk factors where a homogenous long COVID-19 definition was used.

    From 1978 studies identified, 37 peer-reviewed studies and one preprint were included. Eighteen articles evaluated age, sixteen articles evaluated sex, and twelve evaluated medical comorbidities as risk factors of long COVID-19. Overall, single studies reported that old age seems to be associated with long COVID-19 symptoms (n = 18); however, the meta-analysis did not reveal an association between old age and long COVID-19 (n = 3; OR 0.86, 95% CI 0.73 to 1.03, p = 0.17). Similarly, single studies revealed that female sex was associated with long COVID-19 symptoms (n = 16); which was confirmed in the meta-analysis (n = 7; OR 1.48, 95% CI 1.17 to 1.86, p = 0.01). Finally, medical comorbidities such as pulmonary disease (n = 4), diabetes (n = 1), obesity (n = 6), and organ transplantation (n = 1) were also identified as potential risk factors for long COVID-19. The risk of bias of most studies (71%, n = 27/38) was moderate or high.

    In conclusion, pooled evidence did not support an association between advancing age and long COVID-19 but supported that female sex is a risk factor for long COVID-19. Long COVID-19 was also associated with some previous medical comorbidities.

    https://pmc.ncbi.nlm.nih.gov/articles/pmid/36555931/
    open access
     
    Sean and Turtle like this.
  2. Hutan

    Hutan Moderator Staff Member

    Messages:
    29,604
    Location:
    Aotearoa New Zealand
    The study assessed the evidence for age, sex and four co-morbidities:
    Four comorbidities were included: pulmonary disease (n = 4), diabetes (n = 1), obesity (n = 6), and organ transplantation (n = 1).

    It draws no conclusions about the association of mental illnesses such as depression or anxiety with Long Covid, but did find an association for sex and some comorbidities.

    The authors noted that most studies included in the review had a
     
    Sean likes this.

Share This Page