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合并哮喘降低了英国 COVID-19 死亡率的风险:基于荟萃分析的证据。

Comorbid asthma decreased the risk for COVID-19 mortality in the United Kingdom: Evidence based on a meta-analysis.

机构信息

Department of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou, 450001 Henan Province, China.

Department of Toxicology, Henan Center for Disease Control and Prevention, Zhengzhou, 450016, Henan Province, China.

出版信息

Int Immunopharmacol. 2023 Jul;120:110365. doi: 10.1016/j.intimp.2023.110365. Epub 2023 May 22.

Abstract

The study aimed to investigate the influence of comorbid asthma on the risk for mortality among patients with coronavirus disease 2019 (COVID-19) in the United Kingdom (UK) by utilizing a quantitative meta-analysis. The pooled odds ratio (OR) with 95% confidence interval (CI) was estimated by conducting a random-effects model. Sensitivity analysis, I statistic, meta-regression, subgroup analysis, Begg's analysis and Egger's analysis were all implemented. Our results presented that comorbid asthma was significantly related to a decreased risk for COVID-19 mortality in the UK based on 24 eligible studies with 1,209,675 COVID-19 patients (pooled OR = 0.81, 95% CI: 0.71-0.93; I = 89.2%, P < 0.01). Coming through further meta-regression to seek the possible cause of heterogeneity, none of elements might be responsible for heterogeneity. A sensitivity analysis proved the stability and reliability of the overall results. Both Begg's analysis (P = 1.000) and Egger's analysis (P = 0.271) manifested that publication bias did not exist. In conclusion, our data demonstrated that COVID-19 patients with comorbid asthma might bear a lower risk for mortality in the UK. Furthermore, routine intervention and treatment of asthma patients with severe acute respiratory syndrome coronavirus 2 infection should be continued in the UK.

摘要

本研究旨在通过定量荟萃分析,研究英国(UK)合并哮喘对 2019 冠状病毒病(COVID-19)患者死亡率风险的影响。采用随机效应模型估计合并odds 比(OR)及其 95%置信区间(CI)。进行敏感性分析、I ²统计、meta 回归、亚组分析、贝叶斯分析和 Egger 分析。我们的研究结果表明,24 项符合条件的研究纳入了 1209675 例 COVID-19 患者,合并哮喘与英国 COVID-19 死亡率降低显著相关(合并 OR=0.81,95%CI:0.71-0.93;I²=89.2%,P<0.01)。进一步通过 meta 回归寻找异质性的可能原因,没有任何因素可能导致异质性。敏感性分析证明了总体结果的稳定性和可靠性。Begg 分析(P=1.000)和 Egger 分析(P=0.271)均表明不存在发表偏倚。总之,我们的数据表明,英国合并哮喘的 COVID-19 患者死亡率可能较低。此外,在英国,应继续对严重急性呼吸综合征冠状病毒 2 感染的哮喘患者进行常规干预和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a96b/10201319/fcdcdba4f61f/gr1_lrg.jpg

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