Impact of Metabolic Syndrome in the Clinical Outcome of Disease by SARS-COV-2.
Arch Med Res
; 52(7): 738-745, 2021 10.
Article
in English
| MEDLINE | ID: covidwho-1491707
ABSTRACT
BACKGROUND:
It has been observed that subjects with comorbidities related to metabolic syndrome (MetS) as hypertension, obesity, cardiovascular disease (CVD), and diabetes mellitus (DM2) show severe cases and a higher mortality by COVID-19. To date, there is little information available on the impact of the interaction between these comorbidities in the risk of death by COVID-19. AIM OF THE STUDY To evaluate the impact of the combinations of MetS components in overall survival (OS) and risk of death among COVID-19 patients.METHODS:
Using public data of the Ministry of Health, suspected, and confirmed COVID-19 cases from February 25-June 6, 2020 was analyzed. Mortality odds ratio (OR) was calculated with a univariate analysis (95% CI) and attributable risk. Interactions between components and survival curves were analyzed and a multivariate logistics regression analysis was conducted.RESULTS:
The analysis included 528,651 cases out of which 202,951 were confirmed for COVID-19. Probabilities of OS among confirmed patients were 0.93, 0.89, 0.87, 0.86, and 0.83 while the OR of multivariate analysis was 1.83 (1.77-1.89), 2.58 (2.48-2.69), 2.83 (2.66-3.01), and 3.36 (2.83-3.99) for zero, one, two, three, and four MetS components, respectively. The combination with the highest risk was DM2â¯+â¯hypertension at 2.22 (2.15-2.28), and the attributable risk for any component was 9.35% (9.21-9.49). Only the combination obesityâ¯+â¯CVD showed no significant interaction.CONCLUSION:
The presence of one MetS component doubles the risk of death by COVID-19, which was higher among patients with DM2â¯+â¯hypertension. Only obesity and CVD do not interact significantly.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Metabolic Syndrome
/
Diabetes Mellitus
/
COVID-19
/
Hypertension
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Topics:
Long Covid
Limits:
Humans
Language:
English
Journal:
Arch Med Res
Journal subject:
Medicine
Year:
2021
Document Type:
Article
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