A brief-review of the risk factors for covid-19 severity

Rev Saude Publica. 2020:54:60. doi: 10.11606/s1518-8787.2020054002481. Epub 2020 Jun 1.

Abstract

The World Health Organization has emphasized that one of the most important questions to address regarding the covid-19 pandemic is to understand risk factors for disease severity. We conducted a brief review that synthesizes the available evidence and provides a judgment on the consistency of the association between risk factors and a composite end-point of severe-fatal covid-19. Additionally, we also conducted a comparability analysis of risk factors across 17 studies. We found evidence supporting a total of 60 predictors for disease severity, of which seven were deemed of high consistency, 40 of medium and 13 of low. Among the factors with high consistency of association, we found age, C-reactive protein, D-dimer, albumin, body temperature, SOFA score and diabetes. The results suggest that diabetes might be the most consistent comorbidity predicting disease severity and that future research should carefully consider the comparability of reporting cases, factors, and outcomes along the different stages of the natural history of covid-19.

Publication types

  • Review

MeSH terms

  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Diabetes Complications
  • Female
  • Humans
  • Male
  • Pandemics
  • Pneumonia, Viral / epidemiology*
  • Risk Assessment
  • Risk Factors
  • SARS-CoV-2
  • Severity of Illness Index*

Grants and funding

Funding. J.E. Rod is the recipient of an ATN-LATAM QUT Postgraduate Research Scholarship and a QUT HDR Tuition Fee Sponsorship. Dr Oscar Oviedo-Trespalacios is the recipient of an Australian Research Council Discovery Early Career Researcher Award [DE200101079] funded by the Australian Government