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Table 1 Main characteristics of the included studies

From: A meta-analysis on the risk factors adjusted association between cardiovascular disease and COVID-19 severity

Author (Year)

Country

Patients(n)

Mean/Median Age(years)

Male (%)

Study design

Kinds of diseases

CVD (%)

Adjusted effect estimate (95%CI)

Outcome

Confounders

NOS Score

Zhou et al. (2020) [8]

China

191

56·0 (46·0–67·0)

119 (62)

Retrospective cohort study

Coronary heart disease

18 (8)

OR 2.14

(0.26-17.79)

In-hospital death

Age, SOFA score

7

Yu et al. (2020) [19]

China

333

50(35-63)

172 (51.7)

Descriptive study

Heart disease

24 (7.2)

OR 4.2 (1.2-14.2)

Severity

Age, sex, diabetes, HTN, respiratory disease

8

Cummings et al. (2020) [3]

USA

257

62 (51–72)

171 (67)

Prospective observational cohort study t

Chronic cardiac disease

49 (19)

HR 1.76 (1.08-2.86)

In-hospital mortality

Age, gender, symptom duration before hospital, presentation, COPD or interstitial lung disease, diabetes, IL-6, D-dimer

8

Zhao et al. (2020) [20]

China

1000

61 (46-70)

466 (46.6)

Retrospective study

Coronary heart disease

60 (6)

HR 0.972 (0.547-1.726)

Death

Age

8

Sabri et al. (2020) [21]

Iran

60

54.1±15.5

NR

Retrospective cohort study

Heart Disease

10 (15.9)

OR 1.12 (1.08-1.14)

ICU admission

Pericardial effusion, blood oxygen saturation

7

Lala et al. (2020) [22]

USA

2736

66.4

1630 (59.6)

NR

Coronary Artery Disease

453 (16.6)

OR 1.08

(0.85-1.37)

Mortality

age, sex, BMI, race, ethnicity, history of CAD, history of AF, history of HF, history of HTN, history of CKD, history of DM, statin use, angiotensin converting enzyme inhibitor (ACEi) or angiotensin II receptor blocker (ARB) use, and CURB-65 score at hospital admission

7

Cen et al. (2020) [2]

China

1007

61(49-68)

493(49.0)

Multi-center observational study

Coronary artery disease

65 (6.5)

HR 1.828

(1.256-2.660)

Disease progression was defined as progression to the severe or critical disease stage, or death

Age, sex, smoking history, HTN, diabetes, chronic obstructive lung disease, CAD, CRD, CVA, hepatitis B infection, anti-viral drug, aeration of anti-viral therapy

7

Ciceri et al. (2020) [23]

Italy

410

65 (56-75)

299 (72.9)

NR

Coronary artery disease

51 (12.6)

HR 2.93

(1.77-4.86)

Death

Age, gender, cancer, radiographic assessment of lung edema score, WBC count, lymphocyte count, hemoglobin, platelets.

7

Barman et al. (2020) [24]

Turkey

607

59.5±14.8

334 (55.02)

Multi-center retrospective study

Coronary artery disease

116 (19.1)

OR 1.26

(1.06-1.50)

Mortality

Age, gender, HTN, diabetes, CAD, COPD, smoking, creatinine, uric acid, glucose

7

Bravi et al. (2020) [25]

Italy

1603

58.0±20.9

758 (47.36)

Case-control, retrospective study

Major cardiovascular diseases

258 (16.1)

OR 1.88 (1.32-2.70)

Severe or very severe/lethal

Age, gender, HTN, diabetes, cancer, COPD, renal disease

7

Deiana et al. (2020) [26]

Italy

1223

80.4±10.6

499 (40.8)

Matched case-control study

CVD

63 (64.9)

OR 4.0 (1.7-9.7)

Severity

Active tumors, diabetes, HIV, CLD, CRD, metabolic diseases, obesity, chronic neurological diseases, other pathologies

7

Zhang et al. (2020) [27]

China

80

51.16±17.476

33 (41.25)

Retrospective cohort

Cardiac disease

9 (11.25)

HR 0.21

(0-22.09)

Severity

Age, respiratory diseases, HTN, more than 2 kinds of diseases, WBC, neutrophil, LYM%, NEU%, NLR, FIB, CRP, TBIL, ALB, GFR, CK-MB, myoglobin, troponin

7

Nie et al. (2020) [28]

China

671

43±15.09

377 (56.2)

NR

CVD

70 (10.4)

OR 0.809 (0.306–2.142)

Severity

Age, gender, coexisting disorder (HTN, diabetes, respiratory diseases, diabetes, respiratory diseases), Animal/human transmission source contact, Contact with confirmed cases, Contact with confirmed cases, Contact with individuals who had been to Wuhan, Close to cluster outbreak, Visited hospital, Visited wet market, No contact, Days from illness onset to diagnosis, X-ray with pneumonia features, CT with pneumonia features, Blood routine test Leucocyte count, Lymphocyte count, Lymphocyte percentage, Neutrophil percentage

7

Robilotti et al.

(2020) [9]

USA

423

60.2

212 (50)

NR

Cardiac disorder

84 (20)

HR 1.44

(0.88-2.37)

Severe respiratory illness,

Age, gender, race, BMI, smoking, asthma/COPD, cancer, major surgery, diabetes, HTN/CKI, Systemic chemotherapy, Chronic lymphopenia or corticosteroids, ICI

8

Hashemi et al.

(2020) [29]

USA

363

63.2±13.2

201 (55.37)

Multi-center retrospective study

Cardiac diseases

39 (10.7)

OR 0.98 (0.46-2.09)

Death

CLD, age, obesity, gender, HTN, diabetes, hyperlipidemia, pulmonary disorders

7

Lanza et al. (2020) [30]

Italy

222

66.4 (53.8–75.8)

163 (73)

Observational retrospective study,

Heart disease

27 (12.16)

OR 1.19 (0.58-2.44)

In-hospital death

Age, gender, smoke habit, CRP, Lung disease, cancer, diabetes, CKD, CURB-65a 1, CURB-65a 2, diabetes, BMI

8

Zeng et al. (2020) [31]

China

461

45.00 (34.50-57.00)

239 (51.84)

Multicenter retrospective study

CVD

25 (5.42)

HR 2.30

(0.99-5.38)

Severity

Age, gender, HTN, diabetes, hematology, biochemistry, infection-related indices, coagulation function

8

Petrilli et al. (2020) [32]

USA

5279

54 (38-66)

2615 (49.5)

Prospective cohort study

Coronary artery disease

704 (13.3)

OR 1.08

(0.81-1.44)

Mortality

Age, gender, BMI, race, COPD and asthma, diabetes, HTN, cirrhosis, CKD, CAD, immunosuppression, cancer, tobacco smoking

8

Arshad et al. (2020) [33]

USA

2541

63.7±16.5

1298 (51.1)

Retrospective cohort study

Cardiovascular Comorbidity

222 (8.7)

HR 1.062 (0.8-1.410)

Death

HCQ alone (vs. neither medication), azithromycin alone (vs. neither medication), HCQ+AZM (vs. neither medication), age, gender, ethic, BMI,lung comorbidity,CKI comorbidity,COPD, HTN,asthma, COPD,cancer,diabetes, percent O2 saturation < 95, admission to ICU, ventilator, given steroid, given tocilizumab

7

San Román et al. (2020) [34]

Spain

522

68±15

294 (56)

NR

Heart disease

68 (13.02)

OR 2.017 (1.050-3.876)

Severity

Age, SatO2 <90%, creatinine > 1.5 mg/dL, c-reactive protein> 10 mg/L

7

Cheng et al. (2020) [35]

China

456

54.97±18.59

211 (46.27)

Retrospective cohort study

CVD

52 (11.4)

OR 1.204 (0.554-2.619)

Any in-hospital disease progression

Age, gender, HTN, diabetes, CKD, neural system diseases, pulmonary disease, cancer, laboratory findings(leucocytes count, neutrophil count, lymphocyte count, NLR, platelet count, albumin, APTT, prothrombin time, INR, D-dimer, aspartate aminotransferase, creatinine, potassium, creatine kinase, lactate dehydrogenase, procalcitonin, C-reactive protein, erythrocyte sedimentation rate, IL-6

8

Oussalah et al.

(2020) [36]

France

149

65 (54–77)

91 (61.1)

Retrospective, longitudinal cohort study

CVD

38 (25.5)

OR 2.35

(0.35-15.68)

Death

Age, COPD, gender, creatinine >10.1 mg/L, HTN

8

Kim et al. (2020)[37]

Korea

9148

51*

3556 (38.9)

Observational Study

Heart failure

124 (1.4)

OR 3.17

(1.88–5.34)

Mortality

Gender, age, type of distiricts, high epidemic region and socio-economic status

8

Chen et al. (2020) [38]

China

3309

62(49-69)

1642 (49.6)

Retrospective

CVD

242 (7.3)

OR 1.41 (0.94-2.13)

Death

Age, gender, HTN, diabetes, cerebrovascular disease, malignancy, CKI, COPD, days from onset to clinics (vs ≤5d), days from onset to admission (vs ≤12d)

9

Ferrante et al.

(2020) [39]

Italy

332

66.9 (55.4-75.5)

237 (71.4)

Single-center cohort study

CAD

49 (14.5)

OR 2.14 (0.99-4.63)

Death

Age, HTN, CVA, Cancer, eGFR, PaO/FiO2 ratio, PA diameter, baseline ACEI/ARB use

7

Rastad et al. (2020) [40]

Iran

2597

54.8±16.9

1589 (53.7)

Retrospective cohort study

CVD

314 (10.6)

OR 0.61

(0.30, 1.24)

In-hospital mortality

WBC, neutrophils, lymphocytes, serum concentrations, creatinine, LDH, AST, ALT, Hb, ESR, CRP, age

8

Hwang et al. (2020) [41]

South Korea

103

67.62±15.32

52 (50)

Retrospective cohort study

CVD

12 (12)

HR 2.556 (0.535–12.207))

Mortality

Age, diabetes, CLD, Alzheimer’s dementia, stroke

7

Grasselli ei al.

(2020) [42]

Italy

3988

63 (56-69)

3188 (79.9)

Retrospective, observational cohort study

Heart disease

533 (13.4)

HR 1.08

(0.91-1.29)

Death

Age, gender, respiratory support, HTN, hypercholesterolemia, type 2 diabetes, Malignancy, COPD, ACE inhibitor therapy, ARB therapy, statin, diuretic, PEEP at admission, FiO2 at admission, PaO2/FiO2 at admission

8

Deng et al. (2020) [43]

China

264

64.5 (53.3-74.0)

130 (49.2)

Retrospective study

Coronary heart disease

32 (12.1)

HR 1.855 (1.006-3.421)

Death

Age, gender, HTN, cTnI-ultra, CK-MB, MYO, NT-proBNP, Cr

7

AI-Salameh et al. (2020) [44]

France

433

72±14.3

226 (52.1)

Observational cohort

CVD

99 (31.2)

HR 1.84

(1.1-3.08)

Death

Age, diabetes, gender, abnormal LFTs

7

Atkins et al. (2020) [45]

UK

507

74.3±4.5

311 (61.3)

NR

CHD

108 (21.5)

OR 0.86 (0.55-1.36)

Death

Age, gender, race, education, atrial fibrillation, stroke, HTN, diabetes (type 2), CKD, depression, dementia, asthma, COPD, osteoporosis, osteoarthritis, delirium, pneumonia, falls/fragility fractures

8

Yao et al. (2020) [46]

USA

242

66.1±18.3

104 (42.98)

Single-institution retrospective study

Heart Disease

39 (13.6)

HR 0.94 (0.43-2.07)

Mortality

Zinc sulfate (yes vs no), age, gender, COPD, clinical severity, lopinavir/ritonavir, steroids, IL-6 receptor inhibitors,

8

Pinto et al. (2020) [47]

Italy

1226

71.7±14.5

733 (59.8)

Observational cohort Study

CVD

NR (NR)

OR 1.58 (0.68–3.68)

Death

Age, sex, presence of metastatic disease, time since cancer diagnosis

7

Chilimuri et al.

(2020) [48]

USA

375

63.0 (52.0-72.0)

236 (63)

Retrospective cohort study

CVD

62 (17)

OR 1.56 (0.78-3.11)

Mortality

Age, gender, HTN, lymphocyte, creative protein, alanine aminotransferase, aspartate aminotransferase, creatine kinase

8

Lian et al. (2020) [49]

China

232

NR

108 (46.5)

Retrospective study

Heart disease

31 (13.36)

HR 2.587 (1.156-5.787)

Severity

Age, NLR, multiple mottling and ground-glass opacity

8

Zhao et al. (2020) [50]

USA

641

58.9±17.5

358 (55.85)

Retrospective study

Heart failure

20 (3.12)

OR 33.48 (4.99-224.45)

Mortality

LDH, procalcitonin, smoking history, SpO2, lymphocyte count, procalcitonin, LDH, COPD, SpO2, heart rate, age

8

Wang et al. (2020) [51]

USA

1827

52.7±21.1

500 (32.6)

NR

CVD

589 (32.2)

OR 2.21 (1.21-4.04)

Severity

Gender, race, marital status, Insurance type, smoking history, BMI, comorbidities (diabetes, COPD, CKD, CLD, HTN, allergic rhinitis), SABA, combination

7

Garcia-Azoin et al. (2020) [52]

Spain

576

67.18±14.75

326 (56.6)

Retrospective cohort study

Cardiac disease

154 (26.7)

OR 1.20 (0.730-1.999)

Mortality

mRS≥3, age, gender, HTN, diabetes, smoking, pulmonary disorders, cancer, chronic neurological disorders, immunosuppression

7

Alkhatib et al.

(2020) [53]

USA

158

57±15.1

61 (38.6)

Retrospective cross-sectional analysis

Heart Failure

21 (13.3)

OR 2.4 (0.734-7.845)

Severity

Age, gender, diabetes, HTN, lung disease, CKD, BMI

7

Hernández-Galdamez et al. (2020) [54]

Mexico

211003

45.7±16.3

115442 (54.71)

Cross-sectional study

CVD

4949 (2.35)

OR 0.93

(0.87-1.00)

Death

At least one comorbidity/risk, CKD, immunosuppression, diabetes, COPD, HTN, asthma, obesity, smoking

8

Bellmann-Weiler et al. (2020) [55]

Australia

259

66.8±14.3

157 (60.62)

Retrospective

CVD

152 (58.62)

OR 2.127 (0.309–14.647)

Death

Age, CKD, COPD, eGFR, leukocytes, PCT, anemia,

8

Berenguer et al. (2020) [56]

Spain

4035

70 (56 – 80)

2433 (61)

Retrospective nationwide cohort study

Chronic heart disease

932 (23.3)

HR 1.58

(1.38-1.81)

Death

Gender, age, HTN, diabetes, COPD, obesity, CKI stage 4, liver cirrhosis, chronic neurological disorder, cancer, dementia, headache, myalgia/arthralgia, anosmia, cough, sputum production, dyspnea, chest pain, vomiting/nausea, altered consciousness, low SaO2, WBC count, neutrophil-to-lymphocyte ratio, platelets, prolonged APTT, eGFR, ALT, CRP

7

Gottlieb et al. (2020) [57]

USA

8673

41 (29 – 54)

4045 (46.6)

Retrospective case-control study t

Congestive Heart Failure

218 (14.7)

OR 1.45

(1.00-2.12)

Critical Illness

Age, gender, race, COPD, HTN, hyperlipidemia, diabetes, prior CVA, CKD, current ESRD, obstructive sleep apnea, bloodborne cancer, symptoms (anosmia, cough, headache, myalgias), labs(WBC, ALC,ANC/ALC, total Bilirubin, albumin, AST, ALT, LDH, lactate, D-Dimer, CRP, ferritin, troponin)

8

Agarwal et al.

(2020) [58]

USA

1126

67.9±13.7

630 (49.3)

Retrospective

CVD

754 (59)

OR 1.18

(0.88-1.57)

Mortality

Treatment regimen (noninsulin only, insulin 1 noninsulin, insulin only), HTN, CKD, COPD

7

Shang et al. (2020) [59]

China

2529

66

73 (64.6)

Retrospective

CHD

28 (24.8)

OR 5.611 (1.392-22.623)

Death

Age, D-dimer, PCT, LYM, diabetes, CRP, BUN

8

Shi et al. (2020)[60]

Iran

386

59.46±15.82

236 (61.1)

Prospective, single-center study

CVD

97(25.1)

HR 1.121 (0.565-2.226)

Death

Age, diabetes, malignancy, CKD, CVA/TIA, previous ACEI/ARB use, ARDs, AKI

7

Posso et al. (2020) [62]

Spain

834

60

400 (46.5)

Retrospective

Heart Failure

37 (37.4)

OR 1.6 (1.01-2.55)

Death

Age, gender

7

Shu et al. (2020) [63]

China

571

50.0 (38.0-59.0)

278 (48.7)

Single-center, retrospective cohort study

Coronary heart disease

12 (2.1)

OR 6.75

(0.629-72.61)

Severity

Smoke, HTN, diabetes, dyspnea, consolidation, interstitial abnormalities, lymphocyte counting

8

Parra-Bracamonte et al. (2020) [64]

Mexico

142690

45 (34.0-57.0)

79280 (56)

NR

Cardiopathy

3521 (2.0)

OR 1.012 (0.92-1.112)

Mortality

Age, gender, smoking, hospitalized, pneumonia, comorbidity (HTN, obesity, diabetes, COPD, asthma, immunosuppressed, CKD, other complication)

8

Pablos et al. (2020) [65]

Spain

456

65±17.9

182 (41)

Retrospective observational matched cohort study

Heart failure

106 (23.2)

OR 1.57 (0.93-2.66)

Composite severe COVID-19 outcome

CTD, age, gender, obesity, diabetes, glucocorticoids (any dose), antivirals

8

Zhang et al. (2020) [66]

China

461

51 (38-64)

264 (57.3)

Multicenter study

Coronary heart disease

25 (5.4)

OR 0.382 (0.096-1.526)

Critical illness

Age, gender, comorbidities (HTN, diabetes, CLD), types of previous surgery (gastrointestinal surgery, urogenital surgery, skeletal surgery, cardiovascular surgery, others), WBC, neutrophil, lymphocyte, LDH, hemoglobin, platelet, albumin, AST, ALT, DBIL, IBIL, TBIL, APTT, PT, D-dimer, creatinine, hs-CRP, procalcitonin, urea nitrogen, FBG, CT score)

8

Fox et al. (2020) [67]

USA

389

66.2±14.2

208 (46.5)

Single-center retrospective analysis

CAD

77 (19.79)

OR 1.579 (0.562–4.436)

In-hospital mortality

Age, BMI, gender, ethnic, Hispanic, others, COPD, asthma, CAD, HTN, atrial fibrillation, CKD

7

Vena et al. (2020) [68]

Italy

317

71 (60-82)

213 (67.2)

Retrospective study

CVD

63 (19.9)

OR 2.58

(1.07-6.25)

All-cause in-hospital mortality

AKI, age, CRP, IL-6

7

Ng et al. (2020) [69]

USA

10482

66

6239 (59.5)

Retrospective study

Heart Failure

920 (8.78)

OR 1.32 (1.14-1.53)

Death

Age, sex, race/ethnicity, BMI, diabetes mellitus, HTN, cancer, mechanical ventilation, use of vasoactive medication, hemoglobin, lymphocyte, blood urea nitrogen, albumin, C-reactive protein and ferritin

8

He et al. (2020) [70]

China

288

48.5 (34.3-62)

131(45.5)

Single-center, retrospective cohort study

CVD

85 (29.5)

OR 0.986 (0.052-18.588)

Death

Age, CKD, exposure history in Wuhan >2 weeks, diarrhea, WBC count, lymphocyte count, creatinine, PCT,

8

Gupta et al. (2020) [71]

USA

2626

63.99±16.49

1497(57.00)

Retrospective study

CAD

516 (19.6)

OR 1.179 (0.844-1.647)

In-hospital mortality

Age, gender, CKD, exposure history in Wuhan >2 weeks, diarrhea, white blood cell count, lymphocyte count, creatinine

6

Czernichow et al. (2020) [72]

Europe

5795

59.8±13.6

3791 (65.4)

Prospective cohort study

HF

264 (4.55)

OR 1.15 (0.82-1.59)

 

Body mass index, age, diabetes, hypertension, dyslipidemia, sleep apnea, CKD, malignancies, history of smoking, gender

8

Sisó-Almirall et al. (2020) [73]

Spain

322

56.7±17.8

161 (50.0)

Multicenter, observational descriptive study

HF

25(7.8)

OR 1.92

[0.74–4.84]

Death or ICU admission

Age, gender

7

Brenner et al*. (2020) [74]

Germany

9548

62.1

4182 (43.8)

Ongoing statewide cohort study

CVD

4186 (43.8)

HR 1.285 (0.936–1.763)

Mortality

Any cause, age, gender, cancer, respiratory disease, Season

8

De Rossi et al. (2020) [75]

Italy

158

66.38±13.44

113 (71.52)

Retrospective cohort study

Heart disease

33 (20.89)

HR 3.001 (1.422-6.332)

Mortality

GROUP, age, gender, diabetes, HTN, CRP at admission, time to hospitalization, Time to hospitalization

7

Nimkar et al. (2020) [76]

USA

327

71 (59–82)

182 (55.7)

Retrospective case series

Cardiac Disease

98 (29.9)

OR 1.7 (0.7–3.9)

Mortality

AKI, ARDS, demographics (age, gender, race), HTN, diabetes mellitus, overweight (25 - 29.9), obese ( >= 30), underweight < 18.5

7

Klang et al. (2020) [77]

USA

1320

74.48±12.88

772 (58.48)

Multicenter observational retrospective study

CHD

258 (19.55)

OR 1.00 (0.8–1.4)

Death

Age, CAD, HTN, diabetes, CKD, COPD, cancer, obesity, smoking

7

Emami et al. (2021) [78]

Iran

1239

51.48±19.54

692 (55.9)

NR

CVD

132 (10.7)

HR 3.52 (1.23–11.15)

Mortality

Age, diabetes, chronic liver disease, cancer, HIV, smoking, asthma, immunodeficiency disease

5

Liu et al. (2020) [79]

China

2044

62.0 (51.0-70.0)

1000 (48.92)

Mini-national multicenter, retrospective, cohort study

CHD

199 (9.76)

OR 1.65 (1.02-2.66)

Critical disease (vs. moderate and severe disease)

Factors with effect modification, HTN, COPD, age, diabetes, tumor, CKD, cough

6

Giorgi et al. (2020) [61]

Italy

2653

63.2

1328 (50.1)

Population-based prospective cohort

CHD

168 (7.1)

HR 1.7 (1.2–2.5)

Death

Age, gender

7

Feng et al. (2020) [81]

China

114

63.96±13.41

71 (62.3)

Single-center, prospective study

CVD

31 (27.2)

HR 1.062 (0.380–2.970)

Poor outcome

Age, gender

7

Li et al. (2020) [82]

China

199

67 (61-78)

89 (44.7)

Retrospective study

CVD

NR (NR)

OR 0.250 (0.020-3.155)

Death

Age, CKD, HTN, Diabetes, d-dimer at admission, lymphocyte count at admission, fasting plasma glucose at admission, treatment with low molecular weight heparin, Antidiabetic drugs

7

Seiglie et al. (2020) [83]

USA

450

63.32±17.13

259 (57.5)

Observational study

CHF

52 (11.56)

OR 1.94 (0.78-4.85)

Death

Diabetes, BMI category (overweight, Obese), age, male, race/ethnicity (Hispanic, African American, other, unknown/missing), HTN, COPD/asthma, cancer (active), liver disease, renal disease

7

Tural Onur et al. (2020) [84]

Turkey

301

57±18

206 (68.4)

Retrospectively

CVD

19 (6.3)

OR 15.331 (3.394-69.272)

Death

Age, length of stay, lung cancer

7

Anzola et al. (2020) [85]

Italy

431

65±16

263 (61)

Prospective study

CVD

77 (18)

OR 0.618 (0.297-1.285)

Death

Age, lymphocyte count, creatinine, AST, CRP, diabetes, HTN, gender (male),

7

Ioannou et al. (2020) [86]

USA

10131

61.6±15.9

9221 (91.0)

Longitudinal cohort study

CAD

2203 (21.7)

HR 1.02 (0.88-1.18)

Death

Diabetes, cancer, HTN, congestive heart failure, cerebrovascular disease, dialysis, chronic kidney disease, cirrhosis, asthma, COPD, obstructive sleep apnea, obesity, hypoventilation, alcohol dependence, smoking, Charlson comorbidity body index score

9

Bahl et al. (2020) [87]

USA

1461

62.0 (50.0–74.0)

770 (52.7)

Multicentered cohort study

CVD

163 (11.2)

HR 1.32 (0.95–1.83)

Mortality

Age, gender, race (Black/African American, White/Caucasian, other), diabetes mellitus, HTN, respiratory rate, blood oxygen saturation White blood cell count, hemoglobin, ALT, creatinine, d-dimer, procalcitonin, lactic acid

6

Kabarriti et al.

(2020) [88]

USA

5902

58 (44-71)

2768 (46.9)

Cohort study

CVD

1306 (22.1)

HR 1.20 (1.03-1.41)

Death

Age, gender, socioeconomic status (Lowest quartile, Second quartile, third quartile, highest quartile)

8

Jackson et al. (2020) [89]

USA

51

60 (45–69)

29 (56.9)

Retrospective observational cohort

CAD

10 (19.6)

OR 2.37 (1.08–5.23)

Death

End-stage renal disease, neurologic disorders,

6

Desai et al. (2020) [90]

Italy

575

64.8 (27-93)

380 (66.09)

Single-center, retrospective, observational study

CVD

155 (27.1)

HR 1.78 (1.21–2.61)

Death

Age, ACEi, therapy: LMWH

8

Wang et al. (2021) [91]

China

663

58 (44-69)

321 (48.4)

Retrospective

CVD

164 (24.7)

OR 1.66

(0.82-3.47)

Poor therapeutic effect

Age, gender, respiratory diseases, urinary diseases, T2DM, severe and critical condition, Fever, Expectoration, dyspnea, chest tightness, muscle aches, dizziness, neutrophil count >6.3 × 10 per L, Lymphocyte count <1.1 × 10 per L, Hemoglobin <115 g/L, ALT >40 U/L, ALT >40 U/L, Cr >73 mmol/L, Cr >73 mmol/L, albumin <35 g/L, LDH >300 U/L, CRP >10 mg/L

8

Solerte et al. (2020) [92]

Italy

169

69±1.0

115 (68)

Multicenter, case-control, retrospective, observational study

CVD

53 (38)

OR 2.5 (1.30–4.81)

Mortality

Treatment with sitagliptin, age, gender, cancer, chronic kidney disease, use of hydroxychloroquine use of antiviral agents

8

Hayek et al. (2020) [93]

USA

5019

60.42±14.86

3165 (63.06)

Multicenter cohort study

CAD

676 (13.47)

OR 1.13 (0.87-1.47)

In-hospital cardiac arrest

Number of intensive care unit beds ( ≥100 (reference), 50-99, <50), age, gender, Black compared with non-Hispanic white, Hispanic compared with non-Hispanic white, body mass index per 5 kg/m2,current or former tobacco use, diabetes mellitus, HTN, coronary artery disease, congestive heart failure, kidney disease (chronic or end stage), COPD, active malignancy, mSOFA score per 2 units

8

Chen et al. (2020) [94]

China

2828

60.0 (50.0-68.0)

1442 (51.0)

single-center Retrospective cohort study

CHD

181 (6.4)

OR 3.09 (1.69-5.64)

Adverse outcomes ( death, ARDS, respiratory failure and septic shock during hospitalization, mechanical ventilation, ICU admission, as well as clinical cure and discharges)

Age, COPD, AKI, Hs-CRP, neutrophil, lymphocyte, blood pressure

5

Lee et al. (2020) [95]

South Korea

5061

45.44±17.92

2,229 (44%)

Retrospective cohort study

CVD

49 (0.97)

HR 2.316 (1.053-5.094)

Mortality

Age, gender, cerebrovascular disease, HTN, diabetes, pulmonary disease, malignancy, CKD

8

Nachega et al. (2020) [96]

South Africa

766

46 (34–58)

500 (65.6)

Retrospective cohort study

Heart disease

30 (3.9)

HR 1.40 (0.68–2.88)

Death

Age, gender, clinical stage at admission (mild or moderate, Severe or critical, HTN, diabetes, obesity, asthma/chronic obstructive pulmonary, chronic kidney disease, cancer, HIV, current tuberculosis, chloroquine/azithromycin–based, received oxygen

8

Rozaliyani et al. (2020) [97]

India

4052

45.8±16.3

2169 (53.5)

Retrospective cohort study

Heart disease

148 (6.9)

OR 1.43 (0.85-2.41)

Death

Age, gender, registered address (West Jakarta, Central Jakarta, South Jakarta, East Jakarta, North Jakarta, outside Jakarta, citizenship, foreigner), Symptoms (cough, fever, malaise, dyspnea, headache, nausea/emesis, Sore throat, cold/runny nose, myalgia, chills, abdominal pain, diarrhea, pneumonia), temperature, comorbidity (HTN, COPD, diabetes, renal disease, malignancy, immunological disorder, liver failure, Obesity)

7

Wang et al. (2020) [98]

China

293

59.2 (42.8-73.1)

138 (47.1)

Retrospective study

Coronary heart disease

21 (7.2)

HR 1.771 (1.013-3.097)

Mortality

Age, gender, fever, cough, expectoration, dyspnea, catarrhal symptoms, neuromuscular symptoms, digestive symptoms, comorbidity, Hypertension, diabetes, cerebrovascular disease, COPD, chronic renal disease, chronic liver disease, malignancy, only one comorbidity, ≥2 comorbidities, complications, shock, acute cardiac injury, acute renal injury, acute liver injury, Only one complication, ≥2 complications

8

Liu et al. (2020) [99]

China

77

63.6±3.6

48 (62)

Retrospective study

CVD

15 (20)

HR 2.533 (1.108-6.306)

In-hospital death

HbA1C, age, gender, CRD

8

Al Kuwari et al. (2020) [100]

Qatar

5685

35.8±12.0

5052 (88.9)

Case series

CVD

250 (4.4)

OR 0.54 (0.24-1.22)

Severe or critical illness

Age, gender, Qatari nationality, HTN, diabetes mellitus, chronic lung disease, chronic kidney disease, cancer

8

Balbi et al. (2020) [101]

Italy

340

68 (57–76)

252 (74)

Retrospective observational study

CVD

86 (25)

OR 3.21 (1.28–8.39)

Death

Age, SpO2, PaO2/FiO2 ratio, Brixia score

6

Calmes et al. (2021) [102]

Belgium

493

58 ± 19

244 (49.49)

NR

Cardiopathy

88 (18)

OR 0.94 (0.53-1.7)

Intensive care unit stay

Age, gender

8

Talavera et al.

(2020) [103]

Spain

576

67.18±14.75

325 (56.6)

Retrospective cohort study

Cardiological disorders

154 (26.7)

OR 1.201 (0.716-2.016)

Mortality

Age, sex, hypertension, diabetes, smoking habit, cardiological disorders, pulmonary disorders, cancer, and chronic neurological disorders

6

Zinellu et al. (2020) [104]

Italy

105

72.0 (59.5-80.0)

70 (66.67)

Retrospective

CVD

59 (56.19)

HR 2.53 (0.80-7.99)

In-hospital mortality

Age, gender, smoking status, intensity of care, respiratory disease, kidney disease, diabetes, cancer, De Ritis index ≥ 1.63

7

Mallow et al. (2020) [105]

USA

21676

64.9±17.2

11442 (52.8)

Retrospective cohort study

Severe heart disease

12000 (55.4)

OR 1.27 (1.16-1.40)

Mortality

Age, gender, insurance (Medicaid as any payer), teaching status (nonteaching hospital vs teaching hospital), hospital bed Size, chronic lung disease, moderate to severe asthma, immunocompromised, obesity, diabetes, CKD with dialysis, liver disease, HTN, DNR, statin use in hospital

8

Abbasi et al. (2020) [106]

Iran

262

58 (43–67)

172 (65.6)

Retrospective cohort study

CAD

78 (29.8)

OR 6.7 (1.08–42.2)

Mortality

Age, HTN, diabetes, chronic renal failure, hypoxia at admission, WBC, LYM count, LYM% less than 20%, Hb, Plt, AST, ALT, LDH, CRP, ESR, Cr, CT severity score

6

Craig-Schapiro et al. (2021) [107]

USA

136

56.24±35.04

93 (68.38)

NR

CVD

52 (38.23)

OR 0.76 (0.26-2.23)

Mortality

Waitlist status, age, gender, BMI, black, diabetes, pulmonary disease, history of stroke, smoking history, ACE / ARB use

7

Ryan et al. (2020) [108]

USA

556

57±17

296 (53)

Retrospective case-control study

CVD

71 (13)

OR 1.41 (0.77–2.58)

Composite of ICU Admission, Mechanical Ventilation, and Death

Age, immunocompromised status, dyspnea, vomiting, chronic kidney disease, COPD, diabetes mellitus, ACE inhibitor, gender, obesity, current or former smoker, obstructive sleep apnea, HTN, hyperlipidemia

6

Serin et al. (2020) [109]

Turkey

2217

47.66±17.23

1175 (53)

NR

CAD

165 (7.4)

HR 1.726 (0.645−4.618)

Mortality

COPD, chronic heart failure, HTN, diabetes mellitus, chronic renal failure, malignancy, without Involvement in CT, unilaterally, bilaterally, WBC, neutrophil, hemoglobin, C-Reactive Protein, D-Dimer, urea, aspartate aminotransferase, Lactate Dehydrogenase/Lymphocyte

5

Cao et al. (2020) [110]

China

101

56.6±15.1

67 (66.3)

Retrospective, two-center study

CVD

21 (20.8)

OR 0.439 (0.081–2.387)

Mortality

Age, respiratory rate, dyspnea, acute respiratory distress syndrome, diabetes, HTN, chronic pulmonary disease, bacterial infection

7

Gupta et al. (2020) [111]

USA

3099

62 (51–71)

2003 (64.6)

Multicenter cohort study

CAD

390 (12.6)

OR 1.17 (0.65-2.13)

28-day mortality

Age, gender, Non–white race, HTN, diabetes mellitus, BMI, chronic kidney disease, congestive heart failure, active malignancy, ≤3 days from hospital to ICU admission, lymphocyte count <1,000 mm3, PaO2:FiO2, altered mental status, ICU Day 1, secondary Infection, ICU Day 1, vasopressors, coagulation Component of SOFA Score, Liver component of SOFA Score, urine output (ml/day), initial RRT modality initial RRT modality, hospital size (no. pre-COVID ICU beds), regional density of COVID-19 (quartiles)

7

Raparelli et al. (2021) [112]

Italy

3517

77.64±11.51

2346 (66.7)

Retrospective analysis

Congestive Heart Failure

539 (15.7)

OR 0.75 (0.56-1.00)

Death

AGE, IHD, T2DM, dementia, COPD, CLD, CKD, AD, fever, SOB, cough, admission in ICU, AKI, acute cardiac injury, shock, antivirals, tocilizumab, length of stay

6

Chinnadurai et al. (2020) [113]

UK

215

74 (60–82)

133 (61.9)

Single-center observational study

CVD

93 (43.3)

OR 1.20 (0.61–2.40)

Mortality

Age, care home resident, frailty, smoking, respiratory diseases

6

Rajter et al. (2020) [114]

USA

280

59.6±15.9

153 (64.6)

NR

Cardiac Disease

43 (15.4)

OR 1.51 (0.43-5.22)

Mortality

Treatment group (Ivermectin VS Control), age, gender, current or former smoker, Race (Black, Hispanic, Other, White), comorbidities (diabetes, pulmonary, HTBN, No comorbidities), BMI, severe presentation, Intubated at study entry, MAP < 70 mm Hg, corticosteroid treatment, peripheral white cell count, lymphocyte count

7

Naaraayan ey al. (2020) [115]

USA

362

71 (59–82)

200 (55.3)

Retrospective case series

Cardiac diseases

119 (32.9)

OR 0.9 (0.5–1.4)

In-hospital mortality

age, sex, hypertension, diabetes, race, chronic obstructive pulmonary disease, renal disease and obesity

6

Cherri et al. (2020) [116]

Italy

53

75 (68–83)

32 (60.4)

Retrospective study

Cardiopathy

20 (37.7)

OR 1.15 (0.187-7.13)

Mortality

Age, BMI, diabetes, active oncological disease

7

Rodríguez-Molinero et al. (2020) [117]

Spain

418

65.4±16.6

238 (56.9)

Observational cohort study

Heart failure

26 (6.22)

OR 1.16 (0.44–3.06)

Case fatality

Age, gender, diabetes mellitus, obesity, chronic kidney disease, HTN, atrial fibrillation, dementia, OSAS, Auto-immune disease

6

Clift et al. (2020) [118]

UK

8256158

44.33±27.42

4111197 (49.8)

Cohort study

Heart failure

96225 (1.17)

HR 1.14 (1.08–1.20)

Death

No learning disability, learning disability apart from down syndrome, down syndrome, males vs. females, Townsend material deprivation score (5-unit increase), White, Indian British, Pakistani British, Bangladeshi British, Other Asian British, Caribbean British, Black British, Chinese British, other ethnic group, not in care home or homeless, lives in residential or nursing home, Homeless according to GP records, No kidney failure, chronic kidney disease stage, chemotherapy grad, blood cancer, bone marrow or stem cell transplant in past 6 month, respiratory tract cancer, Radiotherapy in past 6 month, Solid organ transplant (excluding kidney and bone marrow), immunosuppressant drug, ≥4 scripts from GP in past 6 mo, Leukotriene or LABA, ≥4 scripts in past 6 month, Oral steroids, ≥4 scripts in past 6 month, Sickle celI disease or severe immunodeficiency, type 1 diabetes, type 2 diabetes, COPD, asthma, rare lung conditions (bronchiectasis, CF, or alveolitis), pulmonary hypertension or pulmonary fibrosis, coronary heart disease, stroke, atrial fibrillation, congestive heart failure, thromboembolism, peripheral vascular disease, congenital heart disease, dementia, Parkinson disease, Epilepsy MND, MS, myasthenia gravis, or Huntington disease, Cerebral palsy, severe mental illness, osteoporotic fracture (hip, spine, wrist, or humerus), rheumatoid arthritis or SLECirrhosis

9

Clift et al. (2020) [119]

UK

6083102

48.21±18.57

3035409 (49.90)

Population based cohort study

Coronary heart disease

215069 (3.54)

HR 1.24 (1.10-1.40)

Death

No learning disability, learning disability apart from down syndrome, down syndrome, males vs. females, Townsend material deprivation score (5-unit increase), White, Indian British, Pakistani British, Bangladeshi British, Other Asian British, Caribbean British, Black British, Chinese British, Other ethnic group, not in care home or homeless, lives in residential or nursing home, homeless according to GP records, No kidney failure, chronic kidney disease stage, chemotherapy grad, blood cancer, bone marrow or stem cell transplant in past 6 month, respiratory tract cancer, radiotherapy in past 6 month, solid organ transplant (excluding kidney and bone marrow), immunosuppressant drug, ≥4 scripts from GP in past 6 month, Leukotriene or LABA, ≥4 scripts in past 6 month, Oral steroids, ≥4 scripts in past 6 month, sickle celI disease or severe immunodeficiency, type 1 diabetes, type 2 diabetes, COPD, asthma, rare lung conditions (bronchiectasis, CF, or alveolitis), pulmonary hypertension or pulmonary fibrosis, coronary heart disease, stroke, atrial fibrillation, congestive heart failure, thromboembolism, peripheral vascular disease, congenital heart disease, dementia, Parkinson disease, epilepsy MND, MS, myasthenia gravis, or Huntington disease, cerebral palsy, severe mental illness, osteoporotic fracture (hip, spine, wrist, or humerus), rheumatoid arthritis or SLEcirrhosis

9

Gamberini et al. (2020) [120]

Italy

2540

66 (59–72)

300 (76.7)

Multicenter prospective observational study

Chronic ischemic heart disease

35 (9)

HR 0.277 (0.181–0.423)

Mechanical ventilation

Age, SOFA score at ICU admission, renal replacement therapy during ICU stays, lowest PaO2/FiO2 within 5 days, CRS < 40 mL/cmH2O within 5 days, neurologic complications

7

Omrani et al. (2020) [121]

Qatar

1409

39.82±14.2

1167 (82.8)

Retrospective cohort study

Coronary artery disease

31 (2.4)

OR 1.090 (0.449–2.643)

Admission to ICU

Age, gender, diabetes mellitus, HTN, chronic liver disease, chronic kidney disease, BMI

6

Yahyavi et al. (2020) [122]

Iran

2553

58.1±17.9

1498 (58.7)

Retrospective cohort study

CVD

942 (36.9)

OR 1.1 (0.8-1.5)

Mortality

angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, chronic kidney disease, chronic pulmonary disease, diabetes mellitus, intensive care unit, diuretics, beta-blockers, and calcium channel blockers

7

Guisado-Vasco et al. (2020) [135]

Spain

607

69±22.0

394 (65.02)

Retrospective, observational, longitudinal study

Chronic cardiac disease

133 (22.62)

OR 1.956 (0.778-4.922)

In-hospital death

Age, gender, Chest X-ray score, hydroxychloroquine, tocilizumab, lopinavir/ritonavir, cyclosporine A, Glucocorticoids, Lymphocyte count at admission, Ferritin at admission, C-reactive protein at admission, lactate dehydrogenase (LDH) at admission, d-dimer at admission, Creatinine at admission, arterial hypertension, diabetes mellitus, chronic respiratory disease, PaO2/FiO2

7

Izzy et al.* (2020) [124]

USA

5190

52 (36–66)

2378 (46)

NR

Coronary artery disease

257 (5)

OR 0.52 (0.323–0.835)

ICU Admission

Age, gender, smoking status, last BMI, comorbidities (diabetes mellitus, hyperlipidemia, HTN, obstructive lung disease, interstitial lung disease, cerebrovascular disease, obstructive sleep apnea, CKD, transplantation, auto-immune diseases, malignancy), total comorbidities (0, 1–2, >2)

8

Chow et al. (2020) [125]

USA

412

55 (41-66)

244(52.9)

Retrospective, observational cohort study

CAD

52 (12.62)

HR 1.91 (1.06-3.42)

In-hospital death

Age, gender, BMI, Ethnicity (African American, Asian, Hispanic/Latino), HTN, DM, renal disease, aspirin use

6

Raines et al. (2020) [126]

USA

440

60.8±14.07

393 (89.32)

Retrospective

CVD

364 (82.73)

OR 0.9 (0.47-1.73)

Mortality

Age, gender, race, BMI, immunodeficiency syndromes, pulmonary diseases, oncologic diseases, gastrointestinal diseases, renal diseases, hematologic diseases, endocrine diseases, neurologic problems, lifetime tobacco user

7

Ramos-Rincon et al. (2020) [123]

Spain

2772

86.3 (83.2-89.6)

1367 (49.4)

Nationwide, multicenter, retrospective, observational study

CVD

855 (30.8)

OR 1.22 (0.96-1.54)

Mortality

Age, gender, degree of dependence (independent or mild, moderate, Severe), comorbidities ( Charlson comorbidity Index, non-atherosclerotic cardiovascular disease, atherosclerotic cardiovascular diseases, dementia, obesity, moderate-severe renal disease), symptoms (shortness of breath, anorexia, diarrhea), physical exam (Oxygen saturation < 90% (pulsi oximetry), temperature 37.8 ºC, HTN (systolic blood pressure<100 mmHg), tachycardia (>100 beats per minute), Tachypnoea (20 breaths per minute), confusion, pulmonary rales, qSOFA score 2 (high risk)), chest X-ray (normal, unilateral infiltrates, bilateral infiltrates), laboratory findings (leukocytes 10.0 x103/L, neutrophils 7.5 x103/L, Lymphocytes<0.800 x103/L, monocytes<0.500 x103/L, pH<7.40, PO2, PO2/FiO2 ratio < 200, glucose > 126 mg/dL, eGFR < 45ml/min/1.73m2, lactate dehydrogenase 500 U/L, AST,ALT, CRP, venous lactate, procalcitonin, interleukin-6, d-dimer, serum ferritin)

6

Zhang et al. (2021) [127]

China

222

51.5 (34.0-65.3)

90(40.54)

NR

Chronic cardiovascular disease

44 (19.82)

HR 3.616 (1.111-11.776)

Mortality

Dyspnea, pharyngalgia, COPD, elevated myocardial enzymes, acute liver dysfunction, acute kidney injury

6

de Souza et al. (2020) [128]

Brazil

9807

70.21±8.37

4662 (47.5)

Retrospective population-based study

CVD

1192 (12.2)

OR 1.15 (0.95–1.39)

Mortality

Age, gender, initial symptoms reported (initial symptoms reported, fever, fatigue, headache, myalgia, odynophagia, dyspnea, diarrhea), comorbidities (diabetes, HTN, chronic lung disease, chronic kidney disease, obesity)

8

Kolhe et al. (2020) [129]

UK

1161

72.1±16.0

657 (56.59)

Retrospective cohort study

Congestive cardiac failure

207 (17.83)

OR 1.38 (0.95-1.99)

Mortality

Age, gender, ethnicity (White, Asian, Black, mixed, others, not stated), cerebrovascular disease, Dementia, chronic lung disease, connective tissue disorder, Diabetes with complication, paraplegia, chronic kidney disease, chronic liver disease, Cancer, treatment (ACEI or ARB use, ACEI or ARB use), AKI

8

Kim et al. (2021) [130]

USA

10861

65 (54-77)

6468(59.6)

NR

CAD

1447 (13.3)

OR 1.02 (0.90-1.17)

Death

Age, gender, race/ethnicity, BMI, HTN, DM,CKD, end stage renal disease, cancer, asthma, COPD, smoking status, hospital type

6

Giustino et al.

(2020) [131]

New York City & Milan

305

63 (53–73)

205 (67.2)

International, multicenter cohort study

Heart failure

24 (7.9)

OR 5.38 (1.65-17.54)

In-Hospital Death

Age, Hispanic ethnicity, history of heart failure, cardiocirculatory shock, acute respiratory distress syndrome, acute kidney injury stage II or III, no cardiac injury (No cardiac injury vs cardiac injury with echocardiographic abnormalities)

7

An et al. (2020) [132]

Korea

228

44.97±19.79

107 (46.9)

Cohort study

CVD

70 (30.7)

HR 1.23 (0.89-1.70)

Mortality

Age, gender, income level, residence, household type, disability, symptom, infection route, underlying medical condition (none, HTN, diabetes mellitus, hyperlipidemia, cerebrovascular disease, cancer, chronic lung disease or asthma, chronic renal disease, mental illness, chronic liver disease)

6

Piazza et al. (2020) [133]

USA

1114

50.6±18.3

511 (45.9)

Retrospective observational cohort analysis

CAD

90 (8.1)

OR 1.09 (0.38–3.16)

Death

Major arterial or venous thromboembolic event (Age, gender, VTE prophylaxis, ARDS, d-dimer (decile))

7

Rao et al. (2020) [134]

China

240

48 (23–87)

111 (46.250

Retrospective cohort study

CVD

43 (17.9)

OR 3.326 (0.721-15.336)

Severe pneumonia

 Age

7

Tehrani et al. (2021) [136]

Sweden.

255

66±17

150 (59)

Retrospective analysis

Chronic heart failure

34 (13)

OR 1.01 (0.42-2.42)

Death

Age, HTN, chronic kidney disease, previous stroke

8

Hyman et al. (2020) [137]

USA

755

63±13

483 (64.0)

Retrospective cohort study

Congestive heart failure or valve disorder

30 (4.3)

HR 1.39 (0.87–2.23)

Mortality

Hospital site, baseline demography, preexisting comorbidities, laboratory findings at admission, maximum vital sign values

7

Hamilton et al. (2020) [138]

UK

1032

71 (56–83)

569 (55.1)

Retrospective review

Congestive Heart Failure

129 (12.5)

HR 2.01 (1.51-2.67)

Mortality

AKI, cancer, other ethnicity, diabetes, gender, RAASi, race, dementia, myocardial infarction, age

6

Liu et al. (2020)

[139]

China

774

64 (54–73)

452 (58.4)

Multicenter retrospective observational study

Chronic cardiac disease

91 (11.8)

HR 1.12 (0.68–1.84)

Mortality

Time-varying exposure, age, gender, APACHE II score, COPD, diabetes, HTN, chronic kidney disease, chronic liver disease, stroke, malignancy, immunosuppression, fever at admission, systolic pressure at admission, leukocytes, hemoglobin, platelets, lymphocytes, d-dimer, total bilirubin, serum creatinine, procalcitonin, corticosteroids, corticosteroids, human immunoglobulin

8

Ganatra et al. (2020) [140]

USA

2467

59 (18–101)

1032 (42)

Retrospective study

CAD

184 (7.0)

OR 0.92 (0.66–1.27)

Severe disease

Age, prior/current smoker, β-blockers, history of cancer, gender, diabetes mellitus, ACEi or ARB, HTN, COPD, CKD

4

Rubio-Rivas et al. (2020) [141]

Spain

12066

68 (56–79)

7052 (58.5)

Cohort study

Chronic heart failure

809 (6.7)

OR 1.16 (1.02–1.32)

In-hospital mortality

Age, gender, BMI, clusters, comorbidity (Arterial hypertension, diabetes mellitus, hyperlipidemia, hyperlipidemia, chronic kidney disease, chronic hepatopathy, active cancer), Charlson’s index, heart rate upon admission, respiratory rate upon admission > 20 bpm, PaO2/FiO2 upon admission, lab test upon admission (CRP mg/L, LDH U/L), treatments during admission (Redeliver, tocilizumab, corticosteroids)

9

Mendes et al. (2020) [142]

Switzerland

235

86.3±6.5

102 (43.4)

Retrospective monocentric cohort study

Heart failure

66 (28.1)

OR 1.51 (0.95-2.40)

Mortality

Gender

6

Nemer et al. (2020) [143]

USA

350

64±16

194 (55)

Prospective

Congestive heart failure

42 (12)

OR 0.76 (0.17-3.39)

Primary composite outcome was defined as death, ICU transfer, or increased oxygen requirement.

Age, BMI, COPD, peripheral oxygen saturation on room air, CRP, lactate dehydrogenase level, abnormal troponin T level, abnormal d-dimer level, Abnormal chest x-ray findings

8

Guo et al. (2020) [144]

China

350

43(32–56)

173(49.4)

Retrospective, multicenter study

CVD

15 (4.3)

OR 1.81 (0.42–7.84)

Severe COVID-19

Age, gender, Wuhan exposure, family cluster case, smoking, comorbidity (HTN, diabetes, chronic kidney disease, chronic liver disease, cerebral infarction)

6

Hilbrands et al. (2020) [145]

Netherlands

305

60±13

189(62)

Observational study

Heart failure

64 (21)

OR 1.39 (1.02–1.89)

28-day case-fatality

Age, gender

5

Wang et al. (2020) [146]

China

7283

64 (53–71)

3732 (51.2)

Retrospective observational study

CVD

161 (2.2)

HR 1.83 (1.33-2.51)

Death

Age, gender, location (central area in Wuhan, Other areas), occupation (medical workers, retirees, others), diabetes, HTN, respiratory disease, number of symptoms at admission, date of onset (Dec 2019–9 Jan 2020, 10–22 Jan 2020, 23 Jan–1 Feb 2020, 2–25 Feb 2020)

9

Tang et al. (2020) [147]

USA

752

73.9 (21.9-105.4)

323 (43)

Cohort study

Coronary heart disease

240 (31.91)

HR 0.83 (0.58-1.19)

Death

Age, gender, race, and facility

8

Annweiler et al. (2020) [173]

France

77

88 (85−92)

39 (50.6)

Retrospective quasi-experimental study

Cardiomyopathy

42 (54.5)

HR 4.04 (0.81-20.30)

14-day mortality

Age, gender, Iso resource groups score, severe undernutrition, history of cancer, history of HTN, glycated hemoglobin, number of acute health issue, use antibiotics, use of systemic corticosteroids, use treatments of respiratory disorder

5

Huang et al. (2020) [148]

China

676

56.0 (39.0–68.0)

314 (46.4)

Retrospective study

Heart Disease

71 (10.5)

HR 1.40 (0.76–2.47)

Hospital mortality

Age, gender, HTN, Diabetes, cancer, d-dimer, CRP, PCT, LDH

6

Poterucha et al. (2021) [149]

USA

887

64.1

513 (58)

Retrospective study

CAD

104 (12.0)

HR 1.56 (1.04-2.33)

Mortality

AF/AFL, QRS abnormality, ST-T wave abnormality, Initial hs-cTnT ≥ 20 ng/L, age, gender, Hypertension, Diabetes, CKD, primary lung disease, Obesity, HFrEF, HFpEF, active cancer, history of cancer

6

Li et al. (2020) [150]

China

100

62.0 (51.0–70.8)

56 (56.0)

NR

CVD

15 (15.0)

HR 3.73 (0.41–33.84)

Cardiac damage

Age, gender, Hypertension, diabetes, hyperlipidemia, white blood count, prothrombin time, d-dimer, creatinine interleukin-6, procalcitonin, hs-CRP

6

Prado-Galbarro et al. (2020) [151]

Mexico

9487

31.37 (41.13-51.18)

5050 (53.2)

Observational study

CVD

171(1.8)

HR 0.85 (0.67-1.06)

Mortality

Age, gender, indigenous ethnicity, pneumonia, COPD, diseases associated with immunosuppression, additional comorbidity (Chronic diseases interaction, HTN, diabetes, obesity, chronic kidney disease, intensive care unit), region, density, mode of transport (driving, public transport, walking)

8

Shah et al. (2020) [152]

USA

487

68.53±16.66

273 (56.06)

Retrospective review

Cardiomyopathy

16 (3.28)

OR 3.33 (1.07-10.41)

Mortality

Age, gender, patient admitted from home, PMH HTN, PMH hyperlipidemia, PMH A. fib, , PMH CVA, PMH diabetes, PMH dementia, PMH active cancer, AKI, Dyspnea in ED noted as positive, initial CXR/CT findings

7

Botta et al. (2021) [153]

Netherlands

553

67.0 (59.0–73.0)

417 (75)

National, multicenter, observational cohort study

Heart failure

25 (5.0)

OR 0.73 (0.26-2.08)

28-day mortality

Ventilatory variables on day 0 (positive end-expiratory pressure, tidal volume, respiratory system compliance), PaO2/FiO2, laboratory tests on day 0* pH, Lactate, Creatinine), vital signs on day 0 (Heart rate, mean arterial pressure), organ support on day 0 (use of vasopressor, fluid balance), demographic characteristics (age, gender, BMI, HTN, diabetes, chronic kidney disease, COPD, use of angiotensin-converting enzyme inhibitor, use of angiotensin II receptor blocker)

6

Di Domenico et al. (2020) [154]

France

310

64 (52–76)

200 (64.5)

Single‑center retrospective study

Heart disease

50 (16.2)

HR 1.921

(0.893-4.135)

Death

Age, diabetes, HTN, CKD, obesity, vascular disease, ever been a smoker

7

Ayaz et al.

(2020) [155]

Pakistan

66

50.6±19.1

40 (61)

Retrospective cohort study

Ischemic heart disease

10 (15)

OR 26.5

(4.7–147.8)

Mortality

Age, diabetes, HTN, ICU admission, mechanical ventilation, bilateral infiltrates on chest radiography, neutrophil to lymphocyte ratio ≥3.3, INR ≥1.2

6

Hippisley-Cox et al. (2020) [156]

UK

8275949

48.47±18.41

4115973 (49.73)

Prospective cohort study

CVD

433631 (5.24)

HR 0.85

(0.66-1.10)

Admission to ICU

ACE inhibitor, angiobrnsin enzyme blocker, gender, material deprivation, ethnicity, geographical region, smoking status, BMI, chronic renal disease, atrial fibrillation, type 1 diabetes, type 2 diabetes, hypertension, asthma, COPD, Beta-blockers, calcium channel blockers, other diabetes drugs, sulfonylureas, biguanides, anticoagulants, antiplatelets, statins, statins, potassium-sparing diuretics

9

Tomasoni et al. (2020) [157]

Italy

692

66.5±13.3

415 (68.9)

Multicenter study

CAD

148 (21.4)

HR 1.20 (0.67-2.14)

In-hospital mortality

Age, gender, smoker, HTN, hyper dyslipidemia, Diabetes, atrial fibrillation, COPD, CKD, Treatment before hospitalization (ACE-i/ARBs/ARNI, mineralocorticoids, Beta-blockers, direct oral anticoagulants, warfarin, Statins), baseline findings (heart rate, Oxygen saturation), laboratory measurements (PaO2/FiO2, red blood cell count, hemoglobin, hematocrit, lymphocytes count, platelets count, creatinine, eGFR (CKD-EPI), CRP on admission, procalcitonin, troponin, NT-proBNP, d-dimer, aspartate transaminase, albumin, international normalized Ratio)

7

Elmunzer et al. (2020) [158]

North American

1846

59.9±16.4

1044 (56.6)

Large-scale retrospective cohort study

Congestive Heart Failure

284 (15.4)

OR 1.60

(1.12-2.28)

Death

H2RA Use, PPI Use, age, gender, race, dementia, number of comorbidities, WBC at admission, platelets at admission, AST at admission, albumin at admission

6

Polverino et al. (2020) [159]

Italy

3179

 

2171 (68.3)

Nationwide observational study

Coronary artery disease

359 (11.3)

OR 1.11 (0.83-1.49)

Death

Age, gender, atrial fibrillation, blood cancer, COPD chronic renal failure, diabetes, HTN, obesity, organ cancer, stroke

5

Sharp et al. (2020) [160]

USA

21280

50 (34-66)

9053 (42.5)

Retrospective cohort study

Congestive Heart Failure

NA (NA)

OR 1.45

(1.18–1.77)

Adverse outcomes (death, ARDS, respiratory failure and septic shock during hospitalization, mechanical ventilation, ICU admission, as well as clinical cure and discharges)

Age, gender, BMI, coagulopathy, diabetes, fluid and electrolyte disorders, other neurological disorders, weight Loss, heart rate, systolic BP, oxygen saturation, respiratory rate

8

Stebbing et al.

(2020) [161]

Italy&Spain

166

74.05±13.06

85 (51.2)

Observational studies

CVD

48 (28.9)

HR 1.41

(0.68-2.92)

Death & admission to ICU

Age, gender, HTN, diabetes, chronic Obstructive Lung disease, cronic kidney disease, Solid cancer, Charlson Comorbidity Index, baseline PaO2/FiO2, lymphocyte count (/mcL), alanine aminotransferase, hydroxychloroquine, lopinavir/ritonavir, glucocorticoids, low molecular weight heparin, antibiotics

6

Fu et al. (2020) [162]

China

355

43.5*

193 (54.37)

Hospital-Based Retrospective Cohort Study

Heart disease

20 (6.2)

OR 0.454 (0.102-2.010)

Myocardial injury

Age, gender, HTN, diabetes

7

Sheshah et al.

(2020) [163]

Saudi Arabia

300

49.7±13.2

259 (86.3)

Single-center, retrospective study

Coronary Artery Disease

10 (3.3)

OR 19.4 (1.5-260)

Mortality

Age, gender, HTN, type 2 diabetes mellitus, chronic kidney disease, acute kidney injury, stroke, methylprednisolone, dexamethasone, hydroxychloroquine, azithromycin

6

Bowe et al. (2020) [164]

USA

5216

70 (61–76)

4908 (94)

Cohort study

CVD

1588 (30.0)

OR 0.87 (0.76-1.01)

Severe AKI

Age, gender, race, Smoking status, HTN, diabetes mellitus type 2, ACEI/ARB, diuretics, anticoagulant, immunosuppressants, b-blocker, aspirin, eGFR category

8

Cheng et al. (2020) [165]

China

220

59.5 (48.3-70.0)

106 (48.2)

Retrospective, observational study

CAD

22 (10.0)

HR 0.97 (0.35-2.68)

In-hospital death

Hypertension, history of cerebrovascular disease, History of diabetes mellitus, history of diabetes mellitus

4

Neumann-Podczaska et al. (2020) [166]

Poland

50

74.8±9.4

35 (70.0)

Retrospective

Heart disease

26 (52.0)

HR 2.61 (0.92–7.39)

60-day mortality

Age, functional Capacity, Diabetes

6

Ken-Dror et al. (2020) [167]

UK

429

70±18

242 (56.4)

Prospective cohort study

Chronic cardiac disease/congenital heart disease

103 (31.3)

OR 3.43 (2.1-5.63)

Mortality

Self-reported feverishness 38°C, cough self-report, oxygen saturation, history of fever, cough, sore throat, chest pain, muscle aches myalgia, altered consciousness confusion, obesity as defined by clinical staff, diabetes with complications, dementia, malnutrition, current admission to ICU/IMC/HDU, non-invasive ventilation BIPAP/CPAP, invasive ventilation, high flow nasal canula oxygen therapy, clinical pneumonia, inotropes vasopressors, viral pneumonia, bacterial pneumonia, anemia

7

Iannelli et al. (2020) [168]

France

8286

59.1±12.6

4296 (51.8)

Retrospective

Cardiac failure

569 (6.9)

OR 1.53 (1.24–1.89)

Death

Age, gender, cancer, diabetes, bariatric surgery

9

Sharifpour et al. (2020) [169]

USA

268

63±15

149 (55.6)

Cohort analysis

CAD

36 (13.4)

OR 1.381 (0.498–3.826)

Mortality

Age, CRP Slope d1to7, CRP tests (count d1 to 7), CRRT, CRP Max d1to7, obesity (BMI> = 30kg/m2), intubation, SOFA score, HTN

6

Martins-Filho et al. (2020) [170]

Northeast Brazil

1207

60 (46–73)

724 (60)

Retrospective cohort study

Heart failure

102 (8.45)

OR 2.00

(1.31–3.04)

Mortality

Infectious disease, kidney disease, age

6

Lee et al. (2020) [171]

Korea

7339

47.1±19.0

2970 (40.1)

Nationwide Population-Based Retrospective Study

CVD

455 (6.1)

OR 0.95 (0.64–1.40)

Death

Influenza, tuberculosis, COPD, pneumonia, asthma, DM, CKD, Chronic liver disease, HTN, malignancies, HIV infection, lopinavir/ritonavir, Hydroxychloroquine, ribavirin, type I interferon, Human immunoglobulin G, Oseltamivir, antibiotics, age, gender

8

Loffi et al. (2020) [172]

Italy

1252

64.7±15.5

798 (63.74)

Retrospective, observational, single-center study

CAD

124 (9.9)

HR 1.14 (0.79-1.63)

Death

Age, gender, LVEF<35%, CVA, atrial fibrillation, diabetes mellitus, hypertension, smoking, CKD

5

Grodecki et al. (2021) [175]

USA

109

63.74±15.11

68 (62.39)

Prospective

Heart failure

16 (14.68)

OR 3.5 (1.1-8.2)

Death

Age, gender, diabetes mellitus, hypertension, smoking history, chronic lung disease, history of coronary artery disease, epicardial adipose tissue volume (mL), epicardial adipose tissue attenuation, total pneumonia burden

7

Rossi et al. (2020) [80]

Italy

590

76.2 (68.2–82.6)

399 (67.6)

Retrospective observational study

CVD

95 (16.1)

HR 1.180 (0.855–1.628)

Mortality

Age, gender, vital signs at admission (temperature, PaO2/FiO2, PaO2/FiO2<300), laboratory parameters (LDH, CRP, white blood cell count, lymphocyte’s rate), chronic diseases (hyperlipidemia, diabetes, atrial fibrillation, COPD, CKD, stroke, malignancy, 3 or more comorbidities), chronical drugs intake (ACEi, ARBs, CCBs, Alpha blockers, Diuretics, Beta blockers)

6

Khan et al. (2020) [177]

Saudi Arabia

648

34±19

342 (52.8)

Retrospective cohort study

Cardiac diseases

23 (3.5)

OR 3.05 (1.16-8.02)

ICU admission

Age, gender, smoker, comorbidities (one or more comorbidity, two or more comorbidity, diabetes mellitus, HTN, CRD, chronic kidney diseases, cancer/immunodeficiency), symptoms (fever, cough, sore throat, runny nose, headache, GI symptoms, myalgia), vital signs (temperature (≥38), heart rate ≥100, respiratory rate, respiratory rate, respiratory rate, DBP, oxygen saturation, oxygen saturation)

7

Rutten et al. (2020) [178]

Netherlands

1538

84±8.7

554 (36.02)

Prospective cohort study

CVD

53 (3.47)

HR 1.15 (0.97-1.35)

Mortality

Age, gender, comorbidity (Dementia, cerebrovascular disease, diabetes mellitus, chronic respiratory disease, reduced kidney function, Parkinson’s disease)

6

Schuelter-Trevisol et al. (2020) [179]

Brazil

211

51.2*

113 (53.6)

Cohort study

Chronic heart disease

27 (12.9)

OR 0.98 (0.31-3.10)

Death

Age, gender, comorbidities (arterial hypertension, diabetes mellitus, obesity, neurologic/psychiatric diseases, chronic lung diseases, dyslipidemia, smoking habits, cancer, chronic kidney diseases, vascular diseases)

6

FAI2R /SFR/SNFMI/SOFREMIP/CRI/IMIDIATE

(2020) [174]

France

694

56.1±16.4

232 (33.4)

Observational, multicenter, French national cohort study

Coronary heart diseases

68 (9.8)

OR 1.86 (0.97–3.56)

Severity

Age, gender

8

Nyaberaet al. (2020) [181]

USA

290

77.6±8.3

150 (51.7)

Single-center retrospective cohort study

CAD

80 (27.6)

OR 0.91 (0.52-1.62)

Mortality

BMI, age, COPD, asthma, DM, HTN, end-stage renal disease

4

Ozturk et al. (2021) [182]

Turkey

1160

60.5 (47–71)

627 (54.1)

Multicenter, retrospective, observational study

CVD

NR (NR)

HR 1.242 (0.850–1.815)

Death

Age, gender, diabetes mellitus, HTN, COPD, albumin, hemoglobin, lymphocyte count, platelet count, CRP increase, clinic presentation, COVID-19 diagnosis by RT-PCR, patient group, control group (HD group, RT group, CKD group)

5

Druyan et al. (2021) [183]

Israel

181

62.71*

107(59.1)

Single center study

Heart failure

10 (5.52)

OR 2.35 (0.24-18.64)

Severe, critical or fatal COVID19

Gender, AID, HTN, dyslipidemia, diabetes, malignancy, IHD, arrhythmia, obesity, pulmonary disease, smoking, CVA, renal failure, older age

5

Alguwaihes et al. (2020) [184]

Saudi Arabia

439

55 (19–101)

300 (68.3)

Single-center retrospective study

CVD

44 (10.0)

HR 1.8 (0.7–4.4)

Death

Age, gender, comorbidities (obesity, HTN, diabetes mellitus, chronic kidney disease, congestive heart failure, stroke, smoking), medications (β-Blocker use, ACE inhibitor use, ARB Use), laboratory investigations (RBG, FPG, HbA1c>9.0%, bilateral lung infiltrates, neutrophil count>7.5, creatinine>90 μmol/l, ALT>65 U/l, 25(OH)D<12.5 nmol/l)

7

Özdemir et al.

(2021) [185]

Turkey

101

49.60±18

55 (54.4)

Retrospective study

Chronic heart failure

10 (9.9)

HR 1.02 (0.98 – 1.10)

QTc prolongation

Baseline QTc, HCQ alone, HCQ + AZM

6

Gue et al. (2020) [186]

UK

316

73.42±15.97

192 (61.1)

Single-center retrospective cohort

CAD

48 (15.19)

OR 1.62 (0.76–4.07)

30-day mortality

Age, gender, HTN, atrial fibrillation, oral anticoagulants, modified sepsis-induced coagulopathy score

7

Galiero et al. (2020) [187]

Italy

618

65±15.2

379 (61.3)

Multicenter retrospective observational cohort study

Chronic Cardiac Disease

166 (26.9)

OR 0.96 (0.53-1.76)

Mortality

Age, gender, Glasgow Coma Score/15, respiratory severity Scale, CKD, CLD, chronic respiratory disease, malignancies

6

Rosenthal et al. (2020) [188]

USA

64781

56.1±19.9

31968 (49.3)

Retrospective cohort study

Myocardial infarction

3717 (5.7)

OR 1.47 (1.34-1.62)

In-Hospital Mortality

Age, gender, race, payer type, admission point of origin, hospital region, hospital beds, hospital teaching status, hospital teaching status, Sepsis, acute kidney failure, hypokalemia, acidosis, acute liver damage, neurological disorder, baseline comorbidities (Cerebrovascular disease, COPD, dementia, diabetes, any malignant neoplasm, metastatic solid tumor, hemiplegia, AIDS, HTN, Hyperlipidemia)

9

Rethemiotaki et al. (2020) [189]

the World Health Organization dataset and Chi nese Center for Disease Control and Preventio

44672

71*

22981 (51.44)

NR

CVD

92 (15.9)

OR 13.6 (10.3–17.9)

Death

Age, gender, occupation (service industry, farmer/laborer, health worker, retiree, other/none), province: (Hubei, Other), Wuhan-related exposure, comorbid condition (HTN, diabetes, chronic respiratory disease, cancer (any), none)

8

Pantea Stoian et al. (2020) [176]

China

432

NR

NR

Multiple-case, multiple-center

Heart failure

30 (6.94)

OR 2.990 (1.612–5.546)

Death

Age, gender, HTN, obesity, diabetes type 2, dialysis, chronic kidney disease, COPD, supraventricular tachyarrhythmia, respiratory failure, Intercept

7

Zhou et al. (2020) [191]

China

134

62.08±14.38*

85 (63.4)

Retrospective

Coronary heart disease

16 (11.94)

OR 1.098 (0.202–5.959)

Death

Gender, age, HTN, coronary heart disease, neutrophil, lymphocyte, ALT, IL-2, IL-6, TNF-α, D-dimer, and total CT score

6

Stefan et al. (2021) [192]

Romania

37

64 (55–71)

19 (51)

Retrospective, observational, single-center study

Coronary heart disease

19 (51.0)

HR 0.98 (0.05–17.54)

In-hospital death

Age, hemodialysis vintage, obesity, current smoker, diabetes mellitus, Charlson comorbidity index, basal oxygen saturation, hemoglobin, lymphocytes, CRP, serum albumin, LDH, Lopinavir–ritonavir, Tocilizumab, hydroxychloroquine, glucocorticoids

7

Ahnach et al. (2021) [180]

Morocco

101

50 (32–63)

75 (51.72)

Retrospective study

CVD

16 (11.03)

OR 3.74 (0.76–18.29

Disease severity

Age, gender, HTN, diabetes, other disease, respiratory symptom, neutrophil, lymphocyte, eosinophil, CRP

6

Eshrati et al. (2020) [193]

Iran

3188

55.05 ± 0.31

1925 (60.4)

Retrospective cohort study

CVD

401 (12.6)

HR 0.60 (0.83-1.13)

death

Age, gender, immune disease, diabetes, liver disease, kidney disease, ,COPD, cancer, chronic nervous disease, type of treatment

8

Özyılmaz et al. (2020) [194]

Turkey

105

45 (20–87)

76 (72.3)

Single-center, retrospective, observational study

CAD

14 (13.3)

OR 0.024 (0.000–1.207)

Mortality

Troponin I, C-Reactive protein, lymphocyte count, shortness of breath, HTN, hyperlipidemia, diabetes mellitus

7

Tan et al. (2020) [195]

China

163

69.0 (62.0-78.0)

109 (66.9)

Retrospective study

Chronic cardiac injury

25 (15.3)

OR 2.660 (1.034-6.843)

Mortality

Age, gender, HTN, diabetes

5

Ling et al. (2020) [196]

UK

444

74 (63-83)

245 (55.2)

Cross-Sectional Multi-Centre Observational Study

Heart failure

54 (12.2)

OR 1.61 (0.87–2.99)

Mortality

Age, gender, diabetes, non-Caucasian ethnicity, baseline serum 25(OH)D levels, vitamin D deficiency, treatment with cholecalciferol booster therapy, admission SpO2 < 96%, admission CRP > 73 mg/L, admission creatinine > 83 μmol/L, received CPAP, length of stay >11 days, diabetes (types 1 and 2 combined), admission glucose > 6·9 mmol/L, COPD, asthma, IHD, current or previous ACS, HTN, current or previous TIA or stroke, dementia, obesity, malignancy of solid organ, malignancy of skin, hematological malignancy, solid organ transplant, inflammatory arthritis, inflammatory bowel disease

5

Zhong et al. (2020) [197]

China

126

66.3±10.6

56 (44.4)

Retrospective observational study

CVA

21 (16.7)

OR 2.03 (0.45-9.08)

Death

Age, gender, ACEI/ARB, stains

5

Izurieta et al. (2020) [198]

USA

12613

80.5*

6496 (51.5)

Retrospective cohort study

Congestive Heart Failure

3557 (28.2)

OR 1.30 (1.23, 1.36))

Death

Age, gender, reason for entering medicare, ADI national rank, logged COVID-19 circulation rate by 100,000, logged population density by county, vaccination, presence of medical conditions (HTN, obesity, diabetes, hospitalized stroke/TIA, coronary revascularization, atrial fibrillation, hospitalized AMI, other cerebrovascular disease, COPD, asthma without COPD, interstitial lung disease, hypersensitivity pneumonitis, bronchiectasis, chronic liver disease, neurological/neurodevelopmental conditions), frailty conditions, immunocompromised status, estimated overall, interaction effects of age, dual-eligibility, and race, 80 years old vs. 65 years old, dual-eligible vs. non-dual-eligible, dual-eligible vs. non-dual-eligible, effects of being dual-eligible, by race, non-whites vs. whites, non-dual-eligible, non-whites vs. whites, dual-eligible

8

Burrell et al. (2021) [199]

Australia

304

63.5 (53–72)

140 (69%)

Prospective, observational cohort study

Chronic cardiac disease

40 (20)

HR 3.38 (1.46–7.83)

Mortality

Age, gender, APACHE-II score on ICU day 1, comorbid conditions (comorbid conditions),

5

Li et al. (2020) [190]

China

123

64.43±14.02

62 (50.41)

Retrospective study

CVD

26 (21.14)

OR 0.686 (0.227–2.076)

Unfavorable clinical outcomes

Age, gender, diabetes, HTN, COPD, CT severity score, GGO volume, GGO volume percentage, consolidation volume, consolidation volume percentage

4

Caliskan et al. (2020) [200]

Turkey

56

48±19.664

NR

Retrospective observational study

CAD

42 (7.4)

OR 6.252 (2.171-18.004)

Mortality

Former smoker, current smoker, age, COPD, diabetes, dementia, HTN, chronic renal failure, arrhythmia

5

Vafadar et al. (2021) [201]

Iran

219

57.8±16.5

137 (62.6)

Retrospective cohort

Ischemic heart disease

46 (22.37)

HR 1.98 (0.94–4.17)

Mortality

Respiratory rate, SpO2 ≤ 90%, WBC count, NLR, age

6

Working group for the surveillance and control of COVID-19 in Spain et al. (2020) [202]

Spain

2612

83 (75–89)

14680 (56.2)

NR

CVD

11444 (59.9)

OR 1.32 (1.23-1.42)

Death

Gender, age, pneumonia, acute respiratory distress syndrome, acute renal failure, Diabetes, HTN, chronic lung disease, chronic renal disease, healthcare worker

6

Rashidi et al. (2021) [203]

Iran, Germany, USA

1529

56 (32–80)

832 (54.4)

Multi-center prospective study

Cardiac disease

149 (9.7)

OR 0.80 (0.36–1.76)

Death

Age, gender, recent cancer, COPD, CKD, smoking, diabetes mellitus, HTN

5

Chaudhri et al. (2020) [204]

USA

317

59.16±17.5

166 (52.37)

Single-center cohort study

Coronary artery disease

27 (12)

OR 0.92 (0.39-2.17)

Key outcomes

Age, gender, history of ARB use,history of ACEI use, HTN, diabetes, CKD

5

Huh et al. (2021) [205]

South Korea

219961

49.4 (18–116)

104331 (47.4)

Retrospective case-control study

Chronic heart disease

32457 (14.76)

OR 1.31 (1.04-1.65)

The requirement of any one of the following or death: supplementary oxygen, high-flow nasal cannula, non-invasive ventilation, mechanical ventilation, and extracorporeal membrane oxygenation

Drugs commonly used for chronic conditions (angiotensin receptor blockers, angiotensin converting enzyme inhibitors, metformin, thiazolidinedione, Statins, NSAIDs), drugs with potential therapeutic effect, drugs with potential therapeutic effect, comorbidities (Charlson comorbidity index, mean (SD), Diabetes, HTN, chronic lung disease, asthma and allergic rhinitis, chronic liver disease, Chronic kidney disease, Malignancy, RA, SLE, GCA, and JIA, other connective tissue disease, chronic neurologic disease, Pancreatitis), healthcare utilization

8

Orioli et al. (2021) [206]

Belgium

73

69±14

48 (66.67)

Retrospective study

CVD

32 (43.8)

HR 3.54 (1.60-7.82)

In-hospital death

Diabetes, cognitive impairment, area of lung injury >50%

6

Gude-Sampedro et al. (2021) [207]

Spain

10454

58.0±20.0

4172 (39.9)

Retrospective cohort study

Ischemic heart disease

 

OR 1.61 (1.20-2.33)

Death

Age, gender, lymphoma/leukemia, dementia, COPD, diabetes, chronic kidney disease

9

Monteiro et al.

(2020) [208]

USA

112

61 (45–74)

74 (66)

Retrospective, observational cohort study

CAD

17 (15)

OR 0.48 (0.08–3.08)

Requiring mechanical ventilation

Age, gender, past medical history (obesity, diabetes, HTN, CKD), Tobacco exposure history

4

Lano et al. (2020) [209]

France

122

73.5 (64.2–81.2)

79 (65)

Observational cohort multicenter study

Congestive heart failure

13 (11)

OR 1.222 (0.309–4.649)

Mortality

Age, atrial fibrillation, ARBs (current medication)

8

Lanini et al. (2020) [210]

Italy

379

61.67±15.60

273 (72.03)

Longitudinal cohort study

CVD

19 (5.01)

OR 2.79 (1.29-6.03)

Death

Age, gender, diabetes, neoplasm, obesity, chronic renal failure, COPD

4

Schwartz et al.

(2020) [212]

Canada

56606

31*

29205 (51.59)

Cross-sectional study

CVD

4465 (7.89)

OR 1.10 (0.99–1.22)

Death

Healthcare worker, age, comorbidities (asthma, COPD, renal conditions, diabetes, immune compromise or cancer, obesity, other medical conditions None), exposed to long-term care home, symptoms (fever and/or cough, other symptoms, missing, asymptomatic)

9

Sun et al. (2021) [213]

China

3400

61 (50-68)

1649 (48.5)

Retrospective cohort study

CVD

343 (10.1)

OR 2.85 (1.65-4.94)

Death

Comorbid conditions (Neither HTN nor T2DM, Hypertension alone, T2DM alone, HTN and T2DM), age, gender, cerebrovascular disease, chronic kidney disease, chronic liver disease, chronic lung disease, endocrine/Immune system disease, tumor, ACEIs/ARBs treatment

6

McGurnaghan et al. (2021) [214]

Scotland

319349

79.9 (71.4–85.7)

180486 (56.5)

Cohort study

Any heart disease

696 (64.3)

OR 2.425 (2.135–2.754)

Fatal or critical care unit-treated COVID-19

Sociodemographic (age, gender, diabetes type, diabetes duration, care home resident, any hypoglycemia admission in past 5 years, deprivation index, ethnicity, comorbidities (any diabetic ketoacidosis admission in past 5 years, any hypoglycemia admission in past 5 years, ever admitted to hospital in past 5 years, asthma or chronic lower airway disease, neurological and dementia (excluding epilepsy),liver disease, immune disease or on immunosuppressants, any listed condition), other clinical measures (insulin pump use, flash glucose monitor use, HbA1c, BMI, systolic blood pressure, diastolic blood pressure, total cholesterol, Estimated glomerular filtration rate, albuminuria grade, retinopathy grading, tobacco smoking), drug exposures (any lipid lowering, any proton pump inhibitor, any non-steroidal anti-inflammatory drugs, any anticoagulants, Any antihypertensive, number of ATC level 3 drug classes (excluding for diabetes), number of diabetes drug classes prescribed)

8

Cetinkal et al.

(2020) [215]

Turkey

349

68.3±13.3

176 (50.43)

Retrospective single-center study

Heart failure

38 (10.89)

OR 2.40 (0.82-7.01)

In-hospital mortality

Neutrophil to lymphocyte ratio, gender, age, diabetes mellitus, Use of RAAS blockers, chronic kidney disease, Smoking, COPD, d-dimer, LDH, procalcitonin, Ferritin

6

Xu et al. (2020) [216]

China

61

63.62±10.78

33 (54.1)

Retrospective

Heart diseases

7 (11.5)

OR 2.94 (0.42-21.78)

Severity

Age, gender, diabetes, HTN, hepatic dysfunction, mild-nonlung involvement

4

Lv et al. (2021) [217]

China

409

50.47±12.43

188 (46)

Retrospective cohort Study

Heart disease

51 (12.5)

HR 2.650 (1.079–6.510)

Death

Age, gender, fever, cough, sputum, tiredness, body aches, diarrhea, number of symptoms, HTN, diabetes, pulmonary disease, other comorbidities, CT ground-glass, opacity, CT bilateral pulmonary infiltration

5

Guerra et al. (2021) [218]

Spain

447

55.0±22.5

190 (46.4)

Retrospective single center study

Coronary artery disease

 

OR 4.95

(1.51-16.27)

Mortality

Gender, HTN, COPD, cancer, diabetes, obesity, CLD, age

6

  1. *, studies included 2 two different cohort samples; HTN Hypertension, SOFA sequential organ failure assessment, ALT alanine aminotransferase, AST aspartate aminotransferase, ARDS acute respiratory distress syndrome, INR international normalized ratio, ICU intensive care unit, HF heart failure, IL-8 interleukin-8, AKI acute cardiac injury, CLD chronic lung diseases, CRD chronic renal disease, CKD chronic kidney disease, IL-6 interleukin-6, WBC white blood cell, NR not reported, HTN hypertension, HR hazard ratio, OR odds ratio, CI confidence interval, CHD, coronary heart disease, CVD cardiovascular disease, CAD coronary artery disease, CKD chronic kidney diseases, CLD chronic liver diseases, COPD chronic obstructive pulmonary disease, CRP C-reactive protein, hs-CRP high-sensitivity C-reactive protein, BMI body mass index, LYM% lymphocyte percentage, NEU% neutrophil percentage, NLR ratio of neutrophil to lymphocyte, FIB fibrinogen content, TBIL total bilirubin, ALB albumin, Cr creatinine, GFR glomerular filtration rate, CK-MB creatine kinase isoenzyme-MB, CT computerized tomography, PCT procalcitonin, GGO ground-glass opacity, ICI immune check point inhibitors, HCQ hydroxychloroquine, AZM azithromycin, APTT activated partial thromboplastin time, ACE angiotensin converting enzyme inhibitors, ARB angiotensin II receptor blockers, eGFR estimated glomerular filtration rate, PAD peripheral arterial disease, Hb hemoglobin, LDH lactate dehydrogenase, ESR erythrocyte sedimentation rate, MYO myoglobin, LFTs liver function tests, SABA short acting beta agonists, ESRD end-stage renal disease (on dialysis), ALC absolute lymphocyte count, ANC absolute neutrophil count, MV mechanical ventilation, APACHE II acute physiology and chronic health evaluation II, BUN blood urea nitrogen, CVA cerebrovascular accident, TIA transient ischemic attack, DBIL direct bilirubin, IBIL indirect bilirubin, PT prothrombin time, FBG fasting blood glucose.