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Hypertension is a risk factor for adverse outcomes in patients with coronavirus disease 2019: a cohort study

Tian‐Yuan Xiong, Fang-Yang Huang, Qi Liu, Yong Peng, Yuan-Ning Xu, Jia-Fu Wei, Nian Li, Bei Bai, Junhua Li, Bernard Prendergast, Weimin Li, Mao Chen

2020Annals of Medicine45 citationsDOIOpen Access PDF

Abstract

BACKGROUND: Comorbidities are commonly seen in patients with coronavirus disease 2019 (COVID-19), but the clinical implication is not yet well-delineated. We aim to characterize the prevalence and clinical implications of comorbidities in patients with COVID-19. METHODS: This is a retrospective multi-centre study involving patients admitted between January 16th and March 10th 2020. The composite endpoint was defined as the presence of at least one of the following, intensive care unit (ICU) admission, or the need for mechanical ventilation, or death. RESULTS: = .012). In the stepwise regression analysis of anti-hypertensive medications, none of the therapy predicted the composite endpoint. CONCLUSIONS: Hypertension is a common comorbidity in patients with COVID-19 and associated with adverse outcomes. KEY MESSAGES Hypertension was identified as the comorbidity associated with the prognosis of COVID-19 in this retrospective cohort. Patients with hypertension could experience an increased risk of the composite endpoint. Anti-hypertensive therapy did not affect patient outcomes.

Topics & Concepts

Coronavirus disease 2019 (COVID-19)MedicineCohortCoronavirusComorbidityDiseaseSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakRisk factorPandemicInternal medicineCohort studyInfectious disease (medical specialty)VirologyOutbreakCOVID-19 Clinical Research StudiesLong-Term Effects of COVID-19Pharmacological Receptor Mechanisms and Effects