Mortality from coronavirus disease 2019 (Covid-19) in patients with schizophrenia: A systematic review, meta-analysis and meta-regression.

Mortality from coronavirus disease 2019 (Covid-19) in patients with schizophrenia: A systematic review, meta-analysis and meta-regression.
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DOI:
10.1016/j.genhosppsych.2022.01.010
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发表时间:
2022-03
影响因子:
7
通讯作者:
Hariyanto TI
Hariyanto TI
中科院分区:
医学2区
文献类型:
--
作者:
Pardamean E;Roan W;Iskandar KTA;Prayangga R;Hariyanto TI

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精神分裂症与患者的生活质量差、残疾和住院有关。截至目前,强调精神分裂症与冠状病毒疾病(Covid-19)结果之间关联的证据仍不清楚。这项研究试图分析既存精神分裂症患者是否有更高的Covid-19死亡风险。使用特定关键词,我们全面检索了PubMed、Scopus、奥维德和科克伦图书馆资源,直至2021年11月15日。收集了所有已发表的关于精神分裂症和新冠肺炎的研究。我们使用Review Manager 5.4和Comprehensive Meta-Analysis 3软件进行统计分析。共有10项研究纳入了263,207名Covid-19患者。对收集到的数据进行评估,发现精神分裂症与新冠肺炎死亡率增加之间存在关联(RR 2.22; 95%CI:1.54-3.20,p < 0.00001,I2 = 82%随机效应模型)。精神分裂症患者因新冠肺炎死亡的风险增加受到年龄较大(p = 0.0004)和吸烟(p = 0.0048)的显著影响。这项研究提出,既存精神分裂症患者有发生COVID-19死亡率较高的风险。精神分裂症患者需要特别关注,应优先接种SARS-CoV-2疫苗。注册详情:CRD 42021293997。
Schizophrenia has been associated with patients' poor quality of life, disability, and hospitalization. As of today, evidence that highlights the association between schizophrenia and coronavirus disease (Covid-19) outcomes remains unclear. This study sought to analyze whether patients with pre-existing schizophrenia are at higher risk for Covid-19 mortality. Using specific keywords, we comprehensively searched PubMed, Scopus, OVID, and Cochrane Library sources until November 15th, 2021. All published studies on schizophrenia and Covid-19 were collected. We used Review Manager 5.4 and Comprehensive Meta-Analysis 3 software to conduct statistical analysis. There were 10 studies with 263,207 Covid-19 patients included in the analysis. Evaluation of the data gathered yielded an association between schizophrenia and increased mortality from Covid-19 (RR 2.22; 95%CI: 1.54–3.20, p < 0.00001, I2 = 82% random-effect model). The increased risk of developing mortality from Covid-19 in patients with schizophrenia was significantly influenced by older age (p = 0.0004) and smoking (p = 0.0048). This study proposes that patients with pre-existing schizophrenia are at risk of developing higher Covid-19 mortality. Patients with schizophrenia need special attention and should be prioritized to receive the SARS-CoV-2 vaccine. Registration details: CRD42021293997.
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