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Erschienen in: Clinical Reviews in Allergy & Immunology 1/2023

19.01.2022 | COVID-19 Zur Zeit gratis

Risk and Protective Factors for COVID-19 Morbidity, Severity, and Mortality

verfasst von: Jin-jin Zhang, Xiang Dong, Guang-hui Liu, Ya-dong Gao

Erschienen in: Clinical Reviews in Allergy & Immunology | Ausgabe 1/2023

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Abstract

The outbreak of the coronavirus disease 2019 (COVID-19), caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has become an evolving global health crisis. Currently, a number of risk factors have been identified to have a potential impact on increasing the morbidity of COVID-19 in adults, including old age, male sex, pre-existing comorbidities, and racial/ethnic disparities. In addition to these factors, changes in laboratory indices and pro-inflammatory cytokines, as well as possible complications, could indicate the progression of COVID-19 into a severe and critical stage. Children predominantly suffer from mild illnesses due to COVID-19. Similar to adults, the main risk factors in pediatric patients include age and pre-existing comorbidities. In contrast, supplementation with a healthy diet and sufficient nutrition, COVID-19 vaccination, and atopic conditions may act as protective factors against the infection of SARS-CoV-2. COVID-19 vaccination not only protects vulnerable individuals from SARS-CoV-2 infection, more importantly, it may also reduce the development of severe disease and death due to COVID-19. Currently used therapies for COVID-19 are off-label and empiric, and their impacts on the severity and mortality of COVID-19 are still unclear. The interaction between asthma and COVID-19 may be bidirectional and needs to be clarified in more studies. In this review, we highlight the clinical evidence supporting the rationale for the risk and protective factors for the morbidity, severity, and mortality of COVID-19.
Literatur
4.
Zurück zum Zitat Dong Y, Mo X, Hu Y et al (2020) Epidemiology of COVID-19 among children in China. Pediatrics 145:e20200702 Dong Y, Mo X, Hu Y et al (2020) Epidemiology of COVID-19 among children in China. Pediatrics 145:e20200702
5.
Zurück zum Zitat Graff K, Smith C, Silveira L et al (2021) Risk factors for severe COVID-19 in children. Pediatr Infect Dis J 40:e137–e145CrossRef Graff K, Smith C, Silveira L et al (2021) Risk factors for severe COVID-19 in children. Pediatr Infect Dis J 40:e137–e145CrossRef
6.
Zurück zum Zitat Tsankov BK, Allaire JM, Irvine MA et al (2021) Severe COVID-19 infection and pediatric comorbidities: a systematic review and meta-analysis. Int J Infect Dis 103:246–256CrossRef Tsankov BK, Allaire JM, Irvine MA et al (2021) Severe COVID-19 infection and pediatric comorbidities: a systematic review and meta-analysis. Int J Infect Dis 103:246–256CrossRef
7.
Zurück zum Zitat Saatci D, Ranger TA, Garriga C et al (2021) Association between race and COVID-19 outcomes among 2.6 million children in England. JAMA Pediatr 175:928–938CrossRef Saatci D, Ranger TA, Garriga C et al (2021) Association between race and COVID-19 outcomes among 2.6 million children in England. JAMA Pediatr 175:928–938CrossRef
27.
Zurück zum Zitat Jackson DJ, Busse WW, Bacharier LB et al (2020) Association of respiratory allergy, asthma, and expression of the SARS-CoV-2 receptor ACE2. J Allergy Clin Immunol 146:203-206.e3CrossRef Jackson DJ, Busse WW, Bacharier LB et al (2020) Association of respiratory allergy, asthma, and expression of the SARS-CoV-2 receptor ACE2. J Allergy Clin Immunol 146:203-206.e3CrossRef
58.
Zurück zum Zitat Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D (2021) Seroprevalence of SARS-CoV-2 antibodies and associated factors in healthcare workers: a systematic review and meta-analysis. J Hosp Infect 108:120–134CrossRef Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D (2021) Seroprevalence of SARS-CoV-2 antibodies and associated factors in healthcare workers: a systematic review and meta-analysis. J Hosp Infect 108:120–134CrossRef
66.
70.
Zurück zum Zitat Thompson MG, Burgess JL, Naleway AL et al (2021) Interim estimates of vaccine effectiveness of BNT162b2 and mRNA-1273 COVID-19 vaccines in preventing SARS-CoV-2 infection among health care personnel, first responders, and other essential and frontline workers—eight US locations. MMWR Morb Mortal Wkly Rep 70:495–500. https://doi.org/10.15585/mmwr.mm7013e3 Thompson MG, Burgess JL, Naleway AL et al (2021) Interim estimates of vaccine effectiveness of BNT162b2 and mRNA-1273 COVID-19 vaccines in preventing SARS-CoV-2 infection among health care personnel, first responders, and other essential and frontline workers—eight US locations. MMWR Morb Mortal Wkly Rep 70:495–500. https://​doi.​org/​10.​15585/​mmwr.​mm7013e3
74.
Zurück zum Zitat Kimura H, Francisco D, Conway M et al (2020) Type 2 inflammation modulates ACE2 and TMPRSS2 in airway epithelial cells. J Allergy Clin Immunol 146:80-88.e8CrossRef Kimura H, Francisco D, Conway M et al (2020) Type 2 inflammation modulates ACE2 and TMPRSS2 in airway epithelial cells. J Allergy Clin Immunol 146:80-88.e8CrossRef
93.
Zurück zum Zitat Sarzi-Puttini P, Giorgi V, Sirotti S et al (2020) COVID-19, cytokines and immunosuppression: what can we learn from severe acute respiratory syndrome? Clin Exp Rheumatol 38:337–342CrossRef Sarzi-Puttini P, Giorgi V, Sirotti S et al (2020) COVID-19, cytokines and immunosuppression: what can we learn from severe acute respiratory syndrome? Clin Exp Rheumatol 38:337–342CrossRef
119.
121.
Zurück zum Zitat WHO Solidarity Trial Consortium, Pan H, Peto R et al (2021) Repurposed antiviral drugs for COVID-19—interim WHO solidarity trial results. N Engl J Med 384:497–511CrossRef WHO Solidarity Trial Consortium, Pan H, Peto R et al (2021) Repurposed antiviral drugs for COVID-19—interim WHO solidarity trial results. N Engl J Med 384:497–511CrossRef
122.
Zurück zum Zitat Wang Y, Zhang D, Du G et al (2020) Remdesivir in adults with severe COVID-19: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet 395:1569–1578CrossRef Wang Y, Zhang D, Du G et al (2020) Remdesivir in adults with severe COVID-19: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet 395:1569–1578CrossRef
129.
Zurück zum Zitat Garg S, Kim L, Whitaker M et al (2020) Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019—COVID-NET, 14 states, 1–30 Mar 2020. MMWR Morb Mortal Wkly Rep 69:458–464. https://doi.org/10.15585/mmwr.mm6915e3 Garg S, Kim L, Whitaker M et al (2020) Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019—COVID-NET, 14 states, 1–30 Mar 2020. MMWR Morb Mortal Wkly Rep 69:458–464. https://​doi.​org/​10.​15585/​mmwr.​mm6915e3
138.
Zurück zum Zitat Radzikowska U, Ding M, Tan G et al (2020) Distribution of ACE2, CD147, CD26, and other SARS-CoV-2 associated molecules in tissues and immune cells in health and in asthma, COPD, obesity, hypertension, and COVID-19 risk factors. Allergy 75:2829–2845. https://doi.org/10.1111/all.14429CrossRef Radzikowska U, Ding M, Tan G et al (2020) Distribution of ACE2, CD147, CD26, and other SARS-CoV-2 associated molecules in tissues and immune cells in health and in asthma, COPD, obesity, hypertension, and COVID-19 risk factors. Allergy 75:2829–2845. https://​doi.​org/​10.​1111/​all.​14429CrossRef
Metadaten
Titel
Risk and Protective Factors for COVID-19 Morbidity, Severity, and Mortality
verfasst von
Jin-jin Zhang
Xiang Dong
Guang-hui Liu
Ya-dong Gao
Publikationsdatum
19.01.2022
Verlag
Springer US
Schlagwort
COVID-19
Erschienen in
Clinical Reviews in Allergy & Immunology / Ausgabe 1/2023
Print ISSN: 1080-0549
Elektronische ISSN: 1559-0267
DOI
https://doi.org/10.1007/s12016-022-08921-5

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