Evidence map›Paper›PMID 36209202›Full record

SynthesisEuropean journal of medical research2022

COVID-19 mortality in patients with immunodeficiency and its predictors: a systematic review.

SeyedAhmad SeyedAlinaghi, Amirali Karimi, Alireza Barzegary, Hengameh Mojdeganlou, Farzin Vahedi, Seyed Peyman Mirghaderi, Parnian Shobeiri, Maryam Ramezani, Parisa Yousefi Konjdar, Pegah Mirzapour and 4 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in European journal of medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 63 citations in OpenAlex.

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  13. CD4Frontiers in cellular and infection microbiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 4 countries.

SeyedAhmad SeyedAlinaghiIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Amirali KarimiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Alireza BarzegarySchool of Medicine, Islamic Azad University, Tehran, Iran.
Hengameh MojdeganlouDepartment of Pathology, Urmia University of Medical Sciences, Urmia, Iran.
Farzin VahediSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Peyman MirghaderiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Parnian ShobeiriSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Maryam RamezaniDepartment of Health Management, Policy & Economics,, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Parisa Yousefi KonjdarDepartment of Health Information Management, Faculty of Paramedical, Kashan University of Medical Sciences, Kashan, Iran.
Pegah MirzapourIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Marcarious M TantuoyirSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Esmaeil MehraeenDepartment of Health Information Technology, Khalkhal University of Medical Sciences, Khalkhal, Iran. es.mehraeen@gmail.com.ORCID http://orcid.org/0000-0003-4108-2973
Omid DadrasDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Fabricio VoltarelliGraduation Program in Health Sciences, Faculty of Medicine, Federal University of Mato Grosso, Cuiabá, Mato Grosso, Brazil.
Tehran University of Medical Sciences · IRIranian Institute for Health Sciences Research · IRIran University of Medical Sciences · IRIslamic Azad University, Tehran · IRKashan University of Medical Sciences · IRUniversidade Federal de Mato Grosso · BRUniversity of Bergen · NOUniversity of Ghana · GHUrmia University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with immunodeficiency are usually more prone to worse outcomes of infectious diseases. However, there are some disagreements in the context of COVID-19, for example, in patients with human immunodeficiency virus (HIV). Herein, we aimed to systematically review the risk and predictors of COVID-19 mortality in people with primary or secondary immunodeficiency.

methodsPubMed, Scopus, Web of Science, and Science Direct were searched. We followed a two-step screening process to identify eligible results. We first reviewed the title and abstract of the records and the unqualified studies were removed. Then, their full texts were evaluated based on their coherence with the purpose and inclusion/exclusion criteria, and those eligible for qualitative synthesis were included.

resultsTwenty-two articles were included, which investigated a total of 109,326 with primary or secondary immunodeficiencies. Three studies investigated the pediatric and infant population, while other studies were conducted on the adult population. Overall, studies on both primary and secondary immunodeficiency conflicted as some reported higher and some mentioned lower mortality rates in patients with immunodeficiency.

conclusionsOverall, there were two points of view in both types of immunodeficiencies. The first is the classical viewpoint that all immunodeficient patients are at a higher risk of infection leading to a higher mortality rate. The second types of studies found that immunodeficiency might play a less important or even an inverse role in mortality rates by lowering the severity of the inflammatory response. However, it is important to take note to comorbidities, such as DM, HTN, CAD, ESRD, history of lower respiratory infection, etc., and demographic factors, such as obesity and age > 70 years, as they appear to influence the mortality rate, especially in patients with secondary immunodeficiency.

Indexed as

COVID-19HIV InfectionsAdultAgedChildComorbidityHumansSARS-CoV-2ComorbiditiesCOVID-19ImmunocompromisedImmunodeficiencyImmunosuppressionImpaired immune responseSARS-CoV-2

Identifiers

PMID36209202
PMCPMC9547631
OpenAlexW4303672095

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.