Evidence map›Paper›PMID 42416744›Full record

ArticleMaedica2026

Clinical Profile and Severity Spectrum of COVID-19 Patients with and without Comorbidities Admitted to a Tertiary Care Hospital in India.

Rakesh Kumar Sisodia, Tarunendra Kumar Mishra, Sandeep Kumar Jain, Mahendra Chouhan

Abstract read
In one paragraph

Article in Maedica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Rakesh Kumar SisodiaDepartment of General Medicine, Government Medical College, Ratlam, Madhya Pradesh, India.
Tarunendra Kumar MishraDepartment of General Medicine, Government Medical College, Ratlam, Madhya Pradesh, India.
Sandeep Kumar JainDepartment of General Medicine, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India.
Mahendra ChouhanDepartment of General Medicine, Government Medical College, Ratlam, Madhya Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: COVID-19 severity is influenced by age, sex and chronic comorbidities; therefore, unadjusted comparisons may overestimate the independent effect of comorbidity. Objective: This revised analysis aimed to compare the clinical profile and disease severity of hospitalized COVID-19 patients without comorbidity, with a single comorbidity and with multiple comorbidities, and to determine whether comorbidity status remained associated with severe disease after adjustment for age and sex. Methods: A retrospective record-based cross-sectional study was conducted among 255 adult RT-PCR/RAT-confirmed COVID-19 patients admitted to a tertiary care hospital in Ratlam, Madhya Pradesh, India, from January to March 2021. Patients were categorized as non-comorbid (n=127), single-comorbidity (n=78) and multiple-comorbidity (n=50). Descriptive statistics, chi-square testing, independent t-test and multivariable binary logistic regression were applied. Results: The mean age was higher in comorbid than non-comorbid patients (62.4 ± 12.1 vs 46.2 ± 15.9 years; p<0.001), whereas sex distribution showed no statistically significant difference (p=0.069). Fever (65.49%), cough (53.72%) and dyspnea (33.72%) were the predominant symptoms. Hypertension (71.87%), diabetes mellitus (34.37%) and cardiac disease (12.50%) were the leading comorbidities. Severe disease occurred in 10.23% of non-comorbid patients, 24.36% of single-comorbidity patients and 42.00% of patients with multiple comorbidities (p<0.001). In adjusted analysis, age ≥60 years [adjusted odds ratio (OR) 3.28, 95% confidence interval (CI) 1.62-6.64; p=0.001], male sex (adjusted OR 1.41, 95% CI 0.70-2.86; p=0.338), single comorbidity (adjusted OR 2.05, 95% CI 0.89-4.72; p=0.092) and multiple comorbidities (adjusted OR 3.86, 95% CI 1.56-9.55; p=0.004) were evaluated as predictors of severe disease. Conclusion: Comorbidity burden showed a graded association with COVID-19 severity, particularly among patients with multiple chronic conditions. However, interpretation should account for the confounding effect of age and the limitations of retrospective single-centre data.

Indexed as

clinical profilecomorbiditiesCOVID-19diabetes mellitusdisease severityhypertensionlogistic regression

Identifiers

PMID42416744
PMCPMC13325753

What Socratic holds

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Registered trials

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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.