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Supplementary materials
Table of Contents
Supplementary methods6
The Detailed Definitions of the Severity and Prognostic Endpoints of COVID-196
Table S1 Characteristics of the included studies.8
Table S2 Quantitative data synthesis for the associations of the epidemiological, comorbidity factors with prognosis of COVID-1916
Figure S1 Forest plot of association between sex and disease severity.20
Figure S2 Forest plot of association between smoking and disease severity.21
Figure S3 Forest plot of association between current smoker and disease severity.22
Figure S4 Forest plot of association between ex-smoker and disease severity.23
Figure S5 Forest plot of association between drinking and disease severity.24
Figure S6 Forest plot of association between local residents of Wuhan and disease severity.25
Figure S7 Forest plot of association between exposure history to Hubei province and disease severity.26
Figure S8 Forest plot of association between contact with confirmed or suspect cases and disease severity.27
Figure S9 Forest plot of association between family cluster and disease severity.28
Figure S10 Forest plot of association between Huanan seafood market exposure and disease severity.29
Figure S11 Forest plot of association between comorbidity and disease severity.30
Figure S12 Forest plot of association between hypertension and disease severity.31
Figure S13 Forest plot of association between diabetes and disease severity.32
Figure S14 Forest plot of association between malignancy and disease severity.33
Figure S15 Forest plot of association between cardiovascular disease and disease severity.34
Figure S16 Forest plot of association between coronary heart disease and disease severity.35
Figure S17 Forest plot of association between cerebrovascular disease and disease severity.36
Figure S18 Forest plot of association between cardiovascular/ cerebrovascular disease and disease severity.37
Figure S19 Forest plot of association between COPD and disease severity.38
Figure S20 Forest plot of association between respiratory system disease and disease severity.39
Figure S21 Forest plot of association between chronic kidney disease and disease severity.40
Figure S22 Forest plot of association between chronic liver disease and disease severity.41
Figure S23 Forest plot of association between hepatitis B infection and disease severity.42
Figure S24 Forest plot of association between lithiasis and disease severity.43
Figure S25 Forest plot of association between autoimmune disease and disease severity.44
Figure S26 Forest plot of association between abnormal lipid metabolism and disease severity.45
Figure S27 Forest plot of association between digestive disease and disease severity.46
Figure S28 Forest plot of association between thyroid disease and disease severity.47
Figure S29 Forest plot of association between tuberculosis and disease severity.48
Figure S30 Forest plot of association between nervous system disease and disease severity.49
Figure S31 Forest plot of association between endocrine system disease and disease severity.50
Figure S32 Forest plot of association between death and sex.51
Figure S33 Forest plot of association between death and smoking.52
Figure S34 Forest plot of association between death and current smoking.53
Figure S35 Forest plot of association between death and ex-smoking.54
Figure S36 Forest plot of association between death and contact with confirmed or suspect cases.55
Figure S37 Forest plot of association between death and Huanan seafood market exposure.56
Figure S38 Forest plot of association between death and comorbidities.57
Figure S39 Forest plot of association between death and hypertension.58
Figure S40 Forest plot of association between death and diabetes.59
Figure S41 Forest plot of association between death and malignancy.60
Figure S42 Forest plot of association between death and cardiovascular disease.61
Figure S43 Forest plot of association between death and coronary heart disease.62
Figure S44 Forest plot of association between death and cerebrovascular disease.63
Figure S45 Forest plot of association between death and COPD.64
Figure S46 Forest plot of association between death and respiratory system disease.65
Figure S47 Forest plot of association between death and chronic kidney disease.66
Figure S48 Forest plot of association between death and hepatitis B infection.67
Figure S49 Forest plot of association between death and autoimmune disease.68
Figure S50 Forest plot of association between admission to ICU and sex.69
Figure S51 Forest plot of association between admission to ICU and smoking.70
Figure S52 Forest plot of association between admission to ICU and drinking.71
Figure S53 Forest plot of association between admission to ICU and Huanan seafood market exposure.72
Figure S54 Forest plot of association between admission to ICU and comorbidities.73
Figure S55 Forest plot of association between admission to ICU and hypertension.74
Figure S56 Forest plot of association between admission to ICU and diabetes.75
Figure S57 Forest plot of association between admission to ICU and malignancy.76
Figure S58 Forest plot of association between admission to ICU and cardiovascular disease.77
Figure S59 Forest plot of association between admission to ICU and cerebrovascular disease.78
Figure S60 Forest plot of association between admission to ICU and COPD.79
Figure S61 Forest plot of association between admission to ICU and respiratory system disease.80
Figure S62 Forest plot of association between admission to ICU and chronic kidney disease.81
Figure S63 Forest plot of association between admission to ICU and chronic liver disease.82
Figure S64 Forest plot of association between composite endpoint and sex.83
Figure S65 Forest plot of association between composite endpoint and smoking.84
Figure S66 Forest plot of association between composite endpoint and current smoking.85
Figure S67 Forest plot of association between composite endpoint and ex-smoking.86
Figure S68 Forest plot of association between composite endpoint and contact with confirmed or suspect cases.87
Figure S69 Forest plot of association between composite endpoint and comorbidities.88
Figure S70 Forest plot of association between composite endpoint and hypertension.89
Figure S71 Forest plot of association between composite endpoint and diabetes.90
Figure S72 Forest plot of association between composite endpoint and malignancy.91
Figure S73 Forest plot of association between composite endpoint and cardiovascular disease.92
Figure S74 Forest plot of association between composite endpoint and coronary heart disease.93
Figure S75 Forest plot of association between composite endpoint and cerebrovascular disease.94
Figure S76 Forest plot of association between composite endpoint and COPD.95
Figure S77 Forest plot of association between composite endpoint and respiratory system disease.96
Figure S78 Forest plot of association between ARDS and sex.97
Figure S79 Forest plot of association between ARDS and hypertension.98
Figure S80 Forest plot of association between ARDS and diabetes.99
Figure S81 Forest plot of association between ARDS and cardiovascular disease.100
Figure S82 Forest plot of association between ARDS and cerebrovascular disease.101
Figure S83 Forest plot of association between ARDS and COPD.102
Figure S84 Forest plot of association between ARDS and respiratory system disease.103
Figure S85 Forest plot of association between invasive ventilation and sex.104
Figure S86 Forest plot of association between invasive ventilation and smoking.105
Figure S87 Forest plot of association between invasive ventilation and contact with confirmed or suspect cases.106
Figure S88 Forest plot of association between invasive ventilation and family cluster.107
Figure S89 Forest plot of association between invasive ventilation and comorbidities.108
Figure S90 Forest plot of association between invasive ventilation and hypertension.109
Figure S91 Forest plot of association between invasive ventilation and diabetes.110
Figure S92 Forest plot of association between invasive ventilation and malignancy.111
Figure S93 Forest plot of association between invasive ventilation and cardiovascular disease.112
Figure S94 Forest plot of association between invasive ventilation and cerebrovascular disease.113
Figure S95 Forest plot of association between invasive ventilation and COPD.114
Figure S96 Forest plot of association between invasive ventilation and respiratory system disease.115
Figure S97 Forest plot of association between cardiac abnormality and sex.116
Figure S98 Forest plot of association between cardiac abnormality and smoking.117
Figure S99 Forest plot of association between cardiac abnormality and exposure to Hubei Province.118
Figure S100 Forest plot of association between cardiac abnormality and contact with confirmed or suspect cases.119
Figure S101 Forest plot of association between cardiac abnormality and hypertension.120
Figure S102 Forest plot of association between cardiac abnormality and diabetes.121
Figure S103 Forest plot of association between cardiac abnormality and cardiovascular disease.122
Figure S104 Forest plot of association between cardiac abnormality and coronary heart disease.123
Figure S105 Forest plot of association between cardiac abnormality and COPD.124
Figure S106 Forest plot of association between cardiac abnormality and respiratory system disease.125
Figure S107 Forest plot of association between disease progression and sex.126
Figure S108 Forest plot of association between disease progression and smoking.127
Figure S109 Forest plot of association between disease progression and hypertension.128
Figure S110 Forest plot of association between disease progression and diabetes.129
Figure S111 Forest plot of association between disease progression and COPD.130
Figure S112 Forest plot of association between disease progression and respiratory system disease.131
Figure S113 Forest plot of association between age and severity.132
Figure S114 Forest plot of association between age and death.133
Figure S115 Forest plot of association between age and admission to ICU.134
Figure S116 Forest plot of association between age and composite endpoint.135
Figure S117 Forest plot of association between age and ARDS.136
Figure S118 Forest plot of association between age and invasive ventilation.137
Figure S119 Forest plot of association between age and cardiac abnormality.138
Figure S120 Forest plot of association between age and disease progression.139
Supplementary methods
The Detailed Definitions of the Severity and Prognostic Endpoints of COVID-19
1. The degree of severity of COVID-19 was determined using the American Thoracic Society guidelines for community-acquired pneumonia or the New Coronavirus Pneumonia Prevention and Control Guidelines of China [1, 2]. The latter grouped COVID-19 patients into four categories: (1) mild type: patients with mild clinical symptoms and no pulmonary changes on CT imaging; (2) common type: patients with symptoms of fever and signs of respiratory infection, and having pneumonia changes on CT imaging; (3) severe type: patients presenting with any one of the following conditions: a. respiratory distress, respiratory rate ≥ 30/min; b. oxygen saturation of finger ≤ 93% in resting condition; c. arterial partial pressure of oxygen (PaO2) /oxygen concentration (FiO2) ≤ 300 mmHg (1 mmHg = 0.133 kPa); (4) critical type: patients meeting any one of the following criteria: a. respiratory failure requiring mechanical ventilation; b. shock; c. concomitant failure of other organs and requirement for intensive care unit (ICU) monitoring and treatment. In our study, the severity of disease was classified into two categories, non-severe type and severe type. Non-severe type includes mild-type, common-type or both, and SpO2≥90%. Otherwise, severe-type, critical-type or both and SpO2<90% are defined as severe type.
2. The composite endpoint was admission to an intensive care unit (ICU), the use of mechanical ventilation, or death [3].
3. Cardiac abnormality was defined by any one of following the course of disease: (1) complain of palpitation or chest distress; (2) TNT-HSST serum levels > 99th percentile upper reference limit (>28 pg/ml), the serum levels of troponin I (TNI) were above the 99th percentile of the upper reference limit (> 0.03 ug/L) using the Access AccuTnI+3 test, or increase in the levels of any of the other abovementioned cardiac markers; (3) NT-proBNP≥88.64 pg/mL is also characterized as a sign of Cardiac abnormality[4]; (4) new abnormalities on electrocardiography including sinus tachycardia [5-7].
4. Disease progression included death, progression from non-severe to severe, or severe-type to critical-type [8].
References
1.Metlay JP, Waterer GW, Long AC, et al. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med 2019; 200(7): e45-e67.
2.Commission HC. The New Coronavirus Pneumonia Prevention and Control Guidelines of China. Available at: http://www.nhc.gov.cn/.
3.Guan WJ, Ni ZY, Hu Y, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med 2020.
4.Gao L, Jiang D, Wen X, Cheng X, Sun M, al e. Prognostic value of NT-proBNP in patients with severe COVID-19. medRxiv 2020.
5.Liu R, Ming X, Xu O, Zhou J, Peng H, al e. Association of Cardiovascular Manifestations with In-hospital Outcomes in Patients with COVID-19: A Hospital Staff Data. medRxiv 2020.
6.Liu Y, Li J, Liu D, Song H, Chen C, al e. Clinical features and outcomes of 2019 novel coronavirus–infected patients with cardiac injury. medRxiv 2020.
7.Xu H, Hou K, Xu H, Li Z, Chen H, al e. Acute Myocardial Injury of Patients with Coronavirus Disease 2019. medRxiv 2020.
8.Hu L, Chen S, Fu Y, Gao Z, Long H, al e. Risk Factors Associated with Clinical Outcomes in 323 COVID-19 Patients in Wuhan, China. medRxiv 2020.
2
Table S1 Characteristics of the included studies.
Rank
First author
Country
Year
Date of recruitment
Reason of non-eligible of quantitative synthesis
Province/city
Hospital
PMID\DOI
Total number of cases
Endpoints
NOS quality score
1
Kaicai Liu
China
2020
2020.01.21-2020.02.03
Anhui
Six hospitals in Anhui province
32193037
73
severity
5
2
Jingyuan Liu
China
2020
2020.01.13-2020.01.31
Beijing
Beijing Ditan Hospital
10.1101/2020.02.10.20021584
61
severity
5
3
Sijia Tian
China
2020
2020.01.20-2020.02.10
Beijing
Beijing Emergency Medical Service
32112886
262
severity
5
4
Hui Hui
China
2020
2020.01.21-2020.02.03
duplicated patients
Beijing
Beijing Youan Hospital
10.1101/2020.02.24.20027052
41
severity
5
5
wen zhao
China
2020
2020.01.21-2020.02.08
Beijing
Beijing Youan Hospital
10.1101/2020.03.13.20035436.
77
severity, hospitalization duration >14 days
5
6
Xu Chen
China
2020
2020.01.23-2020.02.14
Changsha, Loudi
first Hospital of Changsha and Loudi Central Hospital
10.1101/2020.03.03.20030353
291
severity
5
7
Zhichao Feng
China
2020
2020.01.17-2020.02.01
Changsha
Third Xiangya Hospital,Changsha Public Health Treatment Center, and Second People’s Hospital of Hunan
10.1101/2020.02.19.20025296
141
progression
6
8
Huayuan Xu
China
2020
2020.01.02-2020.02.14
Chengdu
West China Second University Hospital
10.1101/2020.03.05.20031591.
53
cardiac abnormality
6
9
Lei Liu
China
2020
2020.01.20-2020.02.03
Chognqing
Chongqing Three Gorges Central Hospital
10.1101/2020.02.20.20025536
51
severity
6
10
Suxin Wan
China
2020
2020.01.26-2020.02.04
duplicated patients
Chognqing
Chongqing Three Gorges Central Hospital
10.1101/2020.02.10.20021832
123
severity
5
11
Di Qi
China
2020
2020.01.19-2020.02.16
Chognqing
Qianjiang central hospital of Chongqing, Chongqing three gorges central hospital and Chongqing public health medical center
10.1101/2020.03.01.20029397
267
severity
5
12
Kunhua Li
China
2020
2020.01-2020.02
Chognqing
the Second Affiliated Hospital of Chongqing Medical University
32164090
83
severity
5
13
Zhifeng Xu
China
2020
2020.01.20-2020.02.06
Foshan
the First people's hospital of Foshan
10.1101/2020.03.03.20030775
21
severity
5
14
Youbin Liu
China
2020
2020.01.10-2020.02.24
Guangzhou
Guangzhou Eighth People’s Hospital
10.1101/2020.03.11.20030957
291
cardiac abnormality
6
15
Yonghao Xu
China
2020
2020.01.14-2020.02.20
Guangzhou
the First Affiliated Hospital of Guangzhou Medical University, Dongguan People’s Hospital, etc
10.1101/2020.03.03.20030668.
45
Invasive ventilation
7
16
Shijiao Yan
China
2020
2020.01.22-2020.03.14
Hainan
the Second Affiliated Hospital of Hainan Medical University
10.1101/2020.03.19.20038539
168
severity
5
17
Xiaowei Fang
China
2020
2020.01.22-2020.02.18
Hefei
Anhui Provincial Hospital
79
severity
5
18
Rong Qu
China
2020
2020.01-2020.02
Huizhou
Huizhou municipal central hospital
32181903
30
severity
6
19
Tian Gu
China
2020
2019.12.18-2020.03.08
mainland China
10.1101/2020.03.23.20041848
321
death
6
20
Yishan Zheng
China
2020
Nanjing
the Second Hospital of Nanjing
10.1101/2020.02.19.20024885
88
severity
5
21
Hongzhou Lu
China
2020
beofe 2020.02.07
Shanghai
Shanghai CDC
10.1101/2020.02.19.20025031
265
severity
5
22
Min Cao
China
2020
2020.01.20-2020.02.15
Shanghai
Shanghai Public Health Clinical Centre
10.1101/2020.03.04.20030395.
198
ICU
6
23
Ying Wen
China
2020
2020.01.01-2020.02.28
Shenzhen
Shenzhen Center of Disease Control and Prevention
10.1101/2020.03.22.20035246
417
severity
5
24
Qingxian Cai
China
2020
2020.01.11-2020.02.06
Shenzhen
the Third People's Hospital of Shenzhen
10.1101/2020.02.17.20024018
298
severity
5
25
Sakiko Tabata
Japan
2020
2020.02.11-2020.02.25
Tokyo
Self-Defense Ofces Central Hospital
10.1101/2020.03.18.20038125
104
severity
5
26
Bo Zhou
China
2020
2020.02.05-2020.02.13
different grouping methods of disease severity
Wuhan
West District of Union Hospital of Tongji Medical College
32209382
34
severe vs very severe
5
27
Jiatao Lu
China
2020
2020.01.21-2020.02.05
Wuhan
Wuhan Hankou Hospital
10.1101/2020.02.20.20025510
577
severity
5
29
Min Liu
China
2020
2020.01.10-2020.01.31
Wuhan
Affiliated hospital of Jianghan University
32164090
30
severity
5
30
Wei liu
China
2020
2019.12.20-2020.01.15
Wuhan
three tertiary hospitals in Wuhan
32118640
78
Progression
6
31
Mingli Yuan
China
2020
2020.01.01-2020.01.25
Wuhan
Central Hospital of Wuhan
32191764
27
death
7
32
Yafei Wang
China
2020
2020.01.01-2020.02.10
Wuhan
Central Hospital of Wuhan
10.1101/2020.03.02.20029306
110
severity
5
33
Ying Zhou
China
2020
2020.01.01-2020.02.28
Wuhan
Central Hospital of Wuhan
10.1101/2020.03.24.20042119
377
severity
5
34
Yanli Liu
China
2020
2020.01.02-2020.02.01
Wuhan
Central Hospital of Wuhan
10.1101/2020.02.17.20024166.
109
ARDS
7
35
Ru Liu
China
2020
2020.01.15-2020.01.24
Wuhan
Central Hospital of Wuhan
10.1101/2020.02.29.20029348
41
cardiac abnormality
6
36
Chaolin Huang
China
2020
2019.12.16-2020.01.02
Wuhan
Jinyintan Hospital
31986264
41
ICU
6
37
Xiaobo Yang
China
2020
2019.12.24-2020.01.26
Wuhan
Jinyintan Hospital
32105632
52
death
7
38
Chaomin Wu
China
2020
2019.12.25-2020.01.26
Wuhan
Jinyintan Hospital
32167524
201
ARDS, death in ARDS
7
39
Fei Zhou
China
2020
2020.12.29-2020.01.31
Wuhan
Jinyintan Hospital and Wuhan Pulmonary Hospital
32171076
191
death
6
40
Jinjin Zhang
China
2020
2020.01.16-2020.02.03
Wuhan
No.7 hospital of Wuhan
32077115
140
severity
5
41
Qian Shi
China
2020
before 2020.02.15
unique endpoint
Wuhan
Renmin Hospital of Wuhan University
10.1101/2020.03.04.20031039
101
survival ≤3d
5
42
Luwen Wang
China
2020
2020.01.14-2020.02.13
Wuhan
Renmin Hospital of Wuhan University
10.1101/2020.02.19.20025288.
116
severity and ARDS
5
43
Yi Han
China
2020
2020.02.01-2020.02.18
Wuhan
Renmin Hospital of Wuhan University
10.1101/2020.03.24.20040162
47
severity
5
44
Ling Hu
China
2020
2020.01.08-2020.02.20
Wuhan
Tianyou Hospital
10.1101/2020.03.25.20037721
323
severity, unfavorable
7
28
Chen Chen
China
2020
2020.01-2020.02
different grouping methods of disease severity
Wuhan
Tongji Hospital
32141280
150
severity (critical vs non-critical)
5
45
Guang Chen
China
2020
2019.12.19-2020.01.27
Wuhan
Tongji hospital
10.1101/2020.02.16.20023903.
21
severity
5
46
Tao Chen
China
2020
2020.01.13-2020.02.12
Wuhan
Tongji Hospital
32217556
274
death
7
47
Zhihua Wang
China
2020
2020.02.23-2020.03.11
Wuhan
Tongji hospital
10.1101/2020.03.22.20041285
116
death
6
48
Chuan Qin
China
2020
2020.01.10-2020.02.12
Wuhan
Tongji Hospital
32161940
452
severity
5
49
Lin Fu
China
2020
2020.01.01-2020.01.30
Wuhan
Union Hospital of Huazhong University of Science and Technology
10.1101/2020.03.13.20035329.
200
death
6
50
Jing Liu
China
2020
2020.01.05-2020.01.24
Wuhan
Union Hospital of Huazhong University of Science and Technology
10.1101/2020.02.16.20023671
40
severity
5
51
Ling Mao
China
2020
2020.01.16-2020.02.19
Wuhan
Union Hospital of Huazhong University of Science and Technology
10.1101/2020.02.22.20026500.
214
severity
5
52
Zhongliang Wang
China
2021
2020.01.16-2020.01.29
Wuhan
Union Hospital of Huazhong University of Science and Technology
32176772
69
Spo2<90%
5
53
Yudong Peng
China
2020
2020.01.20-2020.02.15
Wuhan
Union Hospital of Huazhong University of Science and Technology
32120458
112
severity,death
6
54
Fan Zhang
China
2020
2019.12.25-2020.02.15
Wuhan
Wuhan No.1 Hospital
10.1101/2020.03.21.20040121
48
non-surviver
6
55
Jianmin Jin
China
2020
2020.01.29-2020.02.15
Wuhan
Wuhan Union Hospital by the medical team of Beijing Tongren Hospital
10.1101/2020.02.23.20026864
1056
death
6
56
Dawei Wang
China
2020
2020.01.01-2020.01.28
Wuhan
Zhongnan Hospital of Wuhan University
32031570
138
ICU
6
57
Pingzheng Mo
China
2020
2020.01.01-2020.02.05
unique endpoint
Wuhan
Zhongnan Hospital of Wuhan University
32173725
155
Refractory
6
58
Guqin Zhang
China
2020
2020.01.02-2020.02.10
Wuhan
Zhongnan Hospital of Wuhan University
10.1101/2020.03.02.20030452.
221
severity
5
59
Yao Na
China
2020
2020.01.21-2020.02.21
unique endpoint
Xi'an
Tangdu Hospital
32153170
40
liver injury
6
60
Weiliang Cao
China
2020
2020.01.01-2020.02.16
Xiangyang
the Xiangyang No.1 Hospital
10.1101/2020.02.23.20026963
128
severity
5
61
Jian Wu
China
2020
2020.01.20-2020.02.19
Yancheng
First People’s Hospital of Yancheng City, the Second People’s Hospital of Fuyang City, the Second People’s Hospital of Yancheng City, and the Fifth People’s Hospital of Wuxi
32220033
280
severity
5
62
Xiaowei Xu
China
2020
2020.01.10-2020.01.26
unique endpoint
Zhejiang
seven designated tertiary hospitals in Zhejiang province
32075786
62
Time since symptom onset >10 days
5
63
Bingwen Eugene FAN
Singapore
2020
2020.01.23-2020.02.28
Singapore
National Centre of Infectious Diseases of Singapore
32129508
67
ICU
6
64
Zhen Li
China
2020
2020.01.06-2020.02.21
Multiple cities
Wuhan Tongji hospital, Wuhan Pulmonary Hospital, Huangshi Central Hospital and Chongqing Southwest hospital
10.1101/2020.02.08.20021212.
193
severity
5
65
Yang Xu
China
2020
2020.02.07-2020.02.28
Multiple cities
Zhongnan Hospital of Wuhan University, Chinese PLA General Hospital, Peking Union Medical College Hospital, and affiliated hospitals of Shanghai University of Medicine & Health Sciences.
10.1101/2020.03.08.20031658
69
severity
5
66
Weijie guan
China
2020
2019.12.11-2020.01.31
Multiple cities
Wuhan Jinyintan hospital, Union Hospital Affiliated to Tongji Medical College of Huazhong University of science and technology, Wuhan Central Hospital, Wuhan first hospital, Chengdu Public Health Clinical Medical Center
32217650
1590
severity, composite endpoint, death, ICU, invasive ventilation
7
67
Weijie guan
China
2020
2019.12.11-2020.01.29
Multiple cities
32109013
1099
severity, composite endpoint
7
68
Lei Gao
China
2020
Wuhan
Hubei General Hospital
10.1101/2020.03.07.20031575
54
cardiac abnormality
7
69
Huoshenshan (unpublished)
China
2020
2020.02.03-2020.03.05
Wuhan
Huoshenshan Hospital
1780
severity, composite endpoint, death, ICU, Invasive ventilation, ARDS
7
Table S2 Quantitative data synthesis for the associations of the epidemiological, comorbidity factors with prognosis of COVID-19
Variables
No of studies
Total cases
P heterogeneity
I2 (%)
RR (95% CIs)
P value
P Egger
Death
Sex, male
10
4214
0.443
0.0
1.23 (1.14-1.33)
<0.001
0.276
Smoking
4
2445
0.246
27.7
1.15 (0.84-1.57)
0.395
0.061
Current smoking
2
2054
0.344
0.0
1.31 (0.64-2.67)
0.459
-
Ex-smoking
2
2054
0.318
0.0
0.87 (0.26-2.95)
0.826
-
Contact with confirmed or suspect cases
2
2054
<0.001
98.8
1.11 (0.07-16.85)
0.942
-
Huanan seafood market exposure
2
2054
0.918
0.0
5.84 (0.91-37.57)
0.063
-
Comorbidities
8
4499
<0.001
88.7
1.68 (1.32-2.13)
<0.001
0.248
Hypertension
11
4860
<0.001
84.4
1.74 (1.31-2.30)
<0.001
0.418
Diabetes
10
4748
0.001
67.1
1.75 (1.27-2.41)
0.001
0.057
Malignancy
6
3978
0.262
22.8
3.09 (1.59-6.00)
0.001
0.006
Cardiovascular disease
11
4860
<0.001
75.9
2.67 (1.60-4.43)
<0.001
0.654
Coronary heart disease
5
2452
<0.001
87.7
3.16 (1.45-6.91)
0.004
0.435
Cerebrovascular disease
6
3771
0.457
0.0
4.61 (2.51-8.47)
<0.001
0.766
COPD
4
3677
0.279
22.0
5.31 (2.63-10.71)
<0.001
0.107
Respiratory system disease
7
4472
0.185
31.8
3.22 (2.12-4.90)
<0.001
0.761
Chronic kidney disease
5
2219
0.477
0.0
7.10 (3.14-16.02)
<0.001
0.772
Hepatitis B infection
2
1864
0.973
0.0
1.18 (0.43-3.20)
0.752
-
Autoimmune disease
2
1864
0.576
0.0
2.04 (0.27-15.58)
0.491
-
Admission to ICU
Sex, male
5
2224
0.011
69.6
1.29 (1.13-1.47)
<0.001
0.651
Smoking
3
2019
0.742
0.0
0.85 (0.40-1.79)
0.669
0.437
Drinking
2
1978
0.638
0.0
0.51 (0.10-2.55)
0.411
-
Huanan seafood market exposure
3
1959
0.281
21.2
1.08 (0.44-2.69)
0.863
0.037
Comorbidities
5
3747
0.038
60.5
1.82 (1.45-2.29)
<0.001
0.646
Hypertension
5
3747
0.601
0.0
2.31 (1.97-2.70)
<0.001
0.312
Diabetes
5
3747
0.084
51.4
1.88 (1.10-3.23)
0.021
0.457
Malignancy
5
3747
0.427
0.0
2.52 (1.38-5.59)
0.003
0.158
Cardiovascular disease
5
3747
0.511
0.0
2.74 (1.92-3.92)
<0.001
0.692
Cerebrovascular disease
3
3508
0.349
4.9
5.12 (2.86-9.17)
<0.001
0.273
COPD
4
3549
0.800
0.0
5.61 (2.68-11.76)
<0.001
0.740
Respiratory system disease
4
3549
0.613
0.0
4.66 (2.59-8.40)
<0.001
0.637
Chronic kidney disease
2
1728
0.344
0.0
1.37 (0.36-5.15)
0.644
-
Chronic liver disease
3
377
0.906
0.0
0.50 (0.09-2.68)
0.416
0.816
Composite endpoint
Sex, male
2
2879
0.001
91.3
1.48 (0.95-2.29)
0.082
-
Smoking
2
2879
0.604
0.0%
2.67(1.91-3.73)
<0.001
-
Current smoking
2
2879
0.038
76.7
1.59 (0.64-3.98)
0.322
-
Ex-smoking
2
2879
0.035
77.4
2.34 (0.24-22.93)
0.466
-
Contact with confirmed or suspect cases
2
2879
0.392
0.0
1.02 (0.84-1.24)
0.827
-
Comorbidities
2
3370
<0.001
95.3
1.96 (1.06-3.60)
0.031
-
Hypertension
2
3370
0.011
84.5
2.20 (1.44-3.36)
<0.001
-
Diabetes
2
3370
0.002
89.2
2.20 (0.86-5.66)
0.101
-
Malignancy
2
3370
0.072
69.1
3.76 (1.00-14.16)
0.051
-
Cardiovascular disease
2
3370
0.927
0.0
3.09 (2.09-4.57)
<0.001
-
Coronary heart disease
2
3370
0.473
0.0
3.36 (2.15-5.25)
<0.001
-
Cerebrovascular disease
2
3370
0.225
32.0
4.10 (2.34-7.18)
<0.001
-
COPD
2
3370
0.185
43.0
8.52 (4.36-16.65)
<0.001
-
Respiratory system disease
2
3370
0.185
43.0
8.52 (4.36-16.65)
<0.001
-
ARDS
Sex, male
3
2090
0.464
0.0
1.15 (1.01-1.30)
0.033
0.353
Hypertension
3
2090
0.377
0.0
1.90 (1.57-2.30)
<0.001
0.520
Diabetes
3
2090
0.068
62.9
3.07 (1.28-7.36)
0.012
0.066
Cardiovascular disease
3
2090
0.244
29.2
2.26 (1.43-3.58)
<0.001
0.422
Cerebrovascular disease
2
1889
0.152
51.2
3.15 (1.23-8.04)
0.016
-
COPD
2
1889
0.140
54.1
2.59 (0.94-7.17)
0.066
-
Respiratory system disease
2
1889
0.303
5.6
2.44 (1.20-4.97)
0.014
-
Invasive ventilation
Sex, male
2
1825
0.403
0.0
1.35 (1.11-1.64)
0.002
-
Smoking
2
1825
0.657
0.0
0.94 (0.41-2.15)
0.885
-
Contact with confirmed or suspect cases
2
1825
0.020
81.5
1.44 (0.77-2.71)
0.253
-
Family cluster
2
1825
0.646
0.0
1.58 (1.13-2.14)
0.006
-
Comorbidities
3
3415
0.005
81.2
1.83 (1.19-2.79)
0.006
0.569
Hypertension
3
3415
0.131
50.9
2.35 (1.92-2.89)
<0.001
0.366
Diabetes
3
3415
0.131
50.8
1.85 (1.24-2.76)
0.003
0.021
Malignancy
3
3415
0.397
0.0
1.79 (0.66-4.88)
0.252
0.110
Cardiovascular disease
3
3415
0.844
0.0
2.90 (1.63-5.15)
<0.001
0.618
Cerebrovascular disease
2
3370
0.602
0.0
3.98 (1.77-8.93)
0.001
-
COPD
2
3370
0.383
0.0
6.53 (2.70-15.84)
<0.001
-
Respiratory system disease
3
3415
0.260
25.7
4.34 (2.04-9.26)
<0.001
0.567
Cardiac abnormality
Sex, male
4
439
0.211
33.6
1.33 (1.02-1.72)
0.036
0.624
Smoking
2
94
0.448
0.0
1.12 (0.33-3.73)
0.860
-
Exposure to Hubei Province
2
344
0.464
0.0
1.18 (0.76-1.83)
0.473
-
Contact with confirmed or suspect cases
2
94
0.408
0.0
0.94 (0.65-1.36)
0.735
-
Hypertension
4
439
0.947
0.0
2.97 (1.65-5.34)
<0.001
0.610
Diabetes
4
439
0.695
0.0
1.85 (0.90-3.81)
0.094
0.247
Cardiovascular disease
4
439
0.915
0.0
4.90 (1.82-13.21)
0.002
0.177
Coronary heart disease
3
386
0.819
0.0
5.37 (1.74-16.54)
0.003
0.408
COPD
3
148
0.881
0.0
2.30 (0.48-11.02)
0.296
0.480
Respiratory system disease
3
148
0.881
0.0
2.30 (0.48-11.02)
0.296
0.480
Disease progression
Sex, male
2
219
0.853
0.0
1.38 (0.93-2.05)
0.106
-
Smoking
2
219
0.068
70.0
2.70 (0.14-51.96)
0.511
-
Hypertension
2
219
0.547
0.0
2.90 (1.45-5.81)
0.003
-
Diabetes
2
219
0.746
0.0
3.30 (1.08-10.07)
0.036
-
COPD
2
219
0.848
0.0
7.48 (1.60-35.05)
0.011
-
Respiratory system disease
2
219
0.848
0.0
7.48 (1.60-35.05)
0.011
-
Figure S1 Forest plot of association between sex and disease severity.
Figure S2 Forest plot of association between smoking and disease severity.
Figure S3 Forest plot of association between current smoker and disease severity.
Figure S4 Forest plot of association between ex-smoker and disease severity.
Figure S5 Forest plot of association between drinking and disease severity.
Figure S6 Forest plot of association between local residents of Wuhan and disease severity.
Figure S7 Forest plot of association between exposure history to Hubei province and disease severity.
Figure S8 Forest plot of association between contact with confirmed or suspect cases and disease severity.
Figure S9 Forest plot of association between family cluster and disease severity.
Figure S10 Forest plot of association between Huanan seafood market exposure and disease severity.
Figure S11 Forest plot of association between comorbidity and disease severity.
Figure S12 Forest plot of association between hypertension and disease severity.
Figure S13 Forest plot of association between diabetes and disease severity.
Figure S14 Forest plot of association between malignancy and disease severity.
Figure S15 Forest plot of association between cardiovascular disease and disease severity.
Figure S16 Forest plot of association between coronary heart disease and disease severity.
Figure S17 Forest plot of association between cerebrovascular disease and disease severity.
Figure S18 Forest plot of association between cardiovascular/ cerebrovascular disease and disease severity.
Figure S19 Forest plot of association between COPD and disease severity.
Figure S20 Forest plot of association between respiratory system disease and disease severity.
Figure S21 Forest plot of association between chronic kidney disease and disease severity.
Figure S22 Forest plot of association between chronic liver disease and disease severity.
Figure S23 Forest plot of association between hepatitis B infection and disease severity.
Figure S24 Forest plot of association between lithiasis and disease severity.
Figure S25 Forest plot of association between autoimmune disease and disease severity.
Figure S26 Forest plot of association between abnormal lipid metabolism and disease severity.
Figure S27 Forest plot of association between digestive disease and disease severity.
Figure S28 Forest plot of association between thyroid disease and disease severity.
Figure S29 Forest plot of association between tuberculosis and disease severity.
Figure S30 Forest plot of association between nervous system disease and disease severity.
Figure S31 Forest plot of association between endocrine system disease and disease severity.
Figure S32 Forest plot of association between death and sex.
Figure S33 Forest plot of association between death and smoking.
Figure S34 Forest plot of association between death and current smoking.
Figure S35 Forest plot of association between death and ex-smoking.
Figure S36 Forest plot of association between death and contact with confirmed or suspect cases.
Figure S37 Forest plot of association between death and Huanan seafood market exposure.
Figure S38 Forest plot of association between death and comorbidities.
Figure S39 Forest plot of association between death and hypertension.
Figure S40 Forest plot of association between death and diabetes.
Figure S41 Forest plot of association between death and malignancy.
Figure S42 Forest plot of association between death and cardiovascular disease.
Figure S43 Forest plot of association between death and coronary heart disease.
Figure S44 Forest plot of association between death and cerebrovascular disease.
Figure S45 Forest plot of association between death and COPD.
Figure S46 Forest plot of association between death and respiratory system disease.
Figure S47 Forest plot of association between death and chronic kidney disease.
Figure S48 Forest plot of association between death and hepatitis B infection.
Figure S49 Forest plot of association between death and autoimmune disease.
Figure S50 Forest plot of association between admission to ICU and sex.
Figure S51 Forest plot of association between admission to ICU and smoking.
Figure S52 Forest plot of association between admission to ICU and drinking.
Figure S53 Forest plot of association between admission to ICU and Huanan seafood market exposure.
Figure S54 Forest plot of association between admission to ICU and comorbidities.
Figure S55 Forest plot of association between admission to ICU and hypertension.
Figure S56 Forest plot of association between admission to ICU and diabetes.
Figure S57 Forest plot of association between admission to ICU and malignancy.
Figure S58 Forest plot of association between admission to ICU and cardiovascular disease.
Figure S59 Forest plot of association between admission to ICU and cerebrovascular disease.
Figure S60 Forest plot of association between admission to ICU and COPD.
Figure S61 Forest plot of association between admission to ICU and respiratory system disease.
Figure S62 Forest plot of association between admission to ICU and chronic kidney disease.
Figure S63 Forest plot of association between admission to ICU and chronic liver disease.
Figure S64 Forest plot of association between composite endpoint and sex.
Figure S65 Forest plot of association between composite endpoint and smoking.
Figure S66 Forest plot of association between composite endpoint and current smoking.
Figure S67 Forest plot of association between composite endpoint and ex-smoking.
Figure S68 Forest plot of association between composite endpoint and contact with confirmed or suspect cases.
Figure S69 Forest plot of association between composite endpoint and comorbidities.
Figure S70 Forest plot of association between composite endpoint and hypertension.
Figure S71 Forest plot of association between composite endpoint and diabetes.
Figure S72 Forest plot of association between composite endpoint and malignancy.
Figure S73 Forest plot of association between composite endpoint and cardiovascular disease.
Figure S74 Forest plot of association between composite endpoint and coronary heart disease.
Figure S75 Forest plot of association between composite endpoint and cerebrovascular disease.
Figure S76 Forest plot of association between composite endpoint and COPD.
Figure S77 Forest plot of association between composite endpoint and respiratory system disease.
Figure S78 Forest plot of association between ARDS and sex.
Figure S79 Forest plot of association between ARDS and hypertension.
Figure S80 Forest plot of association between ARDS and diabetes.
Figure S81 Forest plot of association between ARDS and cardiovascular disease.
Figure S82 Forest plot of association between ARDS and cerebrovascular disease.
Figure S83 Forest plot of association between ARDS and COPD.
Figure S84 Forest plot of association between ARDS and respiratory system disease.
Figure S85 Forest plot of association between invasive ventilation and sex.
Figure S86 Forest plot of association between invasive ventilation and smoking.
Figure S87 Forest plot of association between invasive ventilation and contact with confirmed or suspect cases.
Figure S88 Forest plot of association between invasive ventilation and family cluster.
Figure S89 Forest plot of association between invasive ventilation and comorbidities.
Figure S90 Forest plot of association between invasive ventilation and hypertension.
Figure S91 Forest plot of association between invasive ventilation and diabetes.
Figure S92 Forest plot of association between invasive ventilation and malignancy.
Figure S93 Forest plot of association between invasive ventilation and cardiovascular disease.
Figure S94 Forest plot of association between invasive ventilation and cerebrovascular disease.
Figure S95 Forest plot of association between invasive ventilation and COPD.
Figure S96 Forest plot of association between invasive ventilation and respiratory system disease.
Figure S97 Forest plot of association between cardiac abnormality and sex.
Figure S98 Forest plot of association between cardiac abnormality and smoking.
Figure S99 Forest plot of association between cardiac abnormality and exposure to Hubei Province.
Figure S100 Forest plot of association between cardiac abnormality and contact with confirmed or suspect cases.
Figure S101 Forest plot of association between cardiac abnormality and hypertension.
Figure S102 Forest plot of association between cardiac abnormality and diabetes.
Figure S103 Forest plot of association between cardiac abnormality and cardiovascular disease.
Figure S104 Forest plot of association between cardiac abnormality and coronary heart disease.
Figure S105 Forest plot of association between cardiac abnormality and COPD.
Figure S106 Forest plot of association between cardiac abnormality and respiratory system disease.
Figure S107 Forest plot of association between disease progression and sex.
Figure S108 Forest plot of association between disease progression and smoking.
Figure S109 Forest plot of association between disease progression and hypertension.
Figure S110 Forest plot of association between disease progression and diabetes.
Figure S111 Forest plot of association between disease progression and COPD.
Figure S112 Forest plot of association between disease progression and respiratory system disease.
Figure S113 Forest plot of association between age and severity.
Figure S114 Forest plot of association between age and death.
Figure S115 Forest plot of association between age and admission to ICU.
Figure S116 Forest plot of association between age and composite endpoint.
Figure S117 Forest plot of association between age and ARDS.
Figure S118 Forest plot of association between age and invasive ventilation.
Figure S119 Forest plot of association between age and cardiac abnormality.
Figure S120 Forest plot of association between age and disease progression.
NOTE: Weights are from random effects analysis
Overall (I-squared = 27.2%, p = 0.078)
Yishan Zheng
Study
Weijie Guan
Guqin Zhang
ID
Sakiko Tabata
Kaicai Liu
Yudong Peng
Weiliang Cao
Huoshenshan (unpublished)
Jian Wu
Luwen Wang
Ling Hu
Guang Chen
Yi Han
Di Qi
Chuan Qin
Jingyuan Liu
Qingxian Cai
Jing Liu
Zhen Li
Jinjin Zhang
Ying Zhou
Zhongliang Wang
Xu Yang
Ling Mao
Chuan Qin
Xu Chen
Jiatao Lu
Zhifeng Xu
Ying Wen
Shijiao Yan
wen zhao
Sijia Tian
Xiaowei Fang
1.20 (1.13, 1.27)
1.19 (0.67, 2.12)
0.99 (0.86, 1.14)
1.45 (1.11, 1.88)
RR (95% CI)
1.27 (0.82, 1.96)
0.66 (0.39, 1.11)
1.23 (0.76, 1.99)
1.27 (0.83, 1.95)
1.08 (0.98, 1.19)
1.01 (0.80, 1.28)
1.00 (0.74, 1.37)
1.07 (0.86, 1.32)
1.30 (0.83, 2.03)
1.81 (1.02, 3.20)
1.54 (1.26, 1.87)
1.12 (0.93, 1.36)
1.23 (0.74, 2.04)
1.23 (0.95, 1.60)
1.82 (0.84, 3.92)
1.37 (1.04, 1.81)
1.23 (0.89, 1.70)
1.48 (1.19, 1.84)
1.10 (0.60, 2.00)
1.04 (0.64, 1.68)
1.47 (1.06, 2.02)
1.12 (0.93, 1.36)
1.10 (0.83, 1.47)
1.10 (0.87, 1.38)
1.33 (0.55, 3.22)
1.40 (1.07, 1.83)
1.28 (0.92, 1.79)
1.36 (0.82, 2.26)
1.21 (0.90, 1.62)
1.53 (1.07, 2.18)
100.00
0.96
%
7.60
3.61
Weight
1.61
1.17
1.33
1.66
9.73
4.20
2.80
4.80
1.53
0.98
5.30
5.52
1.23
3.63
0.56
3.31
2.64
4.74
0.90
1.35
2.68
5.52
3.19
4.41
0.43
3.50
2.51
1.22
3.12
2.27
1.20 (1.13, 1.27)
1.19 (0.67, 2.12)
0.99 (0.86, 1.14)
1.45 (1.11, 1.88)
RR (95% CI)
1.27 (0.82, 1.96)
0.66 (0.39, 1.11)
1.23 (0.76, 1.99)
1.27 (0.83, 1.95)
1.08 (0.98, 1.19)
1.01 (0.80, 1.28)
1.00 (0.74, 1.37)
1.07 (0.86, 1.32)
1.30 (0.83, 2.03)
1.81 (1.02, 3.20)
1.54 (1.26, 1.87)
1.12 (0.93, 1.36)
1.23 (0.74, 2.04)
1.23 (0.95, 1.60)
1.82 (0.84, 3.92)
1.37 (1.04, 1.81)
1.23 (0.89, 1.70)
1.48 (1.19, 1.84)
1.10 (0.60, 2.00)
1.04 (0.64, 1.68)
1.47 (1.06, 2.02)
1.12 (0.93, 1.36)
1.10 (0.83, 1.47)
1.10 (0.87, 1.38)
1.33 (0.55, 3.22)
1.40 (1.07, 1.83)
1.28 (0.92, 1.79)
1.36 (0.82, 2.26)
1.21 (0.90, 1.62)
1.53 (1.07, 2.18)
100.00
0.96
%
7.60
3.61
Weight
1.61
1.17
1.33
1.66
9.73
4.20
2.80
4.80
1.53
0.98
5.30
5.52
1.23
3.63
0.56
3.31
2.64
4.74
0.90
1.35
2.68
5.52
3.19
4.41
0.43
3.50
2.51
1.22
3.12
2.27
1.25513.92
NOTE: Weights are from random effects analysis
Overall (I-squared = 50.8%, p = 0.131)
ID
Huoshenshan (unpublished)
Weijie Guan-2
Yonghao Xu
Study
1.79 (0.97, 3.29)
RR (95% CI)
1.46 (0.66, 3.21)
2.85 (1.64, 4.93)
1.07 (0.43, 2.68)
100.00
Weight
31.15
42.61
26.24
%
1.79 (0.97, 3.29)
RR (95% CI)
1.46 (0.66, 3.21)
2.85 (1.64, 4.93)
1.07 (0.43, 2.68)
100.00
Weight
31.15
42.61
26.24
%
1.20314.93
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.397)
Huoshenshan (unpublished)
Weijie Guan-2
Study
ID
Yonghao Xu
2.16 (0.77, 6.09)
1.81 (0.26, 12.67)
3.83 (0.90, 16.19)
RR (95% CI)
0.63 (0.06, 6.41)
100.00
28.48
51.66
%
Weight
19.85
2.16 (0.77, 6.09)
1.81 (0.26, 12.67)
3.83 (0.90, 16.19)
RR (95% CI)
0.63 (0.06, 6.41)
100.00
28.48
51.66
%
Weight
19.85
1.061116.4
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.844)
ID
Huoshenshan (unpublished)
Study
Weijie Guan-2
Yonghao Xu
2.95 (1.68, 5.17)
RR (95% CI)
2.50 (1.01, 6.23)
3.49 (1.57, 7.73)
2.50 (0.51, 12.29)
100.00
Weight
37.88
%
49.71
12.42
2.95 (1.68, 5.17)
RR (95% CI)
2.50 (1.01, 6.23)
3.49 (1.57, 7.73)
2.50 (0.51, 12.29)
100.00
Weight
37.88
%
49.71
12.42
1.0814112.3
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.602)
ID
Weijie Guan-2
Study
Huoshenshan (unpublished)
4.03 (1.79, 9.09)
RR (95% CI)
4.74 (1.72, 13.07)
3.02 (0.78, 11.74)
100.00
Weight
64.12
%
35.88
4.03 (1.79, 9.09)
RR (95% CI)
4.74 (1.72, 13.07)
3.02 (0.78, 11.74)
100.00
Weight
64.12
%
35.88
1.0765113.1
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.383)
Weijie Guan-2
ID
Huoshenshan (unpublished)
Study
7.10 (2.91, 17.37)
8.11 (3.15, 20.83)
RR (95% CI)
2.25 (0.14, 36.56)
100.00
89.72
Weight
10.28
%
7.10 (2.91, 17.37)
8.11 (3.15, 20.83)
RR (95% CI)
2.25 (0.14, 36.56)
100.00
89.72
Weight
10.28
%
1.0274136.6
NOTE: Weights are from random effects analysis
Overall (I-squared = 25.7%, p = 0.260)
Study
Huoshenshan (unpublished)
ID
Yonghao Xu
Weijie Guan-2
4.71 (1.90, 11.69)
2.16 (0.55, 8.51)
RR (95% CI)
3.75 (0.42, 33.36)
8.11 (3.15, 20.83)
100.00
%
32.28
Weight
15.15
52.57
4.71 (1.90, 11.69)
2.16 (0.55, 8.51)
RR (95% CI)
3.75 (0.42, 33.36)
8.11 (3.15, 20.83)
100.00
%
32.28
Weight
15.15
52.57
1.03133.4
NOTE: Weights are from random effects analysis
Overall (I-squared = 33.6%, p = 0.211)
ID
Youbin Liu
Ru Liu
Lei Gao
Huayuan Xu
Study
1.35 (0.98, 1.87)
RR (95% CI)
1.66 (1.19, 2.31)
1.30 (0.60, 2.82)
1.60 (0.83, 3.09)
0.88 (0.53, 1.47)
100.00
Weight
41.44
14.05
18.24
26.28
%
1.35 (0.98, 1.87)
RR (95% CI)
1.66 (1.19, 2.31)
1.30 (0.60, 2.82)
1.60 (0.83, 3.09)
0.88 (0.53, 1.47)
100.00
Weight
41.44
14.05
18.24
26.28
%
1.32413.09
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.448)
Huayuan Xu
ID
Ru Liu
Study
1.07 (0.31, 3.68)
0.77 (0.17, 3.45)
RR (95% CI)
2.13 (0.24, 18.73)
100.00
67.64
Weight
32.36
%
1.07 (0.31, 3.68)
0.77 (0.17, 3.45)
RR (95% CI)
2.13 (0.24, 18.73)
100.00
67.64
Weight
32.36
%
1.0534118.7
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.464)
Study
ID
Huayuan Xu
Youbin Liu
1.13 (0.73, 1.75)
RR (95% CI)
1.53 (0.60, 3.93)
1.04 (0.64, 1.70)
100.00
%
Weight
21.14
78.86
1.13 (0.73, 1.75)
RR (95% CI)
1.53 (0.60, 3.93)
1.04 (0.64, 1.70)
100.00
%
Weight
21.14
78.86
1.25413.93
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.408)
Ru Liu
ID
Study
Huayuan Xu
0.99 (0.71, 1.40)
1.06 (0.72, 1.56)
RR (95% CI)
0.77 (0.36, 1.62)
100.00
79.11
Weight
%
20.89
0.99 (0.71, 1.40)
1.06 (0.72, 1.56)
RR (95% CI)
0.77 (0.36, 1.62)
100.00
79.11
Weight
%
20.89
1.36312.75
NOTE: Weights are from random effects analysis
Overall (I-squared = 80.8%, p = 0.000)
Huoshenshan (unpublished)
Study
Yi Han
Chuan Qin
Di Qi
ID
Yafei Wang
Ling Hu
Weijie Guan
Jingyuan Liu
Chuan Qin
Xu Yang
Jiatao Lu
1.56 (0.95, 2.56)
1.04 (0.79, 1.39)
1.28 (0.32, 5.10)
0.44 (0.10, 1.92)
6.12 (3.89, 9.61)
RR (95% CI)
1.00 (0.50, 2.03)
1.90 (0.99, 3.64)
1.68 (1.21, 2.33)
2.59 (0.40, 16.93)
0.44 (0.10, 1.92)
2.64 (0.47, 14.75)
2.13 (0.36, 12.48)
100.00
14.21
%
6.94
6.42
13.28
Weight
11.47
11.90
14.00
4.79
6.42
5.37
5.19
1.56 (0.95, 2.56)
1.04 (0.79, 1.39)
1.28 (0.32, 5.10)
0.44 (0.10, 1.92)
6.12 (3.89, 9.61)
RR (95% CI)
1.00 (0.50, 2.03)
1.90 (0.99, 3.64)
1.68 (1.21, 2.33)
2.59 (0.40, 16.93)
0.44 (0.10, 1.92)
2.64 (0.47, 14.75)
2.13 (0.36, 12.48)
100.00
14.21
%
6.94
6.42
13.28
Weight
11.47
11.90
14.00
4.79
6.42
5.37
5.19
1.0591116.9
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.947)
Lei Gao
Study
Ru Liu
ID
Huayuan Xu
Youbin Liu
2.84 (1.71, 4.74)
4.00 (0.97, 16.55)
3.60 (0.18, 70.54)
RR (95% CI)
2.30 (0.51, 10.36)
2.74 (1.50, 5.00)
100.00
12.97
%
2.95
Weight
11.54
72.54
2.84 (1.71, 4.74)
4.00 (0.97, 16.55)
3.60 (0.18, 70.54)
RR (95% CI)
2.30 (0.51, 10.36)
2.74 (1.50, 5.00)
100.00
12.97
%
2.95
Weight
11.54
72.54
1.0142170.5
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.695)
Huayuan Xu
Youbin Liu
ID
Study
Lei Gao
Ru Liu
2.00 (0.98, 4.07)
2.30 (0.51, 10.36)
2.91 (0.97, 8.74)
RR (95% CI)
1.33 (0.35, 5.03)
0.71 (0.05, 10.55)
100.00
22.39
41.84
Weight
%
28.82
6.95
2.00 (0.98, 4.07)
2.30 (0.51, 10.36)
2.91 (0.97, 8.74)
RR (95% CI)
1.33 (0.35, 5.03)
0.71 (0.05, 10.55)
100.00
22.39
41.84
Weight
%
28.82
6.95
1.0475121
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.915)
Youbin Liu
Ru Liu
Study
Lei Gao
Huayuan Xu
ID
5.23 (2.16, 12.67)
6.13 (1.85, 20.34)
2.16 (0.09, 50.04)
6.40 (0.86, 47.69)
3.83 (0.48, 30.60)
RR (95% CI)
100.00
54.50
7.93
%
19.42
18.15
Weight
5.23 (2.16, 12.67)
6.13 (1.85, 20.34)
2.16 (0.09, 50.04)
6.40 (0.86, 47.69)
3.83 (0.48, 30.60)
RR (95% CI)
100.00
54.50
7.93
%
19.42
18.15
Weight
1.02150
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.819)
Youbin Liu
Ru Liu
Study
Lei Gao
ID
5.60 (2.11, 14.89)
6.13 (1.85, 20.34)
2.16 (0.09, 50.04)
6.40 (0.86, 47.69)
RR (95% CI)
100.00
66.58
9.69
%
23.73
Weight
5.60 (2.11, 14.89)
6.13 (1.85, 20.34)
2.16 (0.09, 50.04)
6.40 (0.86, 47.69)
RR (95% CI)
100.00
66.58
9.69
%
23.73
Weight
1.02150
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.881)
Study
ID
Huayuan Xu
Ru Liu
Lei Gao
2.20 (0.45, 10.78)
RR (95% CI)
1.53 (0.15, 15.89)
2.16 (0.09, 50.04)
4.03 (0.20, 80.21)
100.00
%
Weight
46.19
25.57
28.24
2.20 (0.45, 10.78)
RR (95% CI)
1.53 (0.15, 15.89)
2.16 (0.09, 50.04)
4.03 (0.20, 80.21)
100.00
%
Weight
46.19
25.57
28.24
1.0125180.2
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.881)
Ru Liu
Study
ID
Huayuan Xu
Lei Gao
2.20 (0.45, 10.78)
2.16 (0.09, 50.04)
RR (95% CI)
1.53 (0.15, 15.89)
4.03 (0.20, 80.21)
100.00
25.57
%
Weight
46.19
28.24
2.20 (0.45, 10.78)
2.16 (0.09, 50.04)
RR (95% CI)
1.53 (0.15, 15.89)
4.03 (0.20, 80.21)
100.00
25.57
%
Weight
46.19
28.24
1.0125180.2
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.853)
Zhichao Feng
ID
Wei liu
Study
1.37 (0.93, 2.03)
1.43 (0.79, 2.60)
RR (95% CI)
1.33 (0.80, 2.22)
100.00
42.43
Weight
57.57
%
1.37 (0.93, 2.03)
1.43 (0.79, 2.60)
RR (95% CI)
1.33 (0.80, 2.22)
100.00
42.43
Weight
57.57
%
1.38412.6
NOTE: Weights are from random effects analysis
Overall (I-squared = 70.0%, p = 0.068)
ID
Study
Zhichao Feng
Wei liu
2.70 (0.14, 51.96)
RR (95% CI)
0.53 (0.03, 8.83)
9.14 (1.72, 48.62)
100.00
Weight
%
42.82
57.18
2.70 (0.14, 51.96)
RR (95% CI)
0.53 (0.03, 8.83)
9.14 (1.72, 48.62)
100.00
Weight
%
42.82
57.18
1.0192152
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.547)
ID
Study
Zhichao Feng
Wei liu
3.01 (1.51, 5.99)
RR (95% CI)
3.36 (1.54, 7.34)
2.03 (0.47, 8.81)
100.00
Weight
%
77.94
22.06
3.01 (1.51, 5.99)
RR (95% CI)
3.36 (1.54, 7.34)
2.03 (0.47, 8.81)
100.00
Weight
%
77.94
22.06
1.11318.81
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.746)
ID
Wei liu
Zhichao Feng
Study
3.31 (1.08, 10.14)
RR (95% CI)
4.06 (0.76, 21.61)
2.80 (0.62, 12.65)
100.00
Weight
44.87
55.13
%
3.31 (1.08, 10.14)
RR (95% CI)
4.06 (0.76, 21.61)
2.80 (0.62, 12.65)
100.00
Weight
44.87
55.13
%
1.0463121.6
NOTE: Weights are from random effects analysis
Overall (I-squared = 55.6%, p = 0.133)
Weijie Guan
Study
Huoshenshan (unpublished)
ID
1.21 (0.84, 1.76)
1.48 (1.02, 2.16)
1.02 (0.74, 1.40)
RR (95% CI)
100.00
46.56
%
53.44
Weight
1.21 (0.84, 1.76)
1.48 (1.02, 2.16)
1.02 (0.74, 1.40)
RR (95% CI)
100.00
46.56
%
53.44
Weight
1.46312.16
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.848)
Wei liu
ID
Zhichao Feng
Study
7.56 (1.61, 35.45)
6.09 (0.41, 90.40)
RR (95% CI)
8.40 (1.27, 55.35)
100.00
32.82
Weight
67.18
%
7.56 (1.61, 35.45)
6.09 (0.41, 90.40)
RR (95% CI)
8.40 (1.27, 55.35)
100.00
32.82
Weight
67.18
%
1.0111190.4
NOTE: Weights are from random effects analysis
Overall (I-squared = 92.4%, p = 0.000)
Study
Shijiao Yan
Chuan Qin
Kaicai Liu
Ling Mao
Guqin Zhang
Xiaowei Xu
wei-jie guan
Jinjin Zhang
Jiatao Lu
Yi Han
Rong Qu
Yishan Zheng
Zhen Li
Luwen Wang
Jingyuan Liu
Di Qi
Sakiko Tabata
Guang Chen
Xu Chen
ID
Ying Zhou
Zhifeng Xu
Jian Wu
Huoshenshan (unpublished)
wen zhao
Jing Liu
Zhongliang Wang
Qingxian Cai
Xu Yang
Sijia Tian
Xiaowei Fang
Yudong Peng
Chuan Qin
0.73 (0.53, 0.94)
0.66 (0.29, 1.04)
0.57 (0.37, 0.76)
1.67 (1.11, 2.23)
0.63 (0.35, 0.91)
0.55 (0.24, 0.86)
0.45 (-0.05, 0.96)
0.41 (0.24, 0.57)
0.88 (0.52, 1.23)
0.25 (0.02, 0.47)
0.01 (-0.56, 0.58)
0.73 (-0.47, 1.94)
-2.06 (-2.84, -1.27)
0.72 (0.41, 1.03)
0.73 (0.35, 1.10)
0.30 (-0.26, 0.86)
1.70 (1.36, 2.04)
0.30 (-0.14, 0.73)
1.07 (0.15, 1.99)
-0.99 (-1.30, -0.67)
SMD (95% CI)
1.11 (0.88, 1.34)
1.33 (0.33, 2.33)
1.66 (1.37, 1.95)
0.52 (0.42, 0.62)
1.45 (0.89, 2.01)
1.42 (0.68, 2.15)
2.47 (1.75, 3.19)
1.42 (1.11, 1.72)
1.06 (0.54, 1.58)
1.42 (1.08, 1.76)
1.14 (0.63, 1.65)
-0.50 (-1.04, 0.03)
0.57 (0.37, 0.76)
100.00
%
3.34
3.64
2.94
3.52
3.46
3.06
3.67
3.39
3.60
2.91
1.64
2.42
3.47
3.34
2.94
3.41
3.22
2.14
3.45
Weight
3.59
1.99
3.50
3.72
2.94
2.54
2.57
3.47
3.03
3.41
3.05
3.00
3.64
0.73 (0.53, 0.94)
0.66 (0.29, 1.04)
0.57 (0.37, 0.76)
1.67 (1.11, 2.23)
0.63 (0.35, 0.91)
0.55 (0.24, 0.86)
0.45 (-0.05, 0.96)
0.41 (0.24, 0.57)
0.88 (0.52, 1.23)
0.25 (0.02, 0.47)
0.01 (-0.56, 0.58)
0.73 (-0.47, 1.94)
-2.06 (-2.84, -1.27)
0.72 (0.41, 1.03)
0.73 (0.35, 1.10)
0.30 (-0.26, 0.86)
1.70 (1.36, 2.04)
0.30 (-0.14, 0.73)
1.07 (0.15, 1.99)
-0.99 (-1.30, -0.67)
SMD (95% CI)
1.11 (0.88, 1.34)
1.33 (0.33, 2.33)
1.66 (1.37, 1.95)
0.52 (0.42, 0.62)
1.45 (0.89, 2.01)
1.42 (0.68, 2.15)
2.47 (1.75, 3.19)
1.42 (1.11, 1.72)
1.06 (0.54, 1.58)
1.42 (1.08, 1.76)
1.14 (0.63, 1.65)
-0.50 (-1.04, 0.03)
0.57 (0.37, 0.76)
100.00
%
3.34
3.64
2.94
3.52
3.46
3.06
3.67
3.39
3.60
2.91
1.64
2.42
3.47
3.34
2.94
3.41
3.22
2.14
3.45
Weight
3.59
1.99
3.50
3.72
2.94
2.54
2.57
3.47
3.03
3.41
3.05
3.00
3.64
0-3.1903.19
NOTE: Weights are from random effects analysis
Overall (I-squared = 63.9%, p = 0.005)
Fan Zhang
Huoshenshan (unpublished)
Tian Gu
Mingli Yuan
Zhihua Wang
Jianmin Jin
Tao Chen
ID
Chaomin Wu
Fei Zhou
Study
1.06 (0.85, 1.26)
1.03 (0.41, 1.66)
1.06 (0.73, 1.38)
0.83 (0.60, 1.06)
0.84 (0.03, 1.66)
0.62 (0.07, 1.17)
1.42 (1.09, 1.76)
1.01 (0.75, 1.26)
SMD (95% CI)
0.87 (0.58, 1.16)
1.77 (1.32, 2.22)
100.00
6.89
13.06
15.57
4.78
8.13
12.80
14.88
Weight
13.86
10.02
%
1.06 (0.85, 1.26)
1.03 (0.41, 1.66)
1.06 (0.73, 1.38)
0.83 (0.60, 1.06)
0.84 (0.03, 1.66)
0.62 (0.07, 1.17)
1.42 (1.09, 1.76)
1.01 (0.75, 1.26)
SMD (95% CI)
0.87 (0.58, 1.16)
1.77 (1.32, 2.22)
100.00
6.89
13.06
15.57
4.78
8.13
12.80
14.88
Weight
13.86
10.02
%
0-2.2202.22
Overall (I-squared = 34.9%, p = 0.189)
Huoshenshan (unpublished)
Chaolin Huang
Dawei Wang
ID
Study
Min Cao
Bingwen Eugene FAN
0.77 (0.59, 0.95)
0.80 (0.55, 1.05)
0.00 (-0.66, 0.66)
0.84 (0.45, 1.24)
SMD (95% CI)
0.97 (0.48, 1.45)
0.86 (0.14, 1.58)
100.00
51.39
7.48
20.95
Weight
%
13.90
6.28
0.77 (0.59, 0.95)
0.80 (0.55, 1.05)
0.00 (-0.66, 0.66)
0.84 (0.45, 1.24)
SMD (95% CI)
0.97 (0.48, 1.45)
0.86 (0.14, 1.58)
100.00
51.39
7.48
20.95
Weight
%
13.90
6.28
0-1.5801.58
NOTE: Weights are from random effects analysis
Overall (I-squared = 72.9%, p = 0.055)
Study
ID
Weijie guan
Huoshenshan (unpublished)
0.88 (0.56, 1.21)
SMD (95% CI)
1.05 (0.80, 1.30)
0.72 (0.49, 0.95)
100.00
%
Weight
48.71
51.29
0.88 (0.56, 1.21)
SMD (95% CI)
1.05 (0.80, 1.30)
0.72 (0.49, 0.95)
100.00
%
Weight
48.71
51.29
0-1.301.3
Overall (I-squared = 0.0%, p = 0.939)
Yanli Liu
ID
Huoshenshan (unpublished)
Chaomin Wu
Study
0.83 (0.67, 0.99)
0.80 (0.41, 1.19)
SMD (95% CI)
0.81 (0.59, 1.03)
0.87 (0.58, 1.16)
100.00
16.52
Weight
54.10
29.37
%
0.83 (0.67, 0.99)
0.80 (0.41, 1.19)
SMD (95% CI)
0.81 (0.59, 1.03)
0.87 (0.58, 1.16)
100.00
16.52
Weight
54.10
29.37
%
0-1.1901.19
Overall (I-squared = 0.0%, p = 0.493)
Huoshenshan (unpublished)
ID
Yonghao Xu
Study
0.84 (0.54, 1.14)
0.90 (0.55, 1.24)
SMD (95% CI)
0.66 (0.05, 1.26)
100.00
75.34
Weight
24.66
%
0.84 (0.54, 1.14)
0.90 (0.55, 1.24)
SMD (95% CI)
0.66 (0.05, 1.26)
100.00
75.34
Weight
24.66
%
0-1.2601.26
NOTE: Weights are from random effects analysis
Overall (I-squared = 63.6%, p = 0.041)
Youbin Liu
Huayuan Xu
ID
Study
Lei Gao
Ru Liu
0.92 (0.44, 1.41)
0.88 (0.36, 1.41)
1.46 (0.85, 2.08)
SMD (95% CI)
1.11 (0.54, 1.69)
0.23 (-0.40, 0.85)
100.00
26.90
24.11
Weight
%
25.20
23.80
0.92 (0.44, 1.41)
0.88 (0.36, 1.41)
1.46 (0.85, 2.08)
SMD (95% CI)
1.11 (0.54, 1.69)
0.23 (-0.40, 0.85)
100.00
26.90
24.11
Weight
%
25.20
23.80
0-2.0802.08
NOTE: Weights are from random effects analysis
Overall (I-squared = 95.4%, p = 0.000)
ID
Zhichao Feng
Wei liu
Study
2.37 (0.00, 4.74)
SMD (95% CI)
1.19 (0.63, 1.74)
3.61 (2.75, 4.46)
100.00
Weight
50.95
49.05
%
2.37 (0.00, 4.74)
SMD (95% CI)
1.19 (0.63, 1.74)
3.61 (2.75, 4.46)
100.00
Weight
50.95
49.05
%
0-4.7404.74
NOTE: Weights are from random effects analysis
Overall (I-squared = 81.7%, p = 0.019)
Huoshenshan (unpublished)
Study
Weijie Guan
ID
2.17 (0.61, 7.70)
1.17 (0.59, 2.31)
4.22 (1.81, 9.84)
RR (95% CI)
100.00
51.97
%
48.03
Weight
2.17 (0.61, 7.70)
1.17 (0.59, 2.31)
4.22 (1.81, 9.84)
RR (95% CI)
100.00
51.97
%
48.03
Weight
1.10219.84
NOTE: Weights are from random effects analysis
Overall (I-squared = 58.0%, p = 0.067)
Jingyuan Liu
Study
ID
Yafei Wang
Huoshenshan (unpublished)
Ling Hu
0.83 (0.48, 1.44)
2.22 (0.87, 5.66)
RR (95% CI)
0.40 (0.15, 1.09)
0.67 (0.42, 1.07)
0.88 (0.47, 1.62)
100.00
19.44
%
Weight
17.91
34.01
28.63
0.83 (0.48, 1.44)
2.22 (0.87, 5.66)
RR (95% CI)
0.40 (0.15, 1.09)
0.67 (0.42, 1.07)
0.88 (0.47, 1.62)
100.00
19.44
%
Weight
17.91
34.01
28.63
1.14616.84
NOTE: Weights are from random effects analysis
Overall (I-squared = 90.9%, p = 0.000)
Ying Zhou
Weijie Guan
ID
Study
Zhen Li
Sijia Tian
0.66 (0.32, 1.36)
(Excluded)
1.11 (0.94, 1.32)
RR (95% CI)
0.46 (0.32, 0.66)
0.49 (0.21, 1.16)
100.00
0.00
38.64
Weight
%
36.07
25.29
0.66 (0.32, 1.36)
(Excluded)
1.11 (0.94, 1.32)
RR (95% CI)
0.46 (0.32, 0.66)
0.49 (0.21, 1.16)
100.00
0.00
38.64
Weight
%
36.07
25.29
1.20614.85
NOTE: Weights are from random effects analysis
Overall (I-squared = 90.9%, p = 0.000)
Kaicai Liu
Zhen Li
Study
ID
Ying Wen
Weijie Guan
Xu Chen
Shijiao Yan
wen zhao
Jian Wu
Di Qi
Sijia Tian
1.21 (0.88, 1.65)
1.30 (1.02, 1.66)
3.28 (0.81, 13.31)
RR (95% CI)
1.09 (0.82, 1.47)
2.48 (2.16, 2.85)
1.19 (0.86, 1.65)
0.99 (0.77, 1.26)
0.65 (0.41, 1.03)
1.20 (0.98, 1.46)
1.59 (0.86, 2.95)
0.66 (0.40, 1.07)
100.00
11.48
3.54
%
Weight
11.16
12.07
10.89
11.50
9.74
11.78
8.32
9.52
1.21 (0.88, 1.65)
1.30 (1.02, 1.66)
3.28 (0.81, 13.31)
RR (95% CI)
1.09 (0.82, 1.47)
2.48 (2.16, 2.85)
1.19 (0.86, 1.65)
0.99 (0.77, 1.26)
0.65 (0.41, 1.03)
1.20 (0.98, 1.46)
1.59 (0.86, 2.95)
0.66 (0.40, 1.07)
100.00
11.48
3.54
%
Weight
11.16
12.07
10.89
11.50
9.74
11.78
8.32
9.52
1.0751113.3
NOTE: Weights are from random effects analysis
Overall (I-squared = 45.8%, p = 0.041)
Ying Zhou
ID
Xiaowei Fang
Shijiao Yan
Study
wen zhao
Kaicai Liu
Weijie Guan
Huoshenshan (unpublished)
Jingyuan Liu
Sijia Tian
Di Qi
Xu Chen
Jian Wu
Zhen Li
0.98 (0.86, 1.13)
(Excluded)
RR (95% CI)
0.97 (0.76, 1.23)
0.79 (0.42, 1.46)
2.49 (1.04, 6.00)
0.29 (0.07, 1.18)
1.03 (0.90, 1.18)
1.06 (0.95, 1.19)
0.80 (0.30, 2.10)
1.19 (0.89, 1.58)
1.00 (0.74, 1.34)
0.75 (0.48, 1.17)
0.16 (0.02, 1.18)
0.38 (0.15, 0.94)
100.00
0.00
Weight
14.49
4.07
%
2.19
0.91
21.08
22.42
1.82
12.02
11.75
6.76
0.45
2.05
0.98 (0.86, 1.13)
(Excluded)
RR (95% CI)
0.97 (0.76, 1.23)
0.79 (0.42, 1.46)
2.49 (1.04, 6.00)
0.29 (0.07, 1.18)
1.03 (0.90, 1.18)
1.06 (0.95, 1.19)
0.80 (0.30, 2.10)
1.19 (0.89, 1.58)
1.00 (0.74, 1.34)
0.75 (0.48, 1.17)
0.16 (0.02, 1.18)
0.38 (0.15, 0.94)
100.00
0.00
Weight
14.49
4.07
%
2.19
0.91
21.08
22.42
1.82
12.02
11.75
6.76
0.45
2.05
1.0212147.1
NOTE: Weights are from random effects analysis
Overall (I-squared = 0.0%, p = 0.857)
Xu Chen
wen zhao
Study
Sijia Tian
Shijiao Yan
Huoshenshan (unpublished)
ID
0.95 (0.86, 1.04)
0.79 (0.51, 1.21)
1.07 (0.60, 1.89)
1.03 (0.76, 1.40)
0.89 (0.65, 1.23)
0.95 (0.85, 1.06)
RR (95% CI)
100.00
4.59
2.61
%
9.10
8.30
75.40
Weight
0.95 (0.86, 1.04)
0.79 (0.51, 1.21)
1.07 (0.60, 1.89)
1.03 (0.76, 1.40)
0.89 (0.65, 1.23)
0.95 (0.85, 1.06)
RR (95% CI)
100.00
4.59
2.61
%
9.10
8.30
75.40
Weight
1.51111.96
NOTE: Weights are from random effects analysis
Overall (I-squared = 79.9%, p = 0.001)
Study
Jian Wu
ID
Jing Liu
Huoshenshan (unpublished)
Guang Chen
Guqin Zhang
1.79 (0.38, 8.35)
30.86 (4.10, 232.07)
RR (95% CI)
4.15 (0.41, 41.74)
0.45 (0.23, 0.92)
0.30 (0.04, 2.46)
1.81 (0.45, 7.33)
100.00
%
18.30
Weight
16.69
25.28
17.86
21.87
1.79 (0.38, 8.35)
30.86 (4.10, 232.07)
RR (95% CI)
4.15 (0.41, 41.74)
0.45 (0.23, 0.92)
0.30 (0.04, 2.46)
1.81 (0.45, 7.33)
100.00
%
18.30
Weight
16.69
25.28
17.86
21.87
1.004311232
NOTE: Weights are from random effects analysis
Overall (I-squared = 83.4%, p = 0.000)
Jing Liu
Guqin Zhang
Jinjin Zhang
Study
Weijie Guan-2
Zhen Li
Ling Mao
Sakiko Tabata
Xu Chen
wen zhao
ID
Huoshenshan (unpublished)
Di Qi
Chuan Qin
Xiaowei Fang
Qingxian Ca
Guang Chen
Chuan Qin
1.72 (1.44, 2.06)
2.08 (0.92, 4.68)
3.18 (2.30, 4.39)
1.48 (1.16, 1.88)
2.51 (2.14, 2.95)
1.37 (1.06, 1.75)
1.47 (1.05, 2.05)
1.44 (0.99, 2.09)
2.18 (1.59, 3.00)
2.04 (1.08, 3.83)
RR (95% CI)
1.39 (1.25, 1.55)
2.50 (1.44, 4.37)
1.54 (1.21, 1.97)
0.42 (0.23, 0.74)
2.48 (1.84, 3.34)
2.27 (0.56, 9.20)
1.54 (1.21, 1.97)
100.00
3.18
6.92
7.67
%
8.29
7.59
6.82
6.44
6.98
4.26
Weight
8.59
4.82
7.64
4.63
7.15
1.40
7.64
1.72 (1.44, 2.06)
2.08 (0.92, 4.68)
3.18 (2.30, 4.39)
1.48 (1.16, 1.88)
2.51 (2.14, 2.95)
1.37 (1.06, 1.75)
1.47 (1.05, 2.05)
1.44 (0.99, 2.09)
2.18 (1.59, 3.00)
2.04 (1.08, 3.83)
RR (95% CI)
1.39 (1.25, 1.55)
2.50 (1.44, 4.37)
1.54 (1.21, 1.97)
0.42 (0.23, 0.74)
2.48 (1.84, 3.34)
2.27 (0.56, 9.20)
1.54 (1.21, 1.97)
100.00
3.18
6.92
7.67
%
8.29
7.59
6.82
6.44
6.98
4.26
Weight
8.59
4.82
7.64
4.63
7.15
1.40
7.64
1.10919.2
NOTE: Weights are from random effects analysis
Overall (I-squared = 75.0%, p = 0.000)
Xu Chen
Jiatao Lu
Di Qi
Yudong Peng
Weijie Guan-2
Huoshenshan (unpublished)
Guqin Zhang
Ling Hu
Guang Chen
ID
Jing Liu
Jingyuan Liu
Ying Zhou
Luwen Wang
wen zhao
Chuan Qin
Ling Mao
Zhongliang Wang
Jinjin Zhang
Chuan Qin
Shijiao Yan
Yihan
Xiaowei Fang
Hongzhou Lu
Study
2.09 (1.73, 2.52)
4.58 (2.64, 7.93)
1.34 (0.92, 1.96)
4.03 (2.02, 8.03)
0.73 (0.50, 1.08)
2.56 (2.06, 3.18)
1.66 (1.44, 1.90)
2.80 (1.81, 4.34)
1.49 (1.07, 2.07)
3.64 (0.48, 27.33)
RR (95% CI)
10.38 (1.35, 80.07)
2.59 (0.97, 6.92)
2.47 (1.90, 3.21)
0.90 (0.56, 1.45)
2.85 (1.23, 6.58)
2.03 (1.42, 2.91)
2.41 (1.47, 3.97)
4.91 (1.51, 15.93)
1.56 (0.94, 2.57)
2.03 (1.42, 2.91)
3.10 (1.52, 6.33)
1.20 (0.58, 2.49)
5.04 (1.97, 12.93)
2.63 (1.54, 4.49)
100.00
4.50
5.65
3.68
5.58
6.69
7.06
5.24
5.98
0.77
Weight
0.75
2.43
6.43
4.98
2.98
5.79
4.83
1.88
4.80
5.79
3.56
3.46
2.57
4.60
%
2.09 (1.73, 2.52)
4.58 (2.64, 7.93)
1.34 (0.92, 1.96)
4.03 (2.02, 8.03)
0.73 (0.50, 1.08)
2.56 (2.06, 3.18)
1.66 (1.44, 1.90)
2.80 (1.81, 4.34)
1.49 (1.07, 2.07)
3.64 (0.48, 27.33)
RR (95% CI)
10.38 (1.35, 80.07)
2.59 (0.97, 6.92)
2.47 (1.90, 3.21)
0.90 (0.56, 1.45)
2.85 (1.23, 6.58)
2.03 (1.42, 2.91)
2.41 (1.47, 3.97)
4.91 (1.51, 15.93)
1.56 (0.94, 2.57)
2.03 (1.42, 2.91)
3.10 (1.52, 6.33)
1.20 (0.58, 2.49)
5.04 (1.97, 12.93)
2.63 (1.54, 4.49)
100.00
4.50
5.65
3.68
5.58
6.69
7.06
5.24
5.98
0.77
Weight
0.75
2.43
6.43
4.98
2.98
5.79
4.83
1.88
4.80
5.79
3.56
3.46
2.57
4.60
%
1.0125180.1
NOTE: Weights are from random effects analysis
Overall (I-squared = 42.6%, p = 0.017)
Weijie Guan-2
Huoshenshan (unpublished)
Guqin Zhang
Yudong Peng
Guang Chen
Xiaowei Fang
Ling Hu
Jiatao Lu
Hongzhou Lu
Di Qi
Luwen Wang
Jinjin Zhang
Ying Zhou
Jingyuan Liu
Xu Chen
Ling Mao
Jing Liu
Zhongliang Wang
ID
wen zhao
Yihan
Chuan Qin
Chuan Qin
Shijiao Yan
Study
1.94 (1.60, 2.36)
2.78 (1.99, 3.89)
1.57 (1.25, 1.98)
1.41 (0.61, 3.27)
1.26 (0.49, 3.23)
1.82 (0.19, 17.12)
2.29 (0.62, 8.41)
2.07 (1.15, 3.72)
0.98 (0.49, 1.97)
4.42 (1.91, 10.24)
3.95 (1.98, 7.88)
1.29 (0.55, 3.04)
1.26 (0.52, 3.06)
2.22 (1.54, 3.21)
3.88 (0.71, 21.24)
2.25 (0.97, 5.23)
1.43 (0.74, 2.78)
4.15 (0.87, 19.83)
23.57 (3.08, 180.21)
RR (95% CI)
1.42 (0.28, 7.19)
1.44 (0.36, 5.80)
1.40 (0.88, 2.21)
1.40 (0.88, 2.21)
5.13 (1.73, 15.22)
100.00
9.53
11.19
3.82
3.26
0.72
1.93
6.05
4.94
3.84
4.99
3.74
3.53
9.01
1.20
3.82
5.26
1.40
0.86
Weight
1.31
1.72
7.65
7.65
2.60
%
1.94 (1.60, 2.36)
2.78 (1.99, 3.89)
1.57 (1.25, 1.98)
1.41 (0.61, 3.27)
1.26 (0.49, 3.23)
1.82 (0.19, 17.12)
2.29 (0.62, 8.41)
2.07 (1.15, 3.72)
0.98 (0.49, 1.97)
4.42 (1.91, 10.24)
3.95 (1.98, 7.88)
1.29 (0.55, 3.04)
1.26 (0.52, 3.06)
2.22 (1.54, 3.21)
3.88 (0.71, 21.24)
2.25 (0.97, 5.23)
1.43 (0.74, 2.78)
4.15 (0.87, 19.83)
23.57 (3.08, 180.21)
RR (95% CI)
1.42 (0.28, 7.19)
1.44 (0.36, 5.80)
1.40 (0.88, 2.21)
1.40 (0.88, 2.21)
5.13 (1.73, 15.22)
100.00
9.53
11.19
3.82
3.26
0.72
1.93
6.05
4.94
3.84
4.99
3.74
3.53
9.01
1.20
3.82
5.26
1.40
0.86
Weight
1.31
1.72
7.65
7.65
2.60
%
1.005551180
NOTE: Weights are from random effects analysis
Overall (I-squared = 30.0%, p = 0.137)
Jing Liu
Hongzhou Lu
Ling Hu
Xiaowei Fang
Luwen Wang
Weijie Guan-2
Jian Wu
wen zhao
Chuan Qin
Huoshenshan (unpublished)
Ling Mao
Zhongliang Wang
Shijiao Yan
ID
Chuan Qin
Study
1.61 (0.98, 2.64)
0.40 (0.02, 7.78)
2.21 (0.27, 18.08)
9.66 (0.54, 173.35)
0.78 (0.03, 18.42)
11.39 (1.52, 85.36)
5.22 (2.09, 13.02)
1.58 (0.27, 9.30)
0.95 (0.10, 8.62)
1.45 (0.46, 4.55)
0.76 (0.38, 1.54)
0.89 (0.30, 2.64)
1.31 (0.15, 11.65)
0.72 (0.04, 14.65)
RR (95% CI)
1.45 (0.46, 4.55)
100.00
2.53
4.62
2.66
2.25
4.96
14.15
6.09
4.27
11.13
17.57
11.84
4.33
2.46
Weight
11.13
%
1.61 (0.98, 2.64)
0.40 (0.02, 7.78)
2.21 (0.27, 18.08)
9.66 (0.54, 173.35)
0.78 (0.03, 18.42)
11.39 (1.52, 85.36)
5.22 (2.09, 13.02)
1.58 (0.27, 9.30)
0.95 (0.10, 8.62)
1.45 (0.46, 4.55)
0.76 (0.38, 1.54)
0.89 (0.30, 2.64)
1.31 (0.15, 11.65)
0.72 (0.04, 14.65)
RR (95% CI)
1.45 (0.46, 4.55)
100.00
2.53
4.62
2.66
2.25
4.96
14.15
6.09
4.27
11.13
17.57
11.84
4.33
2.46
Weight
11.13
%
1.005771173
NOTE: Weights are from random effects analysis
Overall (I-squared = 45.5%, p = 0.019)
Guqin Zhang
Xu Chen
Kunhua Li
Zhongliang Wang
Hongzhou Lu
Chuan Qin
Shijiao Yan
Ying Zhou
Jinjin Zhang
wen zhao
Jingyuan Liu
Weijie Guan-2
ID
Huoshenshan (unpublished)
Yihan
Jiatao Lu
Chuan Qin
Xiaowei Fang
Yudong Peng
Study
2.74 (2.03, 3.70)
4.36 (1.97, 9.64)
3.44 (1.14, 10.41)
6.81 (0.29, 161.62)
6.55 (1.77, 24.16)
4.42 (1.51, 12.94)
4.64 (1.42, 15.19)
3.67 (1.26, 10.69)
2.89 (1.30, 6.40)
1.89 (0.44, 8.11)
5.70 (1.57, 20.68)
7.50 (0.32, 175.65)
2.70 (1.60, 4.55)
RR (95% CI)
1.51 (1.06, 2.15)
3.83 (0.46, 31.79)
1.74 (0.88, 3.44)
4.64 (1.42, 15.19)
4.58 (0.44, 48.16)
1.15 (0.76, 1.76)
100.00
7.49
5.01
0.85
3.96
5.22
4.56
5.25
7.47
3.34
4.03
0.86
10.64
Weight
12.88
1.79
8.66
4.56
1.48
11.97
%
2.74 (2.03, 3.70)
4.36 (1.97, 9.64)
3.44 (1.14, 10.41)
6.81 (0.29, 161.62)
6.55 (1.77, 24.16)
4.42 (1.51, 12.94)
4.64 (1.42, 15.19)
3.67 (1.26, 10.69)
2.89 (1.30, 6.40)
1.89 (0.44, 8.11)
5.70 (1.57, 20.68)
7.50 (0.32, 175.65)
2.70 (1.60, 4.55)
RR (95% CI)
1.51 (1.06, 2.15)
3.83 (0.46, 31.79)
1.74 (0.88, 3.44)
4.64 (1.42, 15.19)
4.58 (0.44, 48.16)
1.15 (0.76, 1.76)
100.00
7.49
5.01
0.85
3.96
5.22
4.56
5.25
7.47
3.34
4.03
0.86
10.64
Weight
12.88
1.79
8.66
4.56
1.48
11.97
%
1.005691176
NOTE: Weights are from random effects analysis
Overall (I-squared = 43.7%, p = 0.087)
Yudong Peng
Hongzhou Lu
Yihan
Xiaowei Fang
Huoshenshan (unpublished)
wei-jie guan
ID
Jinjin Zhang
Ying Zhou
Study
2.03 (1.39, 2.97)
1.15 (0.76, 1.76)
4.42 (1.51, 12.94)
3.83 (0.46, 31.79)
4.58 (0.44, 48.16)
1.51 (1.06, 2.15)
3.15 (1.47, 6.76)
RR (95% CI)
1.89 (0.44, 8.11)
2.89 (1.30, 6.40)
100.00
24.48
9.22
2.96
2.43
26.89
14.50
Weight
5.69
13.83
%
2.03 (1.39, 2.97)
1.15 (0.76, 1.76)
4.42 (1.51, 12.94)
3.83 (0.46, 31.79)
4.58 (0.44, 48.16)
1.51 (1.06, 2.15)
3.15 (1.47, 6.76)
RR (95% CI)
1.89 (0.44, 8.11)
2.89 (1.30, 6.40)
100.00
24.48
9.22
2.96
2.43
26.89
14.50
Weight
5.69
13.83
%
1.0208148.2
NOTE: Weights are from random effects analysis
Overall (I-squared = 40.0%, p = 0.074)
Xi