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Global prevalence of COVID-19-induced acute respiratory distress syndrome: systematic review and meta-analysis

BACKGROUND: Acute respiratory distress syndrome (ARDS) is potentially a fatal form of respiratory failure among COVID-19 patients. Globally, there are inconsistent findings regarding ARDS among COVID-19 patients. Therefore, this study aimed to estimate the pooled prevalence of COVID-19-induced ARDS...

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Autores principales: Azagew, Abere Woretaw, Beko, Zerko Wako, Ferede, Yohannes Mulu, Mekonnen, Habtamu Sewunet, Abate, Hailemichael Kindie, Mekonnen, Chilot Kassa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10644454/
https://www.ncbi.nlm.nih.gov/pubmed/37957723
http://dx.doi.org/10.1186/s13643-023-02377-0
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author Azagew, Abere Woretaw
Beko, Zerko Wako
Ferede, Yohannes Mulu
Mekonnen, Habtamu Sewunet
Abate, Hailemichael Kindie
Mekonnen, Chilot Kassa
author_facet Azagew, Abere Woretaw
Beko, Zerko Wako
Ferede, Yohannes Mulu
Mekonnen, Habtamu Sewunet
Abate, Hailemichael Kindie
Mekonnen, Chilot Kassa
author_sort Azagew, Abere Woretaw
collection PubMed
description BACKGROUND: Acute respiratory distress syndrome (ARDS) is potentially a fatal form of respiratory failure among COVID-19 patients. Globally, there are inconsistent findings regarding ARDS among COVID-19 patients. Therefore, this study aimed to estimate the pooled prevalence of COVID-19-induced ARDS among COVID-19 patients worldwide. METHODS: To retrieve relevant studies, the authors searched Embase, MEDLINE, PubMed, Web of Science, Cochrane Library, Google, and Google Scholar using a combination of search terms. The search was conducted for articles published from December 2019 to September 2022. Articles were searched and screened by title (ti), abstract (ab), and full-text (ft) by two reviewers independently. The quality of each included article was assessed using the Newcastle–Ottawa Assessment Scale. Data were entered into Microsoft Word and exported to Stata version 14 for analysis. Heterogeneity was detected using the Cochrane Q statistics and I-square (I(2)). Then the sources of variations were identified by subgroup and meta-regression analysis. A random effect meta-analysis model was used. The publication bias was detected using the graphic asymmetry test of the funnel plot and/or Egger’s test (p value < 0.05). To treat the potential publication bias, trim and fill analysis were computed. The protocol has been registered in an international database, the Prospective Register of Systematic Reviews (PROSPERO) with reference number: CRD42023438277. RESULTS: A total of 794 studies worldwide were screened for their eligibility. Of these 11 studies with 2845 participants were included in this systematic review and meta-analysis. The overall pooled prevalence of COVID-19-induced ARDS in the world was found to be 32.2% (95%CI = 27.70–41.73%), I(2) = 97.3%, and p value < 0.001). CONCLUSION: The pooled prevalence of COVID-19-induced ARDS was found to be high. The virus remains a global burden because its genetic causes are constantly changing or it mutated throughout the pandemic to emerge a new strain of infection. Therefore, interventions such as massive vaccination, early case detection, screening, isolation, and treatment of the cases need to be implemented to tackle its severity. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-023-02377-0.
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spelling pubmed-106444542023-11-13 Global prevalence of COVID-19-induced acute respiratory distress syndrome: systematic review and meta-analysis Azagew, Abere Woretaw Beko, Zerko Wako Ferede, Yohannes Mulu Mekonnen, Habtamu Sewunet Abate, Hailemichael Kindie Mekonnen, Chilot Kassa Syst Rev Research BACKGROUND: Acute respiratory distress syndrome (ARDS) is potentially a fatal form of respiratory failure among COVID-19 patients. Globally, there are inconsistent findings regarding ARDS among COVID-19 patients. Therefore, this study aimed to estimate the pooled prevalence of COVID-19-induced ARDS among COVID-19 patients worldwide. METHODS: To retrieve relevant studies, the authors searched Embase, MEDLINE, PubMed, Web of Science, Cochrane Library, Google, and Google Scholar using a combination of search terms. The search was conducted for articles published from December 2019 to September 2022. Articles were searched and screened by title (ti), abstract (ab), and full-text (ft) by two reviewers independently. The quality of each included article was assessed using the Newcastle–Ottawa Assessment Scale. Data were entered into Microsoft Word and exported to Stata version 14 for analysis. Heterogeneity was detected using the Cochrane Q statistics and I-square (I(2)). Then the sources of variations were identified by subgroup and meta-regression analysis. A random effect meta-analysis model was used. The publication bias was detected using the graphic asymmetry test of the funnel plot and/or Egger’s test (p value < 0.05). To treat the potential publication bias, trim and fill analysis were computed. The protocol has been registered in an international database, the Prospective Register of Systematic Reviews (PROSPERO) with reference number: CRD42023438277. RESULTS: A total of 794 studies worldwide were screened for their eligibility. Of these 11 studies with 2845 participants were included in this systematic review and meta-analysis. The overall pooled prevalence of COVID-19-induced ARDS in the world was found to be 32.2% (95%CI = 27.70–41.73%), I(2) = 97.3%, and p value < 0.001). CONCLUSION: The pooled prevalence of COVID-19-induced ARDS was found to be high. The virus remains a global burden because its genetic causes are constantly changing or it mutated throughout the pandemic to emerge a new strain of infection. Therefore, interventions such as massive vaccination, early case detection, screening, isolation, and treatment of the cases need to be implemented to tackle its severity. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-023-02377-0. BioMed Central 2023-11-13 /pmc/articles/PMC10644454/ /pubmed/37957723 http://dx.doi.org/10.1186/s13643-023-02377-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Azagew, Abere Woretaw
Beko, Zerko Wako
Ferede, Yohannes Mulu
Mekonnen, Habtamu Sewunet
Abate, Hailemichael Kindie
Mekonnen, Chilot Kassa
Global prevalence of COVID-19-induced acute respiratory distress syndrome: systematic review and meta-analysis
title Global prevalence of COVID-19-induced acute respiratory distress syndrome: systematic review and meta-analysis
title_full Global prevalence of COVID-19-induced acute respiratory distress syndrome: systematic review and meta-analysis
title_fullStr Global prevalence of COVID-19-induced acute respiratory distress syndrome: systematic review and meta-analysis
title_full_unstemmed Global prevalence of COVID-19-induced acute respiratory distress syndrome: systematic review and meta-analysis
title_short Global prevalence of COVID-19-induced acute respiratory distress syndrome: systematic review and meta-analysis
title_sort global prevalence of covid-19-induced acute respiratory distress syndrome: systematic review and meta-analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10644454/
https://www.ncbi.nlm.nih.gov/pubmed/37957723
http://dx.doi.org/10.1186/s13643-023-02377-0
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