Study | Country | Sample size (n) | Study period | Mean/median age (years) | Male (n) | Study design | Outcome | Laboratory biomarkers |
Huang et al 43 | China | 41 | 16 Dec 2019 to 2 Jan 2020 | 49 | 30 | Prospective single-centre | ICU vs non-ICU | Lymphocyte count, AST, PCT, LDH, CK, creatinine and platelet count |
Guan et al 5 | China | 1099 | 11 Dec 2019 to 29 Jan 2020 | 47 | 637 | Retrospective multicentre | Severe vs non-severe* | Lymphocyte count, ALT, AST, CRP, PCT, LDH, CK, creatinine, D-dimer and platelet count |
Wang et al 56 | China | 138 | 1 Jan 2020 to 28 Jan 2020 | 56 | 75 | Retrospective single-centre | ICU vs non-ICU | PCT |
Zhang et al 57 | China | 140 | 16 Jan 2020 to 3 Feb 2020 | 57 | 71 | Retrospective single-centre | Severe vs non-severe† | Lymphocyte count, CRP, PCT, CK and D-dimer |
Wang et al 58 | China | 69 | 16 Jan 2020 to 29 Jan 2020 | 42 | 32 | Retrospective single-centre | SpO2 <90 vs SpO2 >=90 | Lymphocyte count, ALT, AST, CRP, PCT and LDH |
Zhou et al 59 | China | 191 | 29 Dec 2019 to 31 Jan 2020 | 56 | 119 | Retrospective multicentre cohort | Survivor vs non-survivor | Lymphocyte count, ALT, platelet count, LDH, CK, PCT, creatinine and D-dimer |
Chen et al 46 | China | 21 | Late Dec 2019 to 27 Jan 2020 | 56 | 17 | Retrospective single-centre | Severe vs moderate† | Lymphocyte count, AST, CRP, PCT, LDH and platelet count |
Zheng et al 60 | China | 161 | 17 Jan 2020 to 7 Feb 2020. | 45 | 80 | Retrospective single-centre | Severe vs non-severe† | Lymphocyte count, ALT, AST, CRP, LDH, CK, creatinine and platelet count |
Colaneri et al 61 | Italy | 44 | 21 Feb 2020 to 28 Feb 2020 | 67.5 | 28 | Retrospective single-centre | Severe vs mild‡ | Lymphocyte count, CRP, platelet count, LDH and creatinine |
Zhao et al 62 | China | 91 | 16 Jan 2020 to 10 Feb 2020 | 46 | 49 | Retrospective single-centre | Severe vs mild§ | Lymphocyte count, ALT, AST, CRP, CK, D-dimer, PCT and creatinine |
Paranjpe et al 63 | USA | 1078 | 27 Feb 2020 to 2 Apr 2020 | 75 vs 59 | 627 | Retrospective multicentre | In-hospital mortality vs discharged alive | CRP, PCT, and D-dimer |
Goyal et al 64 | USA | 393 | 3 Mar 2020 to 10 Apr 2020 | 62.2 | 238 | Retrospective multicentre | IMV vs no IMV | Lymphocyte count, CRP, platelet count, ALT, AST, creatinine, PCT and D-dimer, |
Wan et al 65 | China | 135 | 23 Jan 2020 to 8 Feb 2020 | 47 | 72 | Retrospective single-centre | Severe vs mild† | Lymphocyte count, AST, CK, PCT, creatinine and platelet count |
Zhang et al 66 | China | 663 | 11 Jan 2020 to 6 Feb 2020 | 55.6 | 321 | Retrospective cohort | Severe and critical vs mild and moderate† | Lymphocyte count, ALT, AST, CRP and LDH |
Zheng et al 67 | China | 34 | 22 Jan 2020 to 5 Mar 2020 | 66 | 23 | Retrospective single-centre | IMV vs no IMV¶ | Lymphocyte count |
Hong et al 68 | South Korea | 98 | Upto Mar 2020 | 55.4 | 38 | Retrospective single-centre | ICU vs non-ICU | Lymphocyte count, CRP, platelet count, ALT, AST, PCT, LDH, CK and creatinine |
Huang et al 69 | China | 202 | 22 Jan 2020 to 10 Feb 2020 | 44 | 116 | Retrospective multicentre | Severe vs non-severe† | Lymphocyte count, CRP and PCT |
Wang et al 20 | China | 65 | Jan 2020 | 57.11 | 37 | Prospective single-centre | (Severe+extremely severe) vs mild† | Lymphocyte count, CRP, PCT, LDH, creatinine and D-dimer |
Du et al 70 | China | 179 | 25 Dec 2019 to 7 Feb 2020 | 57.6 | 97 | Prospective single-centre case cohort | Deceased vs survived | Lymphocyte count, AST, CRP, PCT, creatinine and D-dimer |
Deng et al 71 | China | 65 | Until 12 Apr 2020 | 32.5 vs 35 | 36 | Retrospective cohort study | (Severe+critical) vs moderate† | Lymphocyte count, ALT, AST, CRP, LDH, creatinine and D-dimer |
Jang et al 72 | Korea | 110 | 19 Feb 2020 to 15 Apr 2020 | 56.9 | 48 | Retrospective single-centre | Severe vs non-severe** | Lymphocyte count, CRP, platelet count, ALT, AST, PCT, LDH, CK, creatinine and D-dimer |
Khamis et al 73 | Oman | 63 | 24 Feb 2020 to 24 Apr 2020 | 48 | 53 | Retrospective case series | ICU vs non-ICU | Lymphocyte count, CRP, platelet count, LDH, creatinine and D-dimer |
Mikami et al 74 | USA | 2820 | 13 Mar 2020 to 17 Apr 2020 | 62 vs 76 | 1611 | Retrospective multicentre cohort | Survivor vs non-survivor | Lymphocyte count, ALT, AST, CRP, LDH, D-dimer and PCT |
Shahriarirad et al 75 | Iran | 113 | 20 Feb 2020 to 20 Mar 2020 | 53.75 | 71 | Retrospective multicentre | Severe vs non-severe* | Lymphocyte count, CRP, platelet count and creatinine |
Wang et al 76 | China | 275 | 20 Jan 2020 to 10 Feb 2020 | 49 | 128 | Retrospective single-centre | Severe vs non-severe† | Lymphocyte count, AST, LDH, CK, creatinine and D-dimer |
Zhang et al 77 | China | 221 | 2 Jan 2020 to 10 Feb 2020 | 55 | 108 | Retrospective single-centre | Severe vs non-severe† | Lymphocyte count and PCT |
Jiang et al 78 | China | 59 | Feb and Mar 2020 | 64 | 29 | Retrospective multicentre | ICU vs non-ICU | Lymphocyte count, AST, platelet count, CK and creatinine |
Li et al 79 | China | 548 | 26 Jan 2020 to 5 Feb 2020 | 60 | 279 | Ambispective cohort study | Severe vs non-severe* | Lymphocyte count, CRP, platelet count, ALT, AST, PCT, LDH, creatinine and D-dimer |
Wei et al 80 | China | 276 | 27 Jan 2020 to 11 Mar 2020 | 51 | 155 | Retrospective single-centre | Severe vs non-severe† | Lymphocyte count, CRP, platelet count, ALT, AST, PCT, LDH, CK, creatinine and D-dimer |
Xu et al 81 | China | 239 | 12 Jan 2020 to 3 Feb 2020 | 62 | 143 | Retrospective multicentre | Survivor vs non-survivor | Lymphocyte count, platelet count |
Zhang et al 82 | China | 788 | 17 Jan 2020 12 Feb 2020 | Severe—55 Critical—70 Mild—37 | 407 | Retrospective single-centre | (Severe+critical) vs mild† | Lymphocyte count, AST, platelet count and LDH |
Ferguson et al 83 | USA | 72 | 13 Mar 2020 to 2 May 2020 | 60.4 | 38 | Retrospective multicentre | ICU vs non-ICU | CRP, PCT, D-dimer |
Total | 10 491 |
*Using the American Thoracic Society guidelines for community-acquired pneumonia.
†WHO and the National Health Commission of China interim guidelines defined disease severity and improvement as follows: Mild cases: the mild clinical symptoms and no pneumonia in imaging. Moderate cases: symptoms like fever and respiratory tract symptoms and so on, and pneumonia can be seen in imaging. Severe cases: meeting any of the following—respiratory distress, respiratory rate ≥30 breaths/min; SpO2 ≤93% at rest; and PaO2/FIO2≤300. Patients with >50% lesion progression within 24–48 hours. Critical/extremely severe cases: if they have one of the following: respiratory failure requiring mechanical ventilation, shock and other organ failure requiring ICU treatment.
‡Patients were included in the mild disease group if they did not need high-flow oxygen support and in the severe disease group if they were provided with high-flow oxygen support.
§Not mentioned.
¶Non-invasive mechanical ventilation (NIV) included nasal oxygen therapy, mask oxygen inhalation and high-flow nasal cannula (HFNC).
**Severe disease was defined as a composite outcome of acute respiratory distress syndrome (ARDS), intensive care unit care, or death. ARDS was diagnosed according to the Berlin definition. SARS-CoV-2 infection was confirmed by real-time reverse transcription PCR assay of nose and/or throat swab samples.
ALT, alanine aminotransferase; AST, aspartate aminotransferase; CK, creatine kinase; CRP, C reactive protein; ICU, intensive care unit; IMV, invasive mechanical ventilation; LDH, lactate dehydrogenase; PCT, procalcitonin.