Factors associated with COVID-19 in people with Parkinson's disease: a systematic review and meta-analysis.

ABSTRACT

BACKGROUND: There is debate as to whether there is an increased risk of COVID-19 infection in people with Parkinson's disease (PD), possibly due to associated factors. This study aimed to systematically review the factors associated with COVID-19 in people with PD. METHODS: A search was carried out in PubMed, Scopus, and Web of Science up to November 2020 (updated until 1 April 2021). Observational studies that analyzed factors associated with COVID-19 in people with PD were selected and revised. RESULTS: The authors included six studies (four case-controlled studies and two cross-sectional studies) in the qualitative and quantitative syntheses. The authors found that the following factors were associated with COVID-19 in people with PD obesity (OR 1.79, 95% CI 1.07-2.99, I2 0%), any pulmonary disease (OR 1.92, 95% CI 1.17-3.15, I2 0%), COVID-19 contact (OR 41.77, 95% CI 4.77 - 365.56, I2 0%), vitamin D supplementation (OR 0.50, 95% CI 0.30-0.83, I2 0%), hospitalization (OR 11.78, 95% CI 6.27-22.12, I2 0%), and death (OR 11.23, 95% CI 3.92-32.18, I2 0%). The authors did not find any significant association between COVID-19 and hypertension, diabetes, cardiopathy, cancer, any cognitive problem, dementia, chronic obstructive pulmonary disease, renal or hepatic disease, smoking, and tremor. CONCLUSIONS: Meta-analyses were limited by the number of events and some methodological limitations. Despite this, the authors assessed the available evidence, and the results may be useful for future health policies.