Review Article

Effects of Smoking on COVID-19 Management and Mortality: An Umbrella Review

Table 1

Characteristics of studied items in the included papers.

First author (reference)CountryYear of publicationType of studyPopulationAgeGenderSmoking history

Alghamdi, S.A. [29]Saudi Arabia2020Systematic review and meta-analysis146,793 patients (from 11 studies)55.2 y (mean age)Male:55.4%Smokers: 11,973
Nonsmokers: 134,820
Baker, J [30]USA2022Systematic review39 studies (populations varied from 101 to 406,793)N/AN/ASmokers were ranging from 1.95% to 81.1% of populations
Farsalinos, K [31]Greece2020Systematic review and meta-analysis6,515 patients (18 published studies)
10,631 patients (prepublications)
N/AN/A440 smokers (out of 6115 pts)
961 smokers (out of 10631 pts)
Gonzalez-Rubio, J [32]Spain2020Systematic review and meta-analysis5,023 pts (18 studies)N/A53.2% maleCurrent smokers: 7.7%
Grundy, E. J [33]UK2020Review of reviewsVaries from 17 to 387,109 pts for each of the included studies in studies (8 studies)N/AN/APatients divided in smokers, ex-smokers, and nonsmokers groups
Gulsen, A [34]Turkey2020Systematic review and meta-analysis10,797 patients (16 studies)Mean age range: 38 to 62.2 yN/AAverage smoking prevalence: 8.4%
Range: 3.6 to 19.9%
Hou, H [35]China2021Systematic review and meta-analysis863,313 (73 articles)N/AN/ACurrent smokers and former smokers
Kang, S [36]China2021Systematic reviews7041 (21 studies)N/AN/A14.0% (984) had a history of smoking
Karanasos, A [27]Greece2020Systematic review and meta-analysis6310 patients (18 studies)N/AN/AN/A
Kumar, R [37]China (PRC), USA, and Europe2021Systematic review and meta-analysis12037 (19 studies)Age ranged from 23 to 91 years55.68% male
42.76% females
N/A
Li, J [38]China2021Systematic review and meta-analysis2445 patients (12 studies)N/AN/AN/A
Luo, S [39]China2022Systematic review of Mendelian randomization studies50 studiesN/AN/ASmoking include smoking initiation, smoking heaviness, and lifetime smoking
Mahamat-Saleh, Y [40]France2021Systematic reviews and meta-analyses186 studies
1,304,587 patients (210 447 deaths) (186 studies)
N/AN/AFormer and current smoker
Mattey-Mora, PP [41]USA2022Systematic reviews1,002,006 patients (188,597 hospitalized patients) (40 study)Mean age 44–68.8 years (from 11 study)
Mean age 41–66.1 (from 11 study)
18 study not mentioned on age
N/ACurrent/past smoking
Mesas, AE [42]Spain2020Systematic review and meta-analysis51,225 patients from 60 studiesMean age range: 40-73 yearN/ACurrent smokers and nonsmokers
Minh, LHN [43]Japan2021Systematic review and meta-analysis62,949 patients from 148 studiesN/AN/ACurrent smoker, external smoker, and never smoker
Patanavanich, R [44]USA2021Systematic review and meta-analysis22,939 patients from 46 studiesN/AN/ACurrent smokers, ex-smokers, and nonsmokers
Patanavanich, R [45]Thailand2022Systematic review and meta-analysis35,193 patients from 34 articlesMean age 63.5 yearsN/ACurrent smokers, former smokers, and never smokers
Plasencia-Urizarri, TM [46]Cuba2020Systematic review and meta-analysis99,817 patients from 13 studiesN/AN/ASmokers and nonsmokers
Pranata, R [47]Indonesia2020Systematic review and meta-analysis4603 patients from 21 studies>17 yearsN/ACurrent smokers, former smokers, and nonsmokers
Reddy, RK [28]UK2020Systematic review and meta-analysis32 849 hospitalized COVID-19 patients from 47 studiesN/AN/A8417 (25.6%) patients with a smoking history, comprising 1501 current smokers, 5676 former smokers, and 1240 unspecified smokers
Sanchez-Ramirez, DC [48]Canada2020Systematic review and meta-analysis13,184 COVID-19 patients from 22 studiesN/A55% malesCurrent smokers, former smokers, and nonsmokers
Taylor, EH [49]South Africa2021Systematic review and meta-analysis44,305 patients from 58 studiesMean age of 61.8 (60.7–63.0) years68.9% malesSmokers and nonsmokers
Umnuaypornlert, A [50]Thailand2021Systematic review and meta-analysis369287 patients from 40 studiesMean age 54.10 yearsN/ACurrent smokers, former smokers, and nonsmokers
Vardavas, C.I [18]USA2020Sys reviewRanged from 41 to 1099 (5 studies)N/AN/ACurrent smokers, former smokers, and nonsmokers
Zhang, H [51]USA, China2021Sys review and meta-analysis517020 pts(109 studies)N/AN/APatients divided to current smokers, former smokers, and never smoking group
Zhang, T [52]China2020Sys review, meta-analysis and metaregressionVaries from 21 to 476 (16 studies)Mean or median age varies from 39 to70.7yMale is the dominant sex in 11 studiesCurrent smokers, former smokers, and nonsmokers