The effect of smoking on COVID-19 infection: a systematic review and meta-analysis of meta-analyses studies

Abstract Background In two recent years, many more meta-analysis studies have been published on the effect of mortality and severity of smoking on COVID-19 infection. This study aimed to meta-analyze the available meta-analyses data investigating the influence of tobacco on COVID-19 infection severi...

Full description

Saved in:
Bibliographic Details
Main Authors: Massoud Sokouti, Babak Sokouti, Mohsen Sokouti
Format: Article
Language:English
Published: Springer 2025-05-01
Series:Discover Applied Sciences
Subjects:
Online Access:https://doi.org/10.1007/s42452-025-06975-6
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849314852629118976
author Massoud Sokouti
Babak Sokouti
Mohsen Sokouti
author_facet Massoud Sokouti
Babak Sokouti
Mohsen Sokouti
author_sort Massoud Sokouti
collection DOAJ
description Abstract Background In two recent years, many more meta-analysis studies have been published on the effect of mortality and severity of smoking on COVID-19 infection. This study aimed to meta-analyze the available meta-analyses data investigating the influence of tobacco on COVID-19 infection severity and mortality. Methods We searched three databases (PubMed, Google Scholar, and Scopus) to find meta-analysis studies that examined the efficacy of smoking on COVID-19 infection. In this meta-analysis, we merged the findings of each meta-analysis based on the odds ratio of mortality and severity. A subgroup meta-analysis comparing continents was also carried out to uncover publication bias. Results Six meta-analyses met for eligibility. A random effect meta-analysis of the severity and mortality of COVID-19 showed: (OR = 1.579, P < 0.001, and OR = 1.452. P = 0.001), which showed smoking increased the severity and mortality of COVID-19 infection. This article combined all the results of previous meta-analyses and showed the effect of these two risk factors of tobacco on COVID-19 disease. Subgroup analyses between continents were also performed. Using the trim-and-fill approach, researchers can use a basic funnel plot to determine publication bias. We also performed the subgroup analysis to detect heterogeneity among continents. We think there is sufficient data to make the effectiveness of the overall meta-analysis results. Conclusions Smoking was shown to harm the severity and mortality of COVID-19 infections, according to this meta-analysis.
format Article
id doaj-art-13872b70d890429fb16c77dc6a41ce19
institution Kabale University
issn 3004-9261
language English
publishDate 2025-05-01
publisher Springer
record_format Article
series Discover Applied Sciences
spelling doaj-art-13872b70d890429fb16c77dc6a41ce192025-08-20T03:52:19ZengSpringerDiscover Applied Sciences3004-92612025-05-017511510.1007/s42452-025-06975-6The effect of smoking on COVID-19 infection: a systematic review and meta-analysis of meta-analyses studiesMassoud Sokouti0Babak Sokouti1Mohsen Sokouti2Health Promotion Research Center, Tabriz Medical Sciences, Islamic Azad UniversityBiotechnology Research Center, Tabriz University of Medical SciencesDepartment of Cardiothoracic Surgery, Tabriz University of Medical SciencesAbstract Background In two recent years, many more meta-analysis studies have been published on the effect of mortality and severity of smoking on COVID-19 infection. This study aimed to meta-analyze the available meta-analyses data investigating the influence of tobacco on COVID-19 infection severity and mortality. Methods We searched three databases (PubMed, Google Scholar, and Scopus) to find meta-analysis studies that examined the efficacy of smoking on COVID-19 infection. In this meta-analysis, we merged the findings of each meta-analysis based on the odds ratio of mortality and severity. A subgroup meta-analysis comparing continents was also carried out to uncover publication bias. Results Six meta-analyses met for eligibility. A random effect meta-analysis of the severity and mortality of COVID-19 showed: (OR = 1.579, P < 0.001, and OR = 1.452. P = 0.001), which showed smoking increased the severity and mortality of COVID-19 infection. This article combined all the results of previous meta-analyses and showed the effect of these two risk factors of tobacco on COVID-19 disease. Subgroup analyses between continents were also performed. Using the trim-and-fill approach, researchers can use a basic funnel plot to determine publication bias. We also performed the subgroup analysis to detect heterogeneity among continents. We think there is sufficient data to make the effectiveness of the overall meta-analysis results. Conclusions Smoking was shown to harm the severity and mortality of COVID-19 infections, according to this meta-analysis.https://doi.org/10.1007/s42452-025-06975-6SmokingCOVID-19Meta-analysisSeverityMortality
spellingShingle Massoud Sokouti
Babak Sokouti
Mohsen Sokouti
The effect of smoking on COVID-19 infection: a systematic review and meta-analysis of meta-analyses studies
Discover Applied Sciences
Smoking
COVID-19
Meta-analysis
Severity
Mortality
title The effect of smoking on COVID-19 infection: a systematic review and meta-analysis of meta-analyses studies
title_full The effect of smoking on COVID-19 infection: a systematic review and meta-analysis of meta-analyses studies
title_fullStr The effect of smoking on COVID-19 infection: a systematic review and meta-analysis of meta-analyses studies
title_full_unstemmed The effect of smoking on COVID-19 infection: a systematic review and meta-analysis of meta-analyses studies
title_short The effect of smoking on COVID-19 infection: a systematic review and meta-analysis of meta-analyses studies
title_sort effect of smoking on covid 19 infection a systematic review and meta analysis of meta analyses studies
topic Smoking
COVID-19
Meta-analysis
Severity
Mortality
url https://doi.org/10.1007/s42452-025-06975-6
work_keys_str_mv AT massoudsokouti theeffectofsmokingoncovid19infectionasystematicreviewandmetaanalysisofmetaanalysesstudies
AT babaksokouti theeffectofsmokingoncovid19infectionasystematicreviewandmetaanalysisofmetaanalysesstudies
AT mohsensokouti theeffectofsmokingoncovid19infectionasystematicreviewandmetaanalysisofmetaanalysesstudies
AT massoudsokouti effectofsmokingoncovid19infectionasystematicreviewandmetaanalysisofmetaanalysesstudies
AT babaksokouti effectofsmokingoncovid19infectionasystematicreviewandmetaanalysisofmetaanalysesstudies
AT mohsensokouti effectofsmokingoncovid19infectionasystematicreviewandmetaanalysisofmetaanalysesstudies