Evidence map›Paper›PMID 32711256›Full record

SynthesisEBioMedicine2020

Spatial and temporal dynamics of SARS-CoV-2 in COVID-19 patients: A systematic review and meta-analysis.

Anne Weiss, Mads Jellingsø, Morten Otto Alexander Sommer

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in EBioMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The potential of long-term wastewater-based surveillance to predict COVID-19 waves peak in Mexico.Water environment research : a research publication of the Water Environment Federation · 2025
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  7. Review
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  13. Drug Cocktail Formulation via Circuit Design.IEEE transactions on molecular, biological, and multi-scale communications · 2023
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  16. Assessment of Different Experimental Setups to Determine Viral Filtration Efficiency of Face Masks.International journal of environmental research and public health · 2022
    Article
  17. Pediatric Rigid Bronchoscopy for Tracheobronchial Foreign Bodies in Covid Times: Short Personal Experience.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Anne WeissUNION therapeutics, Tuborg Havnevej 18, 2900 Hellerup, Denmark.
Mads JellingsøUNION therapeutics, Tuborg Havnevej 18, 2900 Hellerup, Denmark.
Morten Otto Alexander SommerUNION therapeutics, Tuborg Havnevej 18, 2900 Hellerup, Denmark; Novo Nordisk Foundation Center for Biosustainability, Technical University Denmark, Kemitorvet 220, 2800 Lyngby, Denmark. Electronic address: morten.sommer@uniontherapeutics.com.
Novo Nordisk Foundation · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe spatial and temporal dynamics of SARS-CoV-2 have been described in case series and retrospective studies. In this study, we provide a coherent overview of the duration of viral detection and viral RNA load in COVID-19 patients, stratified by specimen type, clinical severity, and age.

methodWe systematically searched PubMed/MEDLINE and Cochrane review database for studies published between 1.11.2019 and 23.04.2020. We pooled the data of selected studies (22/7226 (650 patients) for meta-analysis) to estimate duration of viral detection and visualized viral load over time.

findingsOur analysis showed consistent viral detection from specimen from the upper respiratory tract (URT), the lower respiratory tract (LRT), and faeces, irrespective of the clinical severity of COVID-19. Our analysis suggests that SARS-CoV-2 persists for a longer duration in the LRT compared to the URT in adult patients (5•7 days in mild; 5•9 days in moderate-severe patients). The differences in the duration of viral detection between mild and moderate-severe patients is limited in the LRT, but an indication of longer duration of viral detection for moderate-severe patients was observed in feces (15 days in mild vs. 21 days in moderate-severe patients) and the URT (12 days in mild vs. 16 days in moderate-severe patients). Further, viral load was demonstrated to peak in earlier stages of infection in the URT compared to LRT.

interpretationThis review may aid mathematical modelling and help in defining appropriate endpoints for clinical trails with antivirals in COVID-19.

fundingThe project has received funding support from Innovation Fund Denmark.

Indexed as

Viral LoadAdolescentAdultAgedAged, 80 and overBetacoronavirusChildCoronavirus InfectionsCOVID-19FemaleGenome, ViralHumansMaleMiddle AgedPandemicsPneumonia, ViralCOVID-19SARS-CoV-2Systematic reviewViral dynamics

Identifiers

PMID32711256
PMCPMC7374142
OpenAlexW3045319847

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.