Evidence map›Paper›PMID 32773471›Full record

Observational studyAIDS (London, England)2020

Clinical characteristics, risk factors, and incidence of symptomatic coronavirus disease 2019 in a large cohort of adults living with HIV: a single-center, prospective observational study.

Alexy Inciarte, Ana Gonzalez-Cordon, Jhon Rojas, Berta Torres, Elisa de Lazzari, Lorena de la Mora, Maria Martinez-Rebollar, Montserrat Laguno, Pilar Callau, Azucena Gonzalez-Navarro and 10 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in AIDS (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 3 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

72 citing papers in PubMed, 3 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
  2. COVID-19 in People Living with HIV: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. The immune response to SARS-CoV-2 in people with HIV.Cellular & molecular immunology · 2024
    Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Observational

12 more citing papers are in PubMed but not listed here.

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

20 authors at 3 institutions in 2 countries.

Alexy InciarteInfectious Diseases Department.
Ana Gonzalez-CordonInfectious Diseases Department.
Jhon RojasInfectious Diseases Department.
Berta TorresInfectious Diseases Department.
Elisa de LazzariInfectious Diseases Department.
Lorena de la MoraInfectious Diseases Department.
Maria Martinez-RebollarInfectious Diseases Department.
Montserrat LagunoInfectious Diseases Department.
Pilar CallauInfectious Diseases Department.
Azucena Gonzalez-NavarroImmunology Department, Hospital Clinic de Barcelona-Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
Lorna LealInfectious Diseases Department.
Felipe GarciaInfectious Diseases Department.
Josep MallolasInfectious Diseases Department.
Mar MosqueraMicrobiology Department.
Maria A MarcosMicrobiology Department.
Juan AmbrosioniInfectious Diseases Department.
Josep M MiroInfectious Diseases Department.
Esteban MartinezInfectious Diseases Department.
Jose L BlancoInfectious Diseases Department.
(on behalf the COVID-19 in HIV Investigators)
Office of Infectious Diseases · USMicrobiology Society · GBGTx (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is unclear how characteristics, risk factors, and incidence of coronavirus disease 2019 (COVID-19) in people living with HIV (PLWH) differ from the general population.

methodsProspective observational single-center cohort study of adult PLWH reporting symptoms of COVID-19. We assessed clinical characteristics, risk factors for COVID-19 diagnosis and severity, and standardized incidence rate ratio for COVID-19 cases in PLWH cohort and in Barcelona.

resultsFrom 1 March 2020 to 10 May 2020, 53 out of 5683 (0.9% confidence interval 0.7-1.2%) PLWH were diagnosed with COVID-19. Median age was 44 years, CD4 T cells were 618/μl and CD4/CD8 was 0.90. All but two individuals were virologically suppressed. Cough (87%) and fever (82%) were the most common symptoms. Twenty-six (49%) were admitted, six (14%) had severe disease, four (8%) required ICU admission, and two (4%) died. Several laboratory markers (lower O2 saturation and platelets, and higher leukocytes, creatinine, lactate dehydrogenase, C reactive protein, procalcitonin, and ferritin) were associated with COVID-19 severity. No HIV or antiretroviral-related factors were associated with COVID-19 diagnosis or severity. Standardized incidence rate ratios of confirmed or confirmed/probable COVID-19 in PLWH were 38% (95% confidence interval 27-52%, P < 0.0001) and 33% (95% confidence interval 21-50%, P < 0.0001), respectively relative to the general population.

conclusionPLWH with COVID-19 did not differ from the rest of the HIV cohort. Clinical presentation, severity rate, and mortality were not dependent on any HIV-related or antiretroviral-related factor. COVID-19 standardized incidence rate was lower in PLWH than in the general population. These findings should be confirmed in larger multicenter cohort studies.

Indexed as

AdultAnti-HIV AgentsBetacoronavirusCD4 Lymphocyte CountCoronavirus InfectionsCOVID-19FemaleHIV InfectionsHumansIncidenceMaleMiddle AgedPandemicsPneumonia, ViralProspective StudiesRisk FactorsAnti-HIV Agents

Identifiers

PMID32773471
PMCPMC7493771
OpenAlexW3048856381

What OpenQuestion holds

Textmetadata
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.