Evidence map›Paper›PMID 32808808›Full record

ArticleAnnals of medicine2021

Changes in serum virus-specific IgM/IgG antibody in asymptomatic and discharged patients with reoccurring positive COVID-19 nucleic acid test (RPNAT).

Junli Liu, Rui Lian, Guochao Zhang, Baojun Hou, Chuming Wang, Jian Dong, Liu Yang, Jianglan Wang, Shangming Dai, Libo Chen and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
0.4field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Is recurrence possible in coronavirus disease 2019 (COVID-19)? Case series and systematic review of literature.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Pooled it
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Recurrence of SARS-CoV-2 viral RNA in recovered COVID-19 patients: a narrative review.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Review
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

13 authors at 3 institutions in 2 countries.

Junli LiuLaboratory Department, Union Jiangbei Hospital, Wuhan, China.
Rui LianEmergency Department, China-Japan Friendship Hospital, Beijing, China.
Guochao ZhangGeneral Surgery Department, China-Japan Friendship Hospital, Beijing, China.
Baojun HouEndocrinology Department, Union Jiangbei Hospital, Wuhan, China.
Chuming WangLaboratory Department, Union Jiangbei Hospital, Wuhan, China.
Jian DongRespiratory Department, Union Jiangbei Hospital, Wuhan, China.
Liu YangLaboratory Department, Union Jiangbei Hospital, Wuhan, China.
Jianglan WangLaboratory Department, Union Jiangbei Hospital, Wuhan, China.
Shangming DaiLaboratory Department, Union Jiangbei Hospital, Wuhan, China.
Libo ChenEmergency Department, Union Jiangbei Hospital, Wuhan, China.
Guoqiang ZhangEmergency Department, China-Japan Friendship Hospital, Beijing, China.
Xin LuRheumatology and Immunology Department, Friendship Hospital, Beijing, China.
Ting YeWuhan First Bioscience Co, Ltd, Wuhan, China.
Union Hospital · CNChina-Japan Friendship Hospital · CNBioscience Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have demonstrated the diagnostic efficiency of antibody testing in COVID-19 infection. There is limited data on the IgM/IgG changes in asymptomatic and discharged patients with reoccurring positive nucleic acid test (RPNAT). This study aims to investigate these IgM/IgG changes.

methodsThere were 111 patients with positive nucleic acid test (NAT) and 40 suspected patients enrolled in the study. The serum SARS-CoV-2 specific IgM/IgG antibody levels were retrospectively analysed with the disease progress in asymptomatic and RPNAT patients.

resultsThe best overall performance was found by combining the IgM, IgG, and CT; 95.1% sensitivity and 75% specificity. This was tested in 111 RT-PCR positive cases. The median IgM and IgG levels were lower in the asymptomatic group compared to the symptomatic group (

conclusionSerum SARS-CoV-2 specific IgM/IgG antibody levels remained at a low level during hospitalisation for asymptomatic patients. Elevated IgM levels may have implications in the identification of RPNAT patients before discharge. Key messages This study determined the IgM/IgG changes in asymptomatic and RPNAT patients. The rate of serum SARS-CoV-2 specific IgM/IgG antibody levels increase in the asymptomatic group was lower than in the symptomatic group during hospitalisation. The IgM level did not decrease significantly at discharge in the RPNAT patients, and was higher than that of the Non-RPNAT group on discharge. These results highlight the importance of timely monitoring of IgM levels to identify RPNAT patients before discharge.

Indexed as

Antibodies, ViralBetacoronavirusCase-Control StudiesClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingFemaleHumansImmunoenzyme TechniquesImmunoglobulin GImmunoglobulin MMalePandemicsPneumonia, ViralRetrospective StudiesAntibodies, ViralImmunoglobulin GImmunoglobulin Masymptomatic patientCOVID-19discharged patient with reoccurring positive nucleic acid test (RPNAT)IgM/IgG antibody

Identifiers

PMID32808808
PMCPMC7544917
OpenAlexW3049586353

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Registered trials

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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.