Evidence map›Paper›PMID 33028689›Full record

ArticlemSphere2020

Descriptive, Retrospective Study of the Clinical Characteristics of Asymptomatic COVID-19 Patients.

Huan Han, Zaichao Xu, Xiaoming Cheng, Youquan Zhong, Li Yuan, Fubing Wang, Yan Li, Fang Liu, Yingan Jiang, Chengliang Zhu and 1 more

Open access · goldAbstract read
In one paragraph

Article in mSphere, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 12% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Huan Han *Department of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan, China.
Zaichao Xu *State Key Laboratory of Virology, School of Basic Medical Sciences, Wuhan University, Wuhan, China.
Xiaoming ChengLiver Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Youquan ZhongState Key Laboratory of Virology, School of Basic Medical Sciences, Wuhan University, Wuhan, China.
Li YuanDepartment of Laboratory Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Fubing WangDepartment of Laboratory Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Yan LiDepartment of Pathogen Biology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Fang LiuState Key Laboratory of Virology, College of Life Sciences, Wuhan University, Wuhan, China.
Yingan JiangDepartment of Infectious Diseases, Renmin Hospital, Wuhan University, Wuhan, China jiangya_cn@aliyun.com xinchengzhu@163.com yuchenxia@whu.edu.cn.
Chengliang ZhuDepartment of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan, China jiangya_cn@aliyun.com xinchengzhu@163.com yuchenxia@whu.edu.cn.
Yuchen XiaState Key Laboratory of Virology, School of Basic Medical Sciences, Wuhan University, Wuhan, China jiangya_cn@aliyun.com xinchengzhu@163.com yuchenxia@whu.edu.cn.ORCID 0000-0001-8460-3893
Wuhan University · CNHuazhong University of Science and Technology · CNNational Institutes of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, China, it has rapidly spread around the world. Persons with asymptomatic disease exhibit viral shedding, resulting in transmission, which presents disease control challenges. However, the clinical characteristics of these asymptomatic individuals remain elusive. We collected samples of 25 asymptomatic and 27 symptomatic COVID-19 patients. Viral titers of throat swabs were determined by quantitative reverse transcription-PCR (qRT-PCR). COVID-19 IgG and IgM were examined. Complete blood counts were determined, and serum biochemistry panels were performed. Cytokines, including gamma interferon (IFN-γ), tumor necrosis factor alpha (TNF-α), interleukin 2 (IL-2), IL-4, IL-6, and IL-10 were evaluated. T cell, B cell, and NK cell counts were measured using flow cytometry. Although similar viral loads were detected, asymptomatic patients had significantly faster virus turnover than symptomatic patients. Additionally, asymptomatic patients had higher counts of lymphocytes, T cells, B cells, and NK cells. While liver damage was observed in symptomatic patients, as indicated by elevated liver enzymes and decreased liver-synthesized proteins in the blood, asymptomatic patients showed normal liver measurements. Lactate dehydrogenase, a COVID-19 risk factor, was significantly lower in asymptomatic patients. These results suggest that asymptomatic COVID-19 patients had normal clinical indicators and faster viral clearance than symptomatic patients. Lymphocytes may play a role in their asymptomatic phenotype. Since asymptomatic patients may be a greater risk of virus transmission than symptomatic patients, public health interventions and a broader range of testing may be necessary for the control of COVID-19.

Indexed as

Asymptomatic InfectionsBetacoronavirusAdultBiomarkersCase-Control StudiesChinaClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingFemaleHumansMaleMiddle AgedPandemicsPneumonia, ViralBiomarkersantibodyasymptomaticCOVID-19immune responseliver function

Identifiers

PMID33028689
PMCPMC7568656
OpenAlexW3092269980

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.