Evidence map›Paper›PMID 33451759›Full record

ArticleTransplantation proceedings2021

SARS-CoV-2 Seroprevalence and Clinical Features of COVID-19 in a German Liver Transplant Recipient Cohort: A Prospective Serosurvey Study.

Conrad Rauber, Shilpa Tiwari-Heckler, Jan Pfeiffenberger, Arianeb Mehrabi, Frederike Lund, Philip Gath, Markus Mieth, Uta Merle, Christian Rupp

Open access · greenAbstract read
In one paragraph

Article in Transplantation proceedings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 27% 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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Low seroprevalence of SARS-CoV-2 antibodies in a liver transplant cohort.Transplant international : official journal of the European Society for Organ Transplantation · 2021
    Article
  9. Review
  10. COVID-19 and liver disease: mechanistic and clinical perspectives.Nature reviews. Gastroenterology & hepatology · 2021
    Review
  11. Article
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

9 authors at 2 institutions in 1 country.

Conrad RauberDepartment for Gastroenterology and Infectious Diseases, University Hospital Heidelberg, Heidelberg, Germany. Electronic address: conrad.rauber@gmx.de.
Shilpa Tiwari-HecklerDepartment for Gastroenterology and Infectious Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Jan PfeiffenbergerDepartment for Gastroenterology and Infectious Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Arianeb MehrabiDepartment of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Frederike LundDepartment of Anesthesiology, University Hospital Heidelberg, Heidelberg, Germany.
Philip GathDepartment for Gastroenterology, Städtisches Klinikum Ludwigshafen, Ludwigshafen, Germany.
Markus MiethDepartment of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Uta MerleDepartment for Gastroenterology and Infectious Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Christian RuppDepartment for Gastroenterology and Infectious Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Heidelberg University · DEKlinikum Ludwigshafen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn liver transplant (LT) recipients with severe coronavirus disease 2019 (COVID-19), fatal outcome has been reported in a substantial subset of patients. Whether LT recipients are at increased risk for severe COVID-19 compared with the general population is controversial. Here we report the results of a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serosurvey in a large LT recipient cohort.

methodsA total of 219 LT recipients were enrolled between May 5, 2020, and August 6, 2020, at the University Hospital Heidelberg. Serum blood samples were collected and tested for anti-SARS-CoV-2 IgG. SARS-CoV-2 RNA was detected in nasopharyngeal swabs using reverse transcription-polymerase chain reaction assays.

resultsTaking into account known risk factors of arterial hypertension, obesity, diabetes, or leukopenia, LT recipients a priori represented a high-risk cohort for severe COVID-19 with 101 of 219 (46.1%) presenting with more than 2 risk factors for severe COVID-19. Out of 219 LT recipients, 8 (3.7%) either had a positive test result for nasopharyngeal SARS-CoV-2 RNA or anti-SARS-CoV-2 serum IgG. Five of eight (62.5%) did not show any clinical signs of infection, three of eight (37.5%) had self-limited disease, and none required hospitalization for COVID-19. Two of eight (25%) had known exposure to infected health care staff as the probable source of infection.

conclusionsIn summary, LT recipients showed a SARS-CoV-2 seroconversion rate similar to that of the general population with a substantial percentage of unrecognized infections.

Indexed as

AdultAntibodies, ViralCOVID-19FemaleGermanyHumansImmunoglobulin GLiver TransplantationMaleMiddle AgedPostoperative ComplicationsProspective StudiesRisk FactorsRNA, ViralSARS-CoV-2SeroconversionAntibodies, ViralImmunoglobulin GRNA, Viral

Identifiers

PMID33451759
PMCPMC7831557
OpenAlexW3111317801

What OpenQuestion holds

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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.