Evidence map›Paper›PMID 33553089›Full record

SynthesisFrontiers in public health

Asymptomatic SARS-CoV-2 Carriers: A Systematic Review and Meta-Analysis.

Gopiram Syangtan, Shrijana Bista, Prabin Dawadi, Binod Rayamajhee, Lok Bahadur Shrestha, Reshma Tuladhar, Dev Raj Joshi

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in public health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

82 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. The germ theory revisited: A noncentric view on infection outcome.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

22 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

7 authors.

Gopiram SyangtanShi-Gan International College of Science and Technology (SICOST), Tribhuvan University, Kathmandu, Nepal.
Shrijana BistaCentral Department of Microbiology, Tribhuvan University, Kathmandu, Nepal.
Prabin DawadiCentral Department of Microbiology, Tribhuvan University, Kathmandu, Nepal.
Binod RayamajheeFaculty of Science, School of Optometry and Vision Science (SOVS), University of New South Wales (UNSW), Sydney, NSW, Australia.
Lok Bahadur ShresthaDepartment of Microbiology and Infectious Diseases, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Reshma TuladharCentral Department of Microbiology, Tribhuvan University, Kathmandu, Nepal.
Dev Raj JoshiCentral Department of Microbiology, Tribhuvan University, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Asymptomatic cases of SARS-CoV-2 can be unknown carriers magnifying the transmission of COVID-19. This study appraised the frequency of asymptomatic individuals and estimated occurrence by age group and gender by reviewing the existing published data on asymptomatic people with COVID-19. Three electronic databases, PubMed, Embase, and Web of Science (WoS), were used to search the literature following the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). The study population for this review included asymptomatic individuals infected with SARS-CoV-2 reported in original articles published up to 30 April 2020. A random effects model was applied to analyze pooled data on the prevalence of asymptomatic cases among all COVID-19 patients and also by age and gender. From the meta-analysis of 16 studies, comprising 2,788 SARS-CoV-2 infected patients, the pooled prevalence according to the random effect size of asymptomatic cases was 48.2% (95% CI, 30-67%). Of the asymptomatic cases, 55.5% (95% CI, 43.6-66.8%) were female and 49.6% (95% CI, 20.5-79.1%) were children. Children and females were more likely to present as asymptomatic COVID-19 cases and could act as unknown carriers of SARS-CoV-2. Symptom-based screening might fail to identify all SARS-CoV-2 infections escalating the threat of global spread and impeding containment. Therefore, a mass surveillance system to track asymptomatic cases is critical, with special attention to females and children.

Indexed as

COVID-19Age FactorsCarrier StateHumansMass ScreeningSARS-CoV-2Sex Factors2019-nCoVasymptomaticCOVID-19pandemicSARS-CoV-2transmission

Identifiers

PMID33553089
PMCPMC7855302

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.