Evidence map›Paper›PMID 33644721›Full record

ArticleEClinicalMedicine2021

Medical vulnerability of individuals with Down syndrome to severe COVID-19-data from the Trisomy 21 Research Society and the UK ISARIC4C survey.

Anke Hüls, Alberto C S Costa, Mara Dierssen, R Asaad Baksh, Stefania Bargagna, Nicole T Baumer, Ana Claudia Brandão, Angelo Carfi, Maria Carmona-Iragui, Brian Allen Chicoine and 13 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
14.9field-weighted citation impact, top 1% 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

68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. COVID-19 in patients with Down syndrome: A systematic review.Immunity, inflammation and disease · 2024
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  12. Caregiving for Adults With Down Syndrome: Caregiver Experiences and Support Needs.Journal of applied research in intellectual disabilities : JARID · 2025
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 17 institutions in 7 countries.

Anke HülsDepartment of Epidemiology and Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Alberto C S CostaDepartments of Pediatrics and of Psychiatry, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Mara DierssenCentre for Genomic Regulation (CRG), The Barcelona Institute of Science and Technology, Barcelona, Spain.
R Asaad BakshInstitute of Psychiatry, Psychology, and Neuroscience, Department of Forensic and Neurodevelopmental Sciences, King's College London, London, United Kingdom.
Stefania BargagnaFondazione Stella Maris IRCCS, Pisa, Italy.
Nicole T BaumerBoston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Ana Claudia BrandãoHospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.
Angelo CarfiPoliclinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Maria Carmona-IraguiSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Brian Allen ChicoineAdvocate Medical Group Adult Down Syndrome Center, Park Ridge, IL, USA.
Sujay GhoshCytogenetics and Genomics Reserach Unit. Department of Zoology, University of Calcutta.Kolkata. West Bengal, India.
Monica LakhanpaulUCL- Great Ormond Street Institute of Child Health, London, United Kingdom.
Coral MansoCM: DOWN ESPAÑA, Madrid, Spain.
Miguel-Angel MayerResearch Programme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute and DCEXS Universitat Pompeu Fabra, Barcelona, Spain.
Maria Del Carmen OrtegaDepartment of Psychiatry, Research Institute i+12. Hospital Universitario 12 de Octubre. Madrid, Spain.
Diego Real de AsuaDepartment of Internal Medicine and Instituto de Investigación Biomédica-La Princesa, Hospital Universitario de La Princesa, Madrid, Spain.
Anne-Sophie RebillatInstitut Jérôme Lejeune, Paris, France.
Lauren Ashley RussellDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Giuseppina SgandurraDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy.
Diletta ValentiniPediatric Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Stephanie L ShermanDepartment of Human Genetics, School of Medicine, Emory University, Atlanta, Georgia, USA.
Andre StrydomInstitute of Psychiatry, Psychology, and Neuroscience, Department of Forensic and Neurodevelopmental Sciences, King's College London, London, United Kingdom.
T21RS COVID-19 Initiative
Emory University · USKing's College London · GBUniversitat Pompeu Fabra · ESAdvocate Health Care · USAgostino Gemelli University Polyclinic · ITBambino Gesù Children's Hospital · ITBoston Children's Hospital · USCase Western Reserve University · USFondation Jérôme-Lejeune · FRFondazione Stella Maris · ITGreat Ormond Street Hospital · GBHospital Israelita Albert Einstein · BRHospital Universitario 12 De Octubre · ESHospital Universitario de La Princesa · ESUniversitat Autònoma de Barcelona · ESUniversity of Calcutta · INUniversity of Pisa · IT

Funding

Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
The Role of Inflammation and NGF Dysfunction in the Evolution of Alzheimer Disease Pathology in Down Syndrome-RevisionRF1AG056850 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI BUSCIGLIO, JORGE A, CUELLO, A CLAUDIO · 2018 to 2020
$5.9M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI POMEROY, SCOTT LOREN · 2016 to 2020
$5.2M
Tau pathology in Down syndrome and Alzheimer'sRF1AG061566 · NIA · UNIVERSITY OF DENVER (COLORADO SEMINARY) · PI GRANHOLM-BENTLEY, ANN-CHARLOTTE ESTHER, MARGITTAI, MARTIN · 2019 to 2019
$3.4M
Biological Correlates of Alzheimer in Down Syndrome.R21AG056974 · NIA · UNIVERSITY OF DENVER (COLORADO SEMINARY) · PI GRANHOLM-BENTLEY, ANN-CHARLOTTE ESTHER · 2017 to 2018
$414k
Medical Research Council MR/R024901/1Medical Research Council MR/S005145/1Medical Research Council MR/S011277/1Medical Research Council MR/S032304/1NCATS NIH HHS UL1 TR000424NIA NIH HHS R21 AG056974NIA NIH HHS RF1 AG056850NIA NIH HHS RF1 AG061566NICHD NIH HHS U54 HD090255NIEHS NIH HHS P30 ES019776
6 · The paper itself

Abstract

backgroundHealth conditions, immune dysfunction, and premature aging associated with trisomy 21 (Down syndrome, DS) may impact the clinical course of COVID-19.

methodsThe T21RS COVID-19 Initiative launched an international survey for clinicians or caregivers on patients with COVID-19 and DS. Data collected between April and October 2020 (N=1046) were analysed and compared with the UK ISARIC4C survey of hospitalized COVID-19 patients with and without DS.

findingsThe mean age of COVID-19 patients with DS in the T21RS survey was 29 years (SD = 18). Similar to the general population, the most frequent signs and symptoms of COVID-19 were fever, cough, and shortness of breath. Joint/muscle pain and vomiting or nausea were less frequent (

interpretationLeading signs/symptoms of COVID-19 and risk factors for severe disease course are similar to the general population. However, individuals with DS present significantly higher rates of medical complications and mortality, especially from age 40.

fundingDown Syndrome Affiliates in Action, DSMIG-USA, GiGi's Playhouse, Jerome Lejeune Foundation, LuMind IDSC Foundation, The Matthew Foundation, NDSS, National Task Group on Intellectual Disabilities and Dementia Practices.

Identifiers

PMID33644721
PMCPMC7897934
OpenAlexW3129915303

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.