Evidence map›Paper›PMID 33789752›Full record

ArticleInfectious diseases of poverty2021

The relationship between SARS-COV-2 RNA positive duration and the risk of recurrent positive.

Hong Zhao, Chi Zhang, Xian-Xiang Chen, Qi Zhu, Wen-Xiang Huang, Yi-Lan Zeng, Ying-Xia Liu, Guo-Jun Li, Wei-Jun Du, Jing Yao and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Infectious diseases of poverty, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 37% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
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 6 institutions in 1 country.

Hong Zhao *Department of Infectious Disease, Center for Liver Disease, Peking University First Hospital, Beijing, China.ORCID http://orcid.org/0000-0002-8069-9901
Chi Zhang *Department of Infectious Disease, Center for Liver Disease, Peking University First Hospital, Beijing, China.
Xian-Xiang ChenAdministrative Office, Wuhan Pulmonary Hospital, Wuhan, China.
Qi ZhuDepartment of Tuberculosis, Wuhan Pulmonary Hospital, Wuhan, China.
Wen-Xiang HuangDepartment of Infectious Disease, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yi-Lan ZengAdministrative Office, Chengdu Public Health Clinical Center, Chengdu, China.
Ying-Xia LiuAdministrative Office, The Third People's Hospital of Shenzhen, Shenzhen, China.
Guo-Jun LiDepartment of Hepatology III, The Third People's Hospital of Shenzhen, Shenzhen, China.
Wei-Jun DuDepartment of Internal Medicine, Fankou Branch of Ezhou Central Hospital, Ezhou, China.
Jing YaoDepartment of Obstetrics and Gynecology, Fankou Branch of Ezhou Central Hospital, Ezhou, China.
Jia-Wen LiDepartment of Infectious Disease, Center for Liver Disease, Peking University First Hospital, Beijing, China.
Peng PengAdministrative Office, Wuhan Pulmonary Hospital, Wuhan, China. PengPengwg@126.com.
Gui-Qiang WangDepartment of Infectious Disease, Center for Liver Disease, Peking University First Hospital, Beijing, China. john131212@sina.com.ORCID http://orcid.org/0000-0002-0317-7536
Peking University · CNWuhan Pulmonary Hospital · CNEzhou Central Hospital · CNShenzhen Third People’s Hospital · CNPublic Health Clinical Center of Chengdu · CNThe Affiliated Yongchuan Hospital of Chongqing Medical University · CN

Funding

China Mega-Project for Infectious Diseases 2017ZX10203202China Mega-Project for Innovative Drugs 2016ZX09101065Chinese COVID-19 scientific research emergency project 2020YFC0844100Chinese COVID-19 scientific research emergency project 2020YFC0846800Chinese COVID-19 scientific research emergency project 2020ZYLCYJ05-14
6 · The paper itself

Abstract

backgroundThe management of discharge COVID-19 patients with recurrent positive SARS-CoV-2 RNA is challenging. However, there are fewer scientific dissertations about the risk of recurrent positive. The aim of this study was to explore the relationship between SARS-COV-2 RNA positive duration (SPD) and the risk of recurrent positive.

methodsThis case-control multi-center study enrolled participants from 8 Chinese hospital including 411 participants (recurrent positive 241). Using unadjusted and multivariate-adjusted logistic regression analyses, generalized additive model with a smooth curve fitting, we evaluated the associations between SPD and risk of recurrent positive. Besides, subgroup analyses were performed to explore the potential interactions.

resultsAmong recurrent positive patients, there were 121 females (50.2%), median age was 50 years old [interquartile range (IQR): 38-63]. In non-adjusted model and adjusted model, SPD was associated with an increased risk of recurrent positive (fully-adjusted model: OR = 1.05, 95% CI: 1.02-1.08, P = 0.001); the curve fitting was not significant (P = 0.286). Comparing with SPD < 14 days, the risk of recurrent positive in SPD > 28 days was risen substantially (OR = 3.09, 95% CI: 1.44-6.63, P = 0.004). Interaction and stratified analyses showed greater effect estimates of SPD and risk of recurrent positive in the hypertension, low monocyte count and percentage patients (P for interaction = 0.008, 0.002, 0.036, respectively).

conclusionSPD was associated with a higher risk of recurrent positive and especially SPD > 28 day had a two-fold increase in the relative risk of re-positive as compared with SPD < 14 day. What's more, the risk may be higher among those with hypertension and lower monocyte count or percentage.

Indexed as

AdultCase-Control StudiesCOVID-19FemaleHospitalizationHumansMaleMiddle AgedPharynxRecurrenceRisk FactorsRNA, ViralSARS-CoV-2Time FactorsVirus SheddingRNA, ViralCOVID-19PreventionRecurrent positiveSARS-CoV-2SARS-CoV-2 RNA positive duration

Identifiers

PMID33789752
PMCPMC8010778
OpenAlexW3147771427

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.