Evidence map›Paper›PMID 33980950›Full record

Trial reportScientific reports2021

Low SARS-CoV-2 seroprevalence in the Austrian capital after an early governmental lockdown.

Marie-Kathrin Breyer, Robab Breyer-Kohansal, Sylvia Hartl, Michael Kundi, Lukas Weseslindtner, Karin Stiasny, Elisabeth Puchhammer-Stöckl, Andrea Schrott, Manuela Födinger, Michael Binder and 3 more

Abstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Taste loss as a distinct symptom of COVID-19: A systematic review and meta-analysis.medRxiv : the preprint server for health sciences · 2021
    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

13 authors.

Marie-Kathrin BreyerDepartment of Respiratory and Critical Care Medicine, Clinic Penzing, Vienna, Austria. marie.breyer@gmx.at.ORCID 0000-0003-2086-8483
Robab Breyer-KohansalDepartment of Respiratory and Critical Care Medicine, Clinic Penzing, Vienna, Austria.
Sylvia HartlDepartment of Respiratory and Critical Care Medicine, Clinic Penzing, Vienna, Austria.
Michael KundiCenter for Public Health, Medical University of Vienna, Vienna, Austria.
Lukas WeseslindtnerCenter for Virology, Medical University of Vienna, Vienna, Austria.
Karin StiasnyCenter for Virology, Medical University of Vienna, Vienna, Austria.
Elisabeth Puchhammer-StöcklCenter for Virology, Medical University of Vienna, Vienna, Austria.
Andrea SchrottLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Manuela FödingerSigmund Freud University, Faculty of Medicine, Vienna, Austria.
Michael BinderVienna Healthcare Group, Vienna, Austria.
Markus FiedlerLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Emiel F M WoutersLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Otto C BurghuberLudwig Boltzmann Institute for Lung Health, Vienna, Austria.

Funding

Vienna Science and Technology Fund COVID-19-rapid response
6 · The paper itself

Abstract

We analyzed SARS-CoV-2 seroprevalence in a large, well-described representative Viennese cohort after an early governmental lockdown with respect to the occurrence of symptoms and household transmission. Participants of the LEAD Study, a population-based cohort study from Vienna, Austria, were invited along with their household members (April 20th to May20th 2020). Sera were analyzed using anti-SARS-CoV-2 immunoassay including a neutralization test as a confirmatory assay. A total of 12,419 individuals participated (5984 LEAD participants; 6435 household members), 163 (1.31%; 59 LEAD cohort members) of whom were SARS-CoV-2 antibody positive. The estimated number of COVID-19 cases projected from our findings by age and sex for Vienna was 21,504 (1.13%). Cumulative number of positively tested cases in Vienna until May 20th 2020 was 3020, hence 7.1 times (95% confidence interval 5.5-9.1) lower than projected. Relative risk (RR) of seropositivity by age was highest for children aged 6-9 years [RR compared to age group 20-49: 1.21 (CI 0.37-4.01)], lowest for ≥ 65 years [RR 0.47 (CI 0.21-1.03)]. Half of the positive individuals developed no or mild symptoms. In a multivariate analysis, taste and smell disturbances were most strongly related to SARS-CoV-2 positivity. Infection probability within households with one confirmed SARS-CoV-2-specific antibody-positive person was 31%. Although seroprevalence was very low (1.13%) for a central European capital city, due to an early governmental lockdown, SARS-CoV-2 infections were more prevalent than officially reported polymerase chain reaction-positive cases. Of note, seroprevalence was highest in young children. Half of SARS-CoV-2 antibody-positive subjects had no or only mild symptoms. Taste and smell disturbances were most prominent, possibly guiding clinicians in diagnosing SARS-CoV-2 infection.

Indexed as

AdolescentAdultAgedAged, 80 and overAustriaChildCommunicable Disease ControlCOVID-19COVID-19 Serological TestingFemaleHumansMaleMiddle AgedProspective StudiesSARS-CoV-2Seroepidemiologic Studies

Identifiers

PMID33980950
PMCPMC8115109

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Registered trials

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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.