Evidence map›Paper›PMID 34361951›Full record

ArticleMicroorganisms2021

Emergence and Spread of B.1.1.7 Lineage in Primary Care and Clinical Impact in the Morbi-Mortality among Hospitalized Patients in Madrid, Spain.

Laura Martínez-García, Marco Antonio Espinel, Melanie Abreu, José María González-Alba, Desirèe Gijón, Amaranta McGee, Rafael Cantón, Juan Carlos Galán, Jesús Aranaz

Abstract read
In one paragraph

Article in Microorganisms, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

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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.

Laura Martínez-GarcíaServicio de Microbiología, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
Marco Antonio EspinelInstituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), 28034 Madrid, Spain.
Melanie AbreuServicio de Microbiología, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
José María González-AlbaServicio de Microbiología, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
Desirèe GijónServicio de Microbiología, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
Amaranta McGeeInstituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), 28034 Madrid, Spain.ORCID 0000-0002-4524-0484
Rafael CantónServicio de Microbiología, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.ORCID 0000-0003-1675-3173
Juan Carlos GalánServicio de Microbiología, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
Jesús AranazInstituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), 28034 Madrid, Spain.ORCID 0000-0002-3658-0321

Funding

Instituto de Salud Carlos III co-financed by the European Regional Development Fund (ERDF, A Way to Achieve Europe programme) CB06/02/0053Instituto Ramón y Cajal de Investigación Sanitaria Intramural COVID19
6 · The paper itself

Abstract

In December 2020, UK authorities warned of the rapid spread of a new SARS-CoV-2 variant, belonging to the B.1.1.7 lineage, known as the Alpha variant. This variant is characterized by 17 mutations and 3 deletions. The deletion 69-70 in the spike protein can be detected by commercial platforms, allowing its real-time spread to be known. From the last days of December 2020 and over 4 months, all respiratory samples with a positive result for SARS-CoV-2 from patients treated in primary care and the emergency department were screened to detect this variant based on the strategy S gene target failure (SGTF). The first cases were detected during week 53 (2020) and reached >90% of all cases during weeks 15-16 (2021). During this period, the B.1.1.7/SGTF variant spread at a rapid and constant replacement rate of around 30-36%. The probability of intensive care unit admission was twice higher among patients infected by the B.1.1.7/SGTF variant, but there were no differences in death rate. During the peak of the third pandemic wave, this variant was not the most prevalent, and it became dominant when this wave was declining. Our results confirm that the B.1.1.7/SGTF variant displaced other SARS-CoV-2 variants in our healthcare area in 4 months. This displacement has led to an increase in the burden of disease.

Indexed as

B1.1.7 lineageburden of diseasereplacementSARS-CoV-2variants

Identifiers

PMID34361951
PMCPMC8307589

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.