Evidence map›Paper›PMID 34387310›Full record

Observational studyThe Journal of infectious diseases2021

Determinants and Dynamics of SARS-CoV-2 Infection in a Diverse Population: 6-Month Evaluation of a Prospective Cohort Study.

Daniel B Horton, Emily S Barrett, Jason Roy, Maria Laura Gennaro, Tracy Andrews, Patricia Greenberg, Natalie Bruiners, Pratik Datta, Rahul Ukey, Senthil K Velusamy and 15 more

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04336215 (Cohort Study of SARS-CoV-2 Incidence, Transmission, and Disease Severity in Healthcare Workers), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 12% 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.

NCT04336215 completednot on this map

Cohort Study of SARS-CoV-2 Incidence, Transmission, and Disease Severity in Healthcare Workers

TypeobservationalSponsorRutgers, The State University of New JerseyRan2020 to 2024Enrolled829ConditionsCoronavirus, SARS-CoV-2ArmsNon-Interventional
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Age and Hair Cortisol Levels as Predictors of SARS-CoV-2 Infection.International journal of environmental research and public health · 2024
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  14. Prevalence of COVID-19-associated symptoms during acute infection in relation to SARS-CoV-2-directed humoral and cellular immune responses in a mild-diseased convalescent cohort.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
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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

25 authors at 1 institution in 1 country.

Daniel B HortonDepartment of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.ORCID 0000-0002-1831-1339
Emily S BarrettDepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, New Jersey, USA.
Jason RoyDepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, New Jersey, USA.
Maria Laura GennaroPublic Health Research Institute, Department of Medicine, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA.
Tracy AndrewsDepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, New Jersey, USA.
Patricia GreenbergDepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, New Jersey, USA.
Natalie BruinersPublic Health Research Institute, Department of Medicine, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA.
Pratik DattaPublic Health Research Institute, Department of Medicine, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA.
Rahul UkeyPublic Health Research Institute, Department of Medicine, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA.
Senthil K VelusamyRutgers School of Dental Medicine, Rutgers University, Newark, New Jersey, USA.
Daniel FineRutgers School of Dental Medicine, Rutgers University, Newark, New Jersey, USA.
William J HonnenPublic Health Research Institute, Department of Medicine, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA.
Yue Sandra YinCenter for Advanced Biotechnology and Medicine, Rutgers University, Piscataway, New Jersey, USA.
Abraham PinterPublic Health Research Institute, Department of Medicine, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA.
Andrew BrooksInfinity Biologix, Piscataway, New Jersey, USA.
Jay TischfieldInfinity Biologix, Piscataway, New Jersey, USA.
Sabiha HussainDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Sugeet JagpalDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Shobha SwaminathanPublic Global Health Institute, Department of Medicine, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA.
Veenat ParmarDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Nancy ReillyRutgers Institute for Translational Medicine and Science, New Brunswick, New Jersey, USA.
Sunanda GaurDepartment of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Reynold A PanettieriDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Jeffrey L CarsonDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Martin J BlaserCenter for Advanced Biotechnology and Medicine, Rutgers University, Piscataway, New Jersey, USA.
Rutgers, The State University of New Jersey · US

Funding

Translational Research Support CoreP30ES005022 · NIEHS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI Debra L Laskin · 1988 to 2026
$47.4M
New Jersey Alliance for Clinical Translational Science: NJ ACTSUL1TR003017 · NCATS · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI PANETTIERI, REYNOLD ALEXANDER · 2019 to 2023
$28.9M
Myocardial Ischemia and Transfusion (MINT) - CCCU01HL133817 · NHLBI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI CARSON, JEFFREY LEE · 2016 to 2022
$17.1M
Microbial, immune, metabolic perturbations by antibiotics (MIME study)U01AI122285 · NIAID · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI MARTIN J BLASER, Steven M Holland · 2016 to 2026
$5.2M
Statins as Adjunctive, Host-Directed Therapy for TBUH3AI122309 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KARAKOUSIS, PETROS C · 2017 to 2019
$4.3M
Foam cells as drug targets in tuberculosisR01HL149450 · NHLBI · RBHS-NEW JERSEY MEDICAL SCHOOL · PI GENNARO, MARIA LAURA, KARAKOUSIS, PETROS C · 2019 to 2022
$3.9M
Cohort and biomarkers for COVID-19 severity, natural history, and reinfectionR01AI158911 · NIAID · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI BARRETT, EMILY S, BLASER, MARTIN J · 2021 to 2023
$2.6M
COVID-19 Network of Networks Expanding Clinical and Translational approaches to Predict Severe Illness in Children (CONNECT to Predict SIck Children)R61HD105619 · NICHD · RBHS-ROBERT WOOD JOHNSON MEDICAL SCHOOL · PI GENNARO, MARIA LAURA, HORTON, DANIEL BENJAMIN · 2021 to 2022
$1.6M
Drugs, Germs, and Joints: Antibiotics, Gut Microbiota, and Juvenile Idiopathic ArthritisK23AR070286 · NIAMS · RBHS-ROBERT WOOD JOHNSON MEDICAL SCHOOL · PI HORTON, DANIEL BENJAMIN · 2016 to 2020
$909k
NCATS NIH HHS UL1 TR003017NHLBI NIH HHS R01 HL149450NHLBI NIH HHS U01 HL133817NIAID NIH HHS R01 AI158911NIAID NIH HHS U01 AI122285NIAID NIH HHS UH3 AI122309NIAMS NIH HHS K23 AR070286NICHD NIH HHS R61 HD105619NIEHS NIH HHS P30 ES005022NIH HHS 3U01AI122285-05S1
6 · The paper itself

Abstract

backgroundWe studied risk factors, antibodies, and symptoms of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in a diverse, ambulatory population.

methodsA prospective cohort (n = 831) previously undiagnosed with SARS-CoV-2 infection underwent serial testing (SARS-CoV-2 polymerase chain reaction, immunoglobulin G [IgG]) for 6 months.

resultsNinety-three participants (11.2%) tested SARS-CoV-2-positive: 14 (15.1%) asymptomatic, 24 (25.8%) severely symptomatic. Healthcare workers (n = 548) were more likely to become infected (14.2% vs 5.3%; adjusted odds ratio, 2.1; 95% confidence interval, 1.4-3.3) and severely symptomatic (29.5% vs 6.7%). IgG antibodies were detected after 79% of asymptomatic infections, 89% with mild-moderate symptoms, and 96% with severe symptoms. IgG trajectories after asymptomatic infections (slow increases) differed from symptomatic infections (early peaks within 2 months). Most participants (92%) had persistent IgG responses (median 171 days). In multivariable models, IgG titers were positively associated with symptom severity, certain comorbidities, and hospital work. Dyspnea and neurologic changes (including altered smell/taste) lasted ≥ 120 days in ≥ 10% of affected participants. Prolonged symptoms (frequently more severe) corresponded to higher antibody levels.

conclusionsIn a prospective, ethnically diverse cohort, symptom severity correlated with the magnitude and trajectory of IgG production. Symptoms frequently persisted for many months after infection.Clinical Trials Registration. NCT04336215.

Indexed as

Severity of Illness IndexAdultAntibodies, ViralAsymptomatic InfectionsComorbidityCOVID-19FemaleHumansImmunoglobulin GIncidenceMaleMiddle AgedProspective StudiesRisk FactorsSARS-CoV-2Young AdultAntibodies, ViralImmunoglobulin GCOVID-19humoral immunitylongitudinal data analysispostacute sequelae of COVID-19prospective cohortrisk factorsSARS-CoV-2 infectionsymptoms

Identifiers

PMID34387310
PMCPMC8436370
OpenAlexW3189226048

What OpenQuestion holds

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Registered trials

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.