Evidence map›Paper›PMID 34390857›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021.

Carolina Kymie Vasques Nonaka, Tiago Gräf, Camila Araújo de Lorenzo Barcia, Vanessa Ferreira Costa, Janderson Lopes de Oliveira, Rogério da Hora Passos, Iasmin Nogueira Bastos, Maria Clara Brito de Santana, Ian Marinho Santos, Karoline Almeida Felix de Sousa and 5 more

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. COVID-19 pandemic: the delta variant, T-cell responses, and the efficacy of developing vaccines.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

15 authors.

Carolina Kymie Vasques NonakaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, Salvador, Brazil; D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Tiago GräfGonçalo Moniz Institute, FIOCRUZ, Salvador, Brazil.
Camila Araújo de Lorenzo BarciaDepartment of Infectology, São Rafael Hospital, Salvador, Brazil.
Vanessa Ferreira CostaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, Salvador, Brazil.
Janderson Lopes de OliveiraCenter for Biotechnology and Cell Therapy, São Rafael Hospital, Salvador, Brazil.
Rogério da Hora PassosIntensive Care Unit, São Rafael Hospital, Salvador, Brazil.
Iasmin Nogueira BastosGonçalo Moniz Institute, FIOCRUZ, Salvador, Brazil.
Maria Clara Brito de SantanaGonçalo Moniz Institute, FIOCRUZ, Salvador, Brazil.
Ian Marinho SantosCenter for Biotechnology and Cell Therapy, São Rafael Hospital, Salvador, Brazil; Gonçalo Moniz Institute, FIOCRUZ, Salvador, Brazil.
Karoline Almeida Felix de SousaGonçalo Moniz Institute, FIOCRUZ, Salvador, Brazil.
Thamires Gomes Lopes WeberClinical Laboratory, São Rafael Hospital, Salvador, Brazil.
Isadora Cristina de SiqueiraGonçalo Moniz Institute, FIOCRUZ, Salvador, Brazil.
Clarissa Araújo Gurgel RochaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, Salvador, Brazil; D'Or Institute for Research and Education (IDOR), Salvador, Brazil; Gonçalo Moniz Institute, FIOCRUZ, Salvador, Brazil.
Ana Verena Almeida MendesDepartment of Infectology, São Rafael Hospital, Salvador, Brazil.
Bruno Solano de Freitas SouzaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, Salvador, Brazil; D'Or Institute for Research and Education (IDOR), Salvador, Brazil; Gonçalo Moniz Institute, FIOCRUZ, Salvador, Brazil. Electronic address: bruno.solano@fiocruz.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate changes in the characteristics of patients with coronavirus disease 2019 (COVID-19) after the emergence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variant of concern (VOC) P.1 (Gamma), by comparing the clinical, demographic, and laboratory profiles of patients hospitalized during the first (May to July 2020) and second (December 2020 to February 2021) pandemic waves.

methodsData were collected from the records of COVID-19 patients (n = 4164) admitted to a single hospital in Salvador, Northeast Brazil. SARS-CoV-2 genome sequencing was performed on nasopharyngeal swab samples from 12 patients aged <60 years admitted to the intensive care unit (ICU) in February 2021.

resultsBetween June 2020 and February 2021, the median age of patients admitted to the ICU decreased from 66 to 58 years (P < 0.05). This was accompanied by an increased proportion of patients without comorbidities (15.32% vs 32.20%, P < 0.0001). A significant reduction in the cycle threshold values of SARS-CoV-2 RT-PCR tests was observed in the second wave (P < 0.0001). Sequencing analysis detected lineage Gamma in all 12 ICU patients sampled in February 2021.

conclusionsThe results of this study demonstrated an increased proportion of younger adults without comorbidities with severe disease during the second COVID-19 wave, shortly after the confirmation of local Gamma circulation.

Indexed as

COVID-19SARS-CoV-2AdultBrazilHospitalsHumansIntensive Care UnitsMiddle AgedCOVID-19GammaP.1SARS-CoV-2Variants of concern

Identifiers

PMID34390857
PMCPMC8356754

What OpenQuestion holds

Textmetadata
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.