Evidence map›Paper›PMID 34441844›Full record

ArticleJournal of clinical medicine2021

Patients Admitted for Variant Alpha COVID-19 Have Poorer Outcomes than Those Infected with the Old Strain.

Matteo Vassallo, Sabrina Manni, Camille Klotz, Roxane Fabre, Paola Pini, Elea Blanchouin, Audrey Sindt, Laurene Lotte, Jean Marc Dubertrand, Stephane Liguori and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Animal models for COVID-19: advances, gaps and perspectives.Signal transduction and targeted therapy · 2022
    Review
  5. Tracking of SARS-CoV-2 Alpha variant (B.1.1.7) in Palestine.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2022
    Article
  6. Clinical challenges of SARS-CoV-2 variants (Review).Experimental and therapeutic medicine · 2022
    Review
  7. Review
  8. Article
  9. Review
  10. 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

14 authors at 3 institutions in 1 country.

Matteo VassalloDepartment of Internal Medicine/Infectious Diseases, Cannes General Hospital, 06400 Cannes, France.
Sabrina ManniDepartment of Internal Medicine/Infectious Diseases, Cannes General Hospital, 06400 Cannes, France.
Camille KlotzDepartment of Internal Medicine/Infectious Diseases, Cannes General Hospital, 06400 Cannes, France.
Roxane FabreDepartment of Public Health, Nice University Hospital, University Côte d'Azur, 06202 Nice, France.ORCID 0000-0001-5670-1322
Paola PiniDepartment of Internal Medicine/Infectious Diseases, Cannes General Hospital, 06400 Cannes, France.
Elea BlanchouinDepartment of Internal Medicine/Infectious Diseases, Cannes General Hospital, 06400 Cannes, France.
Audrey SindtMultipurpose Laboratory, Bacteriology and Virology Unit, Cannes General Hospital, 06400 Cannes, France.
Laurene LotteMultipurpose Laboratory, Bacteriology and Virology Unit, Cannes General Hospital, 06400 Cannes, France.
Jean Marc DubertrandBioesterel Biogroup, 06400 Cannes, France.
Stephane LiguoriMultipurpose Laboratory, Bacteriology and Virology Unit, Antibes General Hospital, 06100 Antibes, France.
Nathalie BerkaneDepartment of Cardiology, Cannes General Hospital, 06400 Cannes, France.
Yannick DuvalDepartment of Pneumology, Cannes General Hospital, 06400 Cannes, France.
Fabien RollandDepartment of Pneumology, Cannes General Hospital, 06400 Cannes, France.
Christian PradierDepartment of Public Health, Nice University Hospital, University Côte d'Azur, 06202 Nice, France.
Centre Hospitalier de Cannes · FRCentre Hospitalier de Bigorre · FRUniversité Côte d'Azur · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe variant alpha COVID-19 rapidly spread across Europe in early 2021. While this variant's increased infectivity has been proven, little is known of its clinical presentation and outcomes compared to the old strain.

methodsWe identified patients admitted to the Cannes General Hospital for variant alpha-related COVID-19 infection from January to April 2021. Their main demographic parameters, inflammatory markers and clinical characteristics were recorded. Patients admitted from October to December 2020 for 20E (EU1) COVID-19 were selected as controls. Differences between groups were analyzed.

resultsWe included 157 patients (mean age 73 years; 58% men; mean delay of symptoms 6.9 days). Comorbidities were present in 92% (mainly hypertension, diabetes and obesity or overweight). The prevalence of comorbidities did not differ between groups. In 28% of cases, patients either died or required transfer to the Intensive Care Unit (ICU). The cause of death or of transfer to the ICU was presumably associated with severe pneumonia. Variant alpha COVID-19 had 3.8-fold higher risk of death or transfer to the ICU compared to the old strain. DISCUSSION: Patients infected with variant alpha COVID-19, despite similar background characteristics, had a higher risk of unfavorable outcomes than those infected with the old strain, suggesting increased virulence related to this variant.

Indexed as

clinical outcomecomorbid conditionsCOVID-19pneumoniavariant alpha

Identifiers

PMID34441844
PMCPMC8396910
OpenAlexW3190329306

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.