Evidence map›Paper›PMID 34528739›Full record

ArticleHIV medicine2022

COVID-19 mortality among people with diagnosed HIV compared to those without during the first wave of the COVID-19 pandemic in England.

Alison E Brown, Sara E Croxford, Sophie Nash, Jameel Khawam, Peter Kirwan, Meaghan Kall, Daniel Bradshaw, Caroline Sabin, Robert F Miller, Frank A Post and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in HIV medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 15% 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, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Brief Report: Trends in HIV Mortality in the Context of the COVID-19 Pandemic.Journal of acquired immune deficiency syndromes (1999) · 2023
    Article
  5. Observational
  6. Review
  7. Observational
  8. Article
  9. Review
  10. 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

17 authors at 10 institutions in 2 countries.

Alison E BrownNational Infection Service, Public Health England, London, UK.ORCID 0000-0002-6490-6739
Sara E CroxfordNational Infection Service, Public Health England, London, UK.ORCID 0000-0003-2220-623X
Sophie NashNational Infection Service, Public Health England, London, UK.ORCID 0000-0002-7717-6982
Jameel KhawamNational Infection Service, Public Health England, London, UK.
Peter KirwanNational Infection Service, Public Health England, London, UK.ORCID 0000-0001-6904-0500
Meaghan KallNational Infection Service, Public Health England, London, UK.ORCID 0000-0001-6971-427X
Daniel BradshawNational Infection Service, Public Health England, London, UK.ORCID 0000-0001-7186-2482
Caroline SabinInstitute for Global Health, University College London, London, UK.ORCID 0000-0001-5173-2760
Robert F MillerInstitute for Global Health, University College London, London, UK.ORCID 0000-0003-2067-4291
Frank A PostKing's College Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-2844-1612
Richard HardingFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care, King's College, London, UK.ORCID 0000-0001-9653-8689
Simon CollinsHIV i-Base, London, UK.ORCID 0000-0002-3537-2432
Laura WatersCentral and North West London NHS Foundation Trust, Mortimer Market Centre, London, UK.ORCID 0000-0002-1379-1775
David AsboeBritish HIV Association, London, UK.
David R ChadwickBritish HIV Association, London, UK.ORCID 0000-0002-7955-9610
Valerie DelpechNational Infection Service, Public Health England, London, UK.ORCID 0000-0002-9952-8109
Ann K SullivanNational Infection Service, Public Health England, London, UK.
Public Health England · GBCentral and North West London NHS Foundation Trust · GBChelsea and Westminster Hospital NHS Foundation Trust · GBBritish HIV Association · GBKing's College Hospital NHS Foundation Trust · GBKing's College London · GBNational Institute for Health Research · GBSouth Tees Hospitals NHS Foundation Trust · GBSUNY Sullivan · USUniversity of Cambridge · GB

Funding

Medical Research Council MC_UU_00002/11
6 · The paper itself

Abstract

objectivesWe describe COVID-19 mortality among people with and without HIV during the first wave of the pandemic in England.

methodsNational surveillance data on adults (aged ≥ 15 years) with diagnosed HIV resident in England were linked to national COVID-19 mortality surveillance data (2 March 2020-16 June 2020); HIV clinicians verified linked cases and provided information on the circumstances of death. We present COVID-19 mortality rates by HIV status, using negative binomial regression to assess the association between HIV and mortality, adjusting for gender, age and ethnicity.

resultsOverall, 99 people with HIV, including 61 of black ethnicity, died of/with COVID-19 (107/100 000) compared with 49 483 people without HIV (109/100 000). Compared to people without HIV, higher COVID-19 mortality rates were observed in people with HIV of black (188 vs. 122/100 000) and Asian (131 vs. 77.0/100 000) ethnicity, and in both younger (15-59 years: 58.3 vs. 10.2/100 000) and older (≥ 60 years: 434 vs. 355/100 000) people. After adjustment for demographic factors, people with HIV had a higher COVID-19 mortality risk than those without (2.18; 95% CI: 1.76-2.70). Most people with HIV who died of/with COVID-19 had suppressed HIV viraemia (91%) and at least one comorbidity reported to be associated with poor COVID-19 outcomes (87%).

conclusionsIn the first wave of the pandemic in England, COVID-19 mortality among people with HIV was low, but was higher than in those without HIV, after controlling for demographic factors. This supports the strategy of prioritizing COVID-19 vaccination for people with HIV and strongly encouraging its uptake, especially in those of black and Asian ethnicity.

Indexed as

COVID-19HIV InfectionsPandemicsAdolescentAdultEnglandFemaleHumansMaleMiddle AgedYoung AdultadultsCOVID-19EnglandHIVmortality

Identifiers

PMID34528739
PMCPMC8652768
OpenAlexW3199759292

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.