Evidence map›Paper›PMID 34608459›Full record

ReviewThe Lancet. Microbe2022

The role of viral genomics in understanding COVID-19 outbreaks in long-term care facilities.

Dinesh Aggarwal, Richard Myers, William L Hamilton, Tehmina Bharucha, Niamh M Tumelty, Colin S Brown, Emma J Meader, Tom Connor, Darren L Smith, Declan T Bradley and 11 more

Open access · goldAbstract readReview
In one paragraph

Review in The Lancet. Microbe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
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.

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

19 citing papers in PubMed, 31 citations in OpenAlex.

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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

21 authors at 14 institutions in 2 countries.

Dinesh AggarwalDepartment of Medicine, University of Cambridge, Cambridge, UK.
Richard MyersPublic Health England, London, UK.
William L HamiltonDepartment of Medicine, University of Cambridge, Cambridge, UK.
Tehmina BharuchaPublic Health England, London, UK.
Niamh M TumeltyCambridge University Libraries, University of Cambridge, Cambridge, UK.
Colin S BrownPublic Health England, London, UK.
Emma J MeaderNorfolk and Norwich University Hospital, Norwich, UK.
Tom ConnorOrganisms and Environment Division, School of Biosciences, Cardiff University, Cardiff, Wales, UK.
Darren L SmithHub for Biotechnology in the Built Environment, Department of Applied Sciences, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Declan T BradleyPublic Health Agency, Belfast, UK.
Samuel RobsonUniversity of Portsmouth, Centre for Enzyme Innovation, Portsmouth, UK.
Matthew BashtonHub for Biotechnology in the Built Environment, Department of Applied Sciences, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Laura ShallcrossInstitute of Health Informatics, University College London, London, UK.
Maria ZambonPublic Health England, London, UK.
Ian GoodfellowDepartment of Pathology, University of Cambridge, Cambridge, UK.
Meera ChandPublic Health England, London, UK.
Justin O'GradyQuadram Institute Bioscience, Norwich Research Park, Norwich, UK.
M Estée TörökDepartment of Medicine, University of Cambridge, Cambridge, UK.
Sharon J PeacockDepartment of Medicine, University of Cambridge, Cambridge, UK.
Andrew J PageQuadram Institute Bioscience, Norwich Research Park, Norwich, UK.
COVID-19 Genomics UK (COG-UK) Consortium
University of Cambridge · GBNorthumbria University · GBPublic Health England · GBCambridge University Hospitals NHS Foundation Trust · GBCardiff University · GBGuy's and St Thomas' NHS Foundation Trust · GBMahosot Hospital · LANorfolk and Norwich University Hospital · GBNorwich Research Park · GBPublic Health Agency · GBQuadram Institute · GBUniversity College London · GBUniversity of Oxford · GBUniversity of Portsmouth · GB

Funding

Biotechnology and Biological Sciences Research Council BB/CCG1860/1Biotechnology and Biological Sciences Research Council BB/R012504/1Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10352Medical Research Council MC_PC_19027Wellcome Trust 207498/Z/17/ZWellcome Trust 222903/Z/21/Z
6 · The paper itself

Abstract

We reviewed all genomic epidemiology studies on COVID-19 in long-term care facilities (LTCFs) that had been published to date. We found that staff and residents were usually infected with identical, or near identical, SARS-CoV-2 genomes. Outbreaks usually involved one predominant cluster, and the same lineages persisted in LTCFs despite infection control measures. Outbreaks were most commonly due to single or few introductions followed by a spread rather than a series of seeding events from the community into LTCFs. The sequencing of samples taken consecutively from the same individuals at the same facilities showed the persistence of the same genome sequence, indicating that the sequencing technique was robust over time. When combined with local epidemiology, genomics allowed probable transmission sources to be better characterised. The transmission between LTCFs was detected in multiple studies. The mortality rate among residents was high in all facilities, regardless of the lineage. Bioinformatics methods were inadequate in a third of the studies reviewed, and reproducing the analyses was difficult because sequencing data were not available in many facilities.

Indexed as

COVID-19Disease OutbreaksGenomicsHumansLong-Term CareSARS-CoV-2

Identifiers

PMID34608459
PMCPMC8480962
OpenAlexW3124407171

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.