Evidence map›Paper›PMID 34651164›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Dose, Infection, and Disease Outcomes for Coronavirus Disease 2019 (COVID-19): A Review.

Lisa M Brosseau, Kevin Escandón, Angela K Ulrich, Angela L Rasmussen, Chad J Roy, Gregory J Bix, Saskia V Popescu, Kristine A Moore, Michael T Osterholm

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.2field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 23 citations in OpenAlex.

  1. Virus-Mediated Self-Assembly of Functional Cyclodextrins for Antiviral Inhibition.Angewandte Chemie (International ed. in English) · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. A simplicial epidemic model for COVID-19 spread analysis.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
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

9 authors at 4 institutions in 3 countries.

Lisa M BrosseauCenter for Infectious Disease Research and Policy, University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0002-6113-9060
Kevin EscandónSchool of Medicine, Universidad del Valle, Cali, Colombia.ORCID 0000-0002-7173-7486
Angela K UlrichCenter for Infectious Disease Research and Policy, University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0002-4360-9719
Angela L RasmussenVaccine and Infectious Disease Organization, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.ORCID 0000-0001-9462-3169
Chad J RoyTulane National Primate Research Center, Division of Microbiology, Covington, Louisiana, USA.ORCID 0000-0002-1710-6974
Gregory J BixClinical Neuroscience Research Center, Departments of Neurosurgery and Neurology, Tulane University School of Medicine, New Orleans, Louisiana, USA.ORCID 0000-0002-8969-9553
Saskia V PopescuGeorgetown Center for Global Health Science and Security, Washington, D.C., USA.ORCID 0000-0002-1521-8139
Kristine A MooreCenter for Infectious Disease Research and Policy, University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0001-5689-1488
Michael T OsterholmCenter for Infectious Disease Research and Policy, University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0003-1017-2618
University of Minnesota · USCenter for Strategic and International Studies · USTulane University · USUniversidad del Valle · CO

Funding

Tulane NPRC SPF Sheltered Outdoor Enclosure ExpansionP51OD011104 · OD · TULANE UNIVERSITY OF LOUISIANA · PI L Lee HAMM · 2012 to 2026
$142.4M
NIH HHS P51 OD011104
6 · The paper itself

Abstract

The relationship between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) dose, infection, and coronavirus disease 2019 (COVID-19) outcomes remains poorly understood. This review summarizes the existing literature regarding this issue, identifies gaps in current knowledge, and suggests opportunities for future research. In humans, host characteristics, including age, sex, comorbidities, smoking, and pregnancy, are associated with severe COVID-19. Similarly, in animals, host factors are strong determinants of disease severity, although most animal infection models manifest clinically with mild to moderate respiratory disease. The influence of variants of concern as it relates to infectious dose, consequence of overall pathogenicity, and disease outcome in dose-response remains unknown. Epidemiologic data suggest a dose-response relationship for infection contrasting with limited and inconsistent surrogate-based evidence between dose and disease severity. Recommendations include the design of future infection studies in animal models to investigate inoculating dose on outcomes and the use of better proxies for dose in human epidemiology studies.

Indexed as

COVID-19SARS-CoV-2AnimalsComorbidityFemaleHumansPregnancyCOVID-19disease severityinfectious doseinoculumSARS-CoV-2

Identifiers

PMID34651164
PMCPMC8524637
OpenAlexW3207192782

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.