Evidence map›Paper›PMID 34904379›Full record

SynthesisImmunity, inflammation and disease2022

The relationship between COVID-19 viral load and disease severity: A systematic review.

Omid Dadras, Amir M Afsahi, Zahra Pashaei, Hengameh Mojdeganlou, Amirali Karimi, Pedram Habibi, Alireza Barzegary, Amirata Fakhfouri, Pegah Mirzapour, Nazanin Janfaza and 8 more

Abstract readSystematic Review
In one paragraph

Synthesis in Immunity, inflammation and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 6 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

95 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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35 more citing papers are in PubMed but not listed here.

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

18 authors.

Omid DadrasThe Excellent Center for Dengue and Community Public Health (EC for DACH), School of Public Health, Walailak University, Nakhon Si Thammarat, Thailand.
Amir M AfsahiDepartment of Radiology, School of Medicine, University of California, San Diego (UCSD), La Jolla, California, USA.
Zahra PashaeiIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Hengameh MojdeganlouDepartment of Pathology, Urmia University of Medical Sciences, Urmia, Iran.
Amirali KarimiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Pedram HabibiIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Alireza BarzegarySchool of Medicine, Islamic Azad University, Tehran, Iran.
Amirata FakhfouriSchool of Medicine, Islamic Azad University, Tehran, Iran.
Pegah MirzapourIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Nazanin JanfazaInternal Medicine Department, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Soheil DehghaniSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh AfroughiSchool of Medicine, Islamic Azad University, Tehran, Iran.
Mohsen DashtiDepartment of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran.
Sepideh KhodaeiIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Esmaeil MehraeenDepartment of Health Information Technology, Khalkhal University of Medical Sciences, Khalkhal, Iran.ORCID 0000-0003-4108-2973
Fabricio VoltarelliGraduation Program of Health Sciences, Faculty of Medicine, Federal University of Mato Grosso, Cuiabá, Brazil.
Jean-Marc SabatierUniversité Aix-Marseille, Institut deNeuro-physiopathologie (INP), UMR 7051, Faculté de Pharmacie, Marseille, France.
SeyedAhmad SeyedAlinaghiIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-3210-7905

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with COVID-19 may present different viral loads levels. However, the relationship between viral load and disease severity in COVID-19 is still unknown. Therefore, this study aimed to systematically review the association between SARS-CoV-2 viral load and COVID-19 severity.

methodsThe relevant studies using the keywords of "COVID-19" and "viral load" were searched in the databases of PubMed, Scopus, Google Scholar, and Web of Science. A two-step title/abstract screening process was carried out and the eligible studies were included in the study.

resultsThirty-four studies were included from the initial 1015 records. The vast majority of studies have utilized real-time reverse transcription-polymerase chain reaction of the nasopharyngeal/respiratory swabs to report viral load. Viral loads were commonly reported either as cycle threshold (C

conclusionThe results were inconclusive about the relationship between COVID-19 severity and viral load, as a similar number of studies either approved or opposed this hypothesis. However, the studies denote the direct relationship between older age and higher SARS-CoV-2 viral load, which is a known risk factor for COVID-19 mortality. The higher viral load in older patients may serve as a mechanism for any possible relationships between COVID-19 viral load and disease severity. There was a positive correlation between SARS-CoV-2 viral load and its transmissibility. Nonetheless, further studies are recommended to precisely characterize this matter.

Indexed as

COVID-19SARS-CoV-2AgedHumansSerologic TestsSeverity of Illness IndexViral LoadCOVID-19prognosisSARS-CoV-2severityviral load

Identifiers

PMID34904379
PMCPMC8926507

What OpenQuestion holds

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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.