Evidence map›Paper›PMID 35177308›Full record

ArticleEuropean journal of internal medicine2022

Reduced COVID-19 mortality linked with early antibodies against SARS-CoV-2, irrespective of age.

Danila De Vito, Agostino Di Ciaula, Vincenzo O Palmieri, Paolo Trerotoli, Angela Maria Vittoria Larocca, Maria Teresa Montagna, Piero Portincasa

Open access · greenAbstract read
In one paragraph

Article in European journal of internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-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

11 citing papers in PubMed, 16 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

7 authors at 1 institution in 1 country.

Danila De VitoDepartment of Basic Medical Sciences, Neurosciences, and Sense Organs, Medical School, University of Bari Aldo Moro. Electronic address: danila.devito@uniba.it.
Agostino Di CiaulaClinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro, Medical School, Bari, Italy.
Vincenzo O PalmieriClinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro, Medical School, Bari, Italy.
Paolo TrerotoliSection of Medical Statistics, Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro, Medical School, Bari, Italy.
Angela Maria Vittoria LaroccaSection of Hygiene, Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro, Medical School, Bari, Italy.
Maria Teresa MontagnaSection of Hygiene, Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro, Medical School, Bari, Italy.
Piero PortincasaClinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro, Medical School, Bari, Italy. Electronic address: piero.portincasa@uniba.it.
University of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 pandemic has generated a million deaths worldwide. The efficiency of the immune system can modulate individual vulnerability with variable outcomes. However, the relationships between disease severity and the titer of antibodies produced against SARS-CoV-2 in non-vaccinated, recently infected subjects need to be fully elucidated.

methodsA total of 99 patients admitted to a COVID-unit underwent clinical assessment and measurement of serum levels of anti-spike protein (S1) IgM, and anti-nucleocapsid protein IgG. Patients were stratified according to the clinical outcome (i.e., discharged at home or in-hospital death).

resultsFollowing hospitalization, 18 died during the hospital stay. They were older, had lymphopenia, a higher co-morbidity rate, and longer hospital stay than 81 patients who were discharged after healing. Patients in this latter group had, at hospital admittance, 7.9-fold higher serum concentration of IgM, and 2.4-fold higher IgG levels. Multivariate Cox regression models indicated age and anti-nucleocapsid protein IgG concentration at admission as independently associated with the risk of in-hospital death.

conclusionsAn efficient immunological response during the early phase of COVID-19 protects from mortality, irrespective of age. Advanced age is a critical risk factor for poor outcome in infected subjects. Further studies must explore potential therapeutic strategies able to restore a valid functional humoral immunity in elderly patients with poor antibody response during the early stage of COVID-19 infection.

Indexed as

COVID-19AgedAntibodies, ViralHospital MortalityHumansImmunoglobulin GImmunoglobulin MPandemicsSARS-CoV-2Antibodies, ViralImmunoglobulin GImmunoglobulin MCOVID-19ElderlyIgGIgMmortalitySARS-Cov-2

Identifiers

PMID35177308
PMCPMC8841161
OpenAlexW4213228848

What OpenQuestion holds

Textmetadata
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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.