Evidence map›Paper›PMID 35641155›Full record

ArticleClinical and experimental immunology2022

Outcomes following SARS-CoV-2 infection in patients with primary and secondary immunodeficiency in the UK.

Adrian M Shields, Ariharan Anantharachagan, Gururaj Arumugakani, Kenneth Baker, Sameer Bahal, Helen Baxendale, William Bermingham, Malini Bhole, Evon Boules, Philip Bright and 52 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Pre-existing Immunocompromising Conditions and Outcomes of Acute COVID-19 Patients Admitted for Pediatric Intensive Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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  5. Review
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  9. Commercial Immunoglobulin Products Contain Neutralizing Antibodies Against Severe Acute Respiratory Syndrome Coronavirus 2 Spike Protein.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  10. Severity of SARS-CoV-2 infection in children with inborn errors of immunity (primary immunodeficiencies): a systematic review.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  11. Review
  12. Clinical and Experimental Immunology: highlights from 2022.Clinical and experimental immunology · 2023
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Observational
  18. Article
  19. Article
  20. COVID-19 infection and vaccination in immunodeficiency.Clinical and experimental immunology · 2022
    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

62 authors at 20 institutions in 1 country.

Adrian M ShieldsClinical Immunology Service, Institute of Immunology and Immunotherapy, University of Birmingham, UK.ORCID 0000-0001-5345-2156
Ariharan AnantharachaganLancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK.
Gururaj ArumugakaniDepartment of Clinical Immunology and Allergy, St James University Hospital, Leeds Teaching Hospital NHS Trust, Leeds, UK.
Kenneth BakerNIHR Newcastle Biomedical Research Centre, Newcastle University and Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Sameer BahalDepartment of Immunology, Royal Free London NHS Foundation Trust, London, UK.
Helen BaxendaleRoyal Papworth NHS Foundation Trust, Cambridge, UK.
William BerminghamUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Malini BholeThe Dudley Group NHS Foundation Trust, Birmingham, UK.
Evon BoulesClinical Immunology and Allergy Department, Sheffield Teaching Hospitals NHS Foundation Trust, UK.
Philip BrightClinical Immunology, North Bristol NHS Trust, Bristol, UK.
Charu ChopraDepartment of Haematology & Immunology, Royal Infirmary of Edinburgh, NHS Lothian, UK.
Lucy CliffeClinical Immunology and Allergy Department, Nottingham University Hospital NHS Trust, Nottingham, UK.
Betsy CleaveClinical Immunology and Allergy Department, Nottingham University Hospital NHS Trust, Nottingham, UK.
John DempsterSpecialist Allergy and Clinical Immunology, University College London Hospitals, London, UK.
Lisa DevlinRegional Immunology Service, The Royal Hospitals, Belfast, UK.
Fatima DhallaDepartment of Clinical Immunology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Lavanya DiwakarDepartment of Immunology, Royal Stoke Hospital, Stoke-on-Trent, UK.
Elizabeth DreweClinical Immunology and Allergy Department, Nottingham University Hospital NHS Trust, Nottingham, UK.
Christopher DuncanTranslational and Clinical Research Institute, Immunity and Inflammation Theme, Newcastle University, Newcastle upon Tyne, UK.
Magdalena DziadzioEar Institute, University College London, London, UK.ORCID 0000-0002-4287-7893
Suzanne ElcombeRegional Department of Clinical Immunology & Allergy, Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHS Foundation Trust, UK.
Shuayb ElkhalifaImmunology Department, Salford Royal NHS Foundation Trust, Manchester, UK.ORCID 0000-0002-6292-6795
Andrew GenneryTranslational and Clinical Research Institute, Newcastle University, and Paediatric Stem Cell Transplant Unit, Great North Children's Hospital, Newcastle upon Tyne, UK.
Harichandrana GhantaDepartment of Allergy and Clinical Immunology, University Hospital Southampton NHS Trust, University of Southampton, Southampton, UK.
Sarah GoddardDepartment of Immunology, Royal Stoke Hospital, Stoke-on-Trent, UK.
Sofia GrigoriadouImmunology Department, Royal London Hospital, Barts Health NHS Trust, London, UK.ORCID 0000-0002-0265-5014
Scott HackettPaediatric Immunology Department, University Hospitals of Birmingham, Birmingham, UK.
Grant HaymanClinical Immunology Service, South West London Immunodeficiency Centre, Epsom and St Helier University Hospital NHS Trust, London, UK.
Richard HerriotImmunology Department, Aberdeen Royal Infirmary, Aberdeen, UK.
Archana HerwadkarImmunology Department, Salford Royal NHS Foundation Trust, Manchester, UK.
Aarnoud HuissoonUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Rashmi JainDepartment of Clinical Immunology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Stephen JollesImmunodeficiency Centre for Wales, University Hospital of Wales, Heath Park, Cardiff, UK.
Sarah JohnstonClinical Immunology, North Bristol NHS Trust, Bristol, UK.
Sujoy KhanHull University Teaching Hospitals NHS Trust, Hull, UK.
James LaffanClinical Immunology Service, South West London Immunodeficiency Centre, Epsom and St Helier University Hospital NHS Trust, London, UK.
Peter LaneClinical Immunology Service, Institute of Immunology and Immunotherapy, University of Birmingham, UK.
Lucy LeemanUniversity Hospitals Plymouth NHS Trust, Plymouth, UK.
David M LoweInstitute of Immunity and Transplantation, University College London, London, UK.
Shanti MahabirClinical Immunology and Allergy Department, Leicester Royal Infirmary, Leicester, UK.
Dylan James Mac LochlainnDepartment of Clinical Immunology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Elizabeth McDermottClinical Immunology and Allergy Department, Nottingham University Hospital NHS Trust, Nottingham, UK.
Siraj MisbahDepartment of Clinical Immunology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Fiona MoghaddasClinical Immunology, North Bristol NHS Trust, Bristol, UK.
Hadeil MorsiDepartment of Clinical Immunology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Sai MurngClinical Immunology Service, South West London Immunodeficiency Centre, Epsom and St Helier University Hospital NHS Trust, London, UK.
Sadia NooraniClinical Immunology Department, Sandwell & West Birmingham Hospitals NHS Trust, Birmingham, UK.
Rachael O'BrienDepartment of Clinical Immunology, Frimley Park Hospital, Frimley, Surrey, UK.
Smita PatelDepartment of Clinical Immunology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Arthur PriceClinical Immunology and Allergy Department, Leicester Royal Infirmary, Leicester, UK.
Tasneem RahmanClinical Immunology Service, South West London Immunodeficiency Centre, Epsom and St Helier University Hospital NHS Trust, London, UK.
Suranjith SeneviratneInstitute of Immunity and Transplantation, University College London, London, UK.
Anna ShrimptonClinical Immunology and Allergy Department, Sheffield Teaching Hospitals NHS Foundation Trust, UK.
Catherine StroudRegional Department of Clinical Immunology & Allergy, Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHS Foundation Trust, UK.
Moira ThomasClinical Immunology Service, NHS Greater Glasgow and Clyde, Glasgow, UK.
Katie TownsendClinical Immunology Service, South West London Immunodeficiency Centre, Epsom and St Helier University Hospital NHS Trust, London, UK.
Prashantha VaitlaClinical Immunology and Allergy Department, Nottingham University Hospital NHS Trust, Nottingham, UK.
Nisha VermaInstitute of Immunity and Transplantation, University College London, London, UK.
Anthony WilliamsDepartment of Allergy and Clinical Immunology, University Hospital Southampton NHS Trust, University of Southampton, Southampton, UK.
Siobhan O BurnsInstitute of Immunity and Transplantation, University College London, London, UK.
Sinisa SavicDepartment of Clinical Immunology and Allergy, St James University Hospital, Leeds Teaching Hospital NHS Trust, Leeds, UK.ORCID 0000-0001-7910-0554
Alex G RichterClinical Immunology Service, Institute of Immunology and Immunotherapy, University of Birmingham, UK.
Oxford University Hospitals NHS Trust · GBEpsom and St Helier University Hospitals NHS Trust · GBNottingham University Hospitals NHS Trust · GBNorth Bristol NHS Trust · GBRoyal Free London NHS Foundation Trust · GBUniversity College London · GBUniversity of Birmingham · GBLeicester Royal Infirmary · GBRoyal Stoke University Hospital · GBRoyal Victoria Infirmary · GBSalford Royal NHS Foundation Trust · GBSheffield Teaching Hospitals NHS Foundation Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GBAberdeen Royal Infirmary · GBBarts Health NHS Trust · GBDudley Group NHS Foundation Trust · GBFrimley Park Hospital · GBGreat North Children's Hospital · GBLancashire Teaching Hospitals NHS Foundation Trust · GB

Funding

Medical Research Council MR/S021930/1Medical Research Council MR/W002663/1Wellcome Trust 211153/Z/18/Z
6 · The paper itself

Abstract

In March 2020, the United Kingdom Primary Immunodeficiency Network (UKPIN) established a registry of cases to collate the outcomes of individuals with PID and SID following SARS-CoV-2 infection and treatment. A total of 310 cases of SARS-CoV-2 infection in individuals with PID or SID have now been reported in the UK. The overall mortality within the cohort was 17.7% (n = 55/310). Individuals with CVID demonstrated an infection fatality rate (IFR) of 18.3% (n = 17/93), individuals with PID receiving IgRT had an IFR of 16.3% (n = 26/159) and individuals with SID, an IFR of 27.2% (n = 25/92). Individuals with PID and SID had higher inpatient mortality and died at a younger age than the general population. Increasing age, low pre-SARS-CoV-2 infection lymphocyte count and the presence of common co-morbidities increased the risk of mortality in PID. Access to specific COVID-19 treatments in this cohort was limited: only 22.9% (n = 33/144) of patients admitted to the hospital received dexamethasone, remdesivir, an anti-SARS-CoV-2 antibody-based therapeutic (e.g. REGN-COV2 or convalescent plasma) or tocilizumab as a monotherapy or in combination. Dexamethasone, remdesivir, and anti-SARS-CoV-2 antibody-based therapeutics appeared efficacious in PID and SID. Compared to the general population, individuals with PID or SID are at high risk of mortality following SARS-CoV-2 infection. Increasing age, low baseline lymphocyte count, and the presence of co-morbidities are additional risk factors for poor outcome in this cohort.

Indexed as

COVID-19COVID-19 Drug TreatmentImmunologic Deficiency SyndromesAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingAntibodies, ViralCOVID-19 SerotherapyDexamethasoneDrug CombinationsHumansImmunization, PassiveSARS-CoV-2United KingdomAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingAntibodies, Viralcasirivimab and imdevimab drug combinationDexamethasoneDrug CombinationsCOVID-19hypogammaglobulinemiainborn errors of immunitylymphopeniaprimary immunodeficienciesSARS-CoV-2secondary immunodeficiencies

Identifiers

PMID35641155
PMCPMC8807296
OpenAlexW4220876967

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Registered trials

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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.