Evidence map›Paper›PMID 35896965›Full record

Observational studyBMC infectious diseases2022

Assessment of unvaccinated and vaccinated patients with coronavirus disease 2019 (COVID-19) treated with monoclonal antibodies during the delta wave (July 1-August 20, 2021): a retrospective observational monocentric study.

Yi Guo, Kelsie Cowman, Mei Chang, Hongkai Bao, Austin Golia, Terrence Mcsweeney, Linda Bard, Roxanne Simpson, Erin Andrews, Liise-Anne Pirofski and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

11 authors at 3 institutions in 1 country.

Yi GuoDepartment of Pharmacy, Montefiore Medical Center Moses, 111 East 210th Street, Bronx, NY, 10467, USA. yiguo@montefiore.org.
Kelsie CowmanDivision of Infectious Diseases, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 3411 Wayne Avenue, #4H, Bronx, NY, 10467, USA.
Mei ChangDepartment of Pharmacy, Montefiore Medical Center Weiler, 1825 Eastchester Rd, Bronx, NY, 10461, USA.
Hongkai BaoDepartment of Pharmacy, Montefiore Medical Center Wakefield, 500 East 233rd St, Bronx, NY, 10466, USA.
Austin GoliaDepartment of Pharmacy, Montefiore Medical Center Moses, 111 East 210th Street, Bronx, NY, 10467, USA.
Terrence McsweeneyDepartment of Pharmacy, Montefiore Medical Center Moses, 111 East 210th Street, Bronx, NY, 10467, USA.
Linda BardFaculty Practice Group, Montefiore Medical Center, 111 East 210th Street, Bronx, NY, 10467, USA.
Roxanne SimpsonDepartment of Nursing, Montefiore Medical Center, 111 East 210th Street, Bronx, NY, 10467, USA.
Erin AndrewsNetwork Performance Group, Montefiore Health System, Bronx, NY, USA.
Liise-Anne PirofskiDivision of Infectious Diseases, Department of Microbiology and Immunology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY, 10461, USA.
Priya NoriDivision of Infectious Diseases, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 3411 Wayne Avenue, #4H, Bronx, NY, 10467, USA.
Montefiore Medical Center · USAlbert Einstein College of Medicine · USMontefiore Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMonoclonal antibodies (mAb) prevent COVID-19 progression when administered early. We compared mAb treatment outcomes among vaccinated and unvaccinated patients during Delta wave and assessed the feasibility of implementing stricter eligibility criteria in the event of mAb scarcity.

methodsWe conducted a retrospective observational study of casirivimab/imdevimab recipients with mild-to-moderate COVID-19 infection in an emergency department or outpatient infusion center (July 1-August 20, 2021). Primary outcome was all-cause hospital admission within 30 days post-treatment between vaccinated vs. unvaccinated patients during Delta surge in the Bronx, NY.

resultsA total of 250 patients received casirivimab/imdevimab (162 unvaccinated vs. 88 vaccinated). The median age was 39 years for unvaccinated patients, and 52 years for vaccinated patients (p < 0.0001). The median number of EUA criteria met was 1 for unvaccinated and 2 for vaccinated patients (p < 0.0001). Overall, 6% (15/250) of patients were admitted within 30 days post-treatment. Eleven unvaccinated patients (7%) were admitted within 30-days compared to 4 (5%) vaccinated patients (p = 0.48).

conclusionsAll-cause 30-day admission was not statistically different between vaccinated and unvaccinated patients. When federal allocation of therapies is limited, programs must prioritize patients at highest risk of hospitalization and death regardless of vaccination status.

Indexed as

COVID-19AdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedHumansRetrospective StudiesAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedcasirivimabimdevimabCasirivimab/imdevimabCoronavirus disease 19COVID-19Delta variantMonoclonal antibodySARS-CoV-2 variant B.1.617.2UnvaccinatedVaccinatedVaccination

Identifiers

PMID35896965
PMCPMC9325951
OpenAlexW4288518010

What OpenQuestion holds

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LicenceCC BY
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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.