Evidence map›Paper›PMID 35959415›Full record

ArticleThe Lancet regional health. Europe2022

Seroprevalence and infection fatality rate of the SARS-CoV-2 Omicron variant in Denmark: A nationwide serosurveillance study.

Christian Erikstrup, Anna Damkjær Laksafoss, Josephine Gladov, Kathrine Agergård Kaspersen, Susan Mikkelsen, Lotte Hindhede, Jens Kjærgaard Boldsen, Signe Winther Jørgensen, Steen Ethelberg, Dorte Kinggaard Holm and 17 more

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

27 authors.

Christian ErikstrupDepartment of Clinical Immunology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.
Anna Damkjær LaksafossEpidemiological Infectious Disease Preparedness, Statens Serum Institut, DK-2300 Copenhagen S, Denmark.
Josephine GladovDepartment of Clinical Immunology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.
Kathrine Agergård KaspersenDepartment of Clinical Immunology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.
Susan MikkelsenDepartment of Clinical Immunology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.
Lotte HindhedeDepartment of Clinical Immunology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.
Jens Kjærgaard BoldsenDepartment of Clinical Immunology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.
Signe Winther JørgensenDepartment of Clinical Immunology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.
Steen EthelbergEpidemiological Infectious Disease Preparedness, Statens Serum Institut, DK-2300 Copenhagen S, Denmark.
Dorte Kinggaard HolmDepartment of Clinical Immunology, Odense University Hospital, DK-5000 Odense, Denmark.
Mie Topholm BruunDepartment of Clinical Immunology, Odense University Hospital, DK-5000 Odense, Denmark.
Janna NissenDepartment of Clinical Immunology, Copenhagen University Hospital, DK-2100 Copenhagen Ø, Denmark.
Michael SchwinnDepartment of Clinical Immunology, Copenhagen University Hospital, DK-2100 Copenhagen Ø, Denmark.
Thorsten BrodersenDepartment of Clinical Immunology, Zealand University Hospital, DK-4700 Naestved, Denmark.
Christina MikkelsenDepartment of Clinical Immunology, Copenhagen University Hospital, DK-2100 Copenhagen Ø, Denmark.
Susanne Gjørup SækmoseDepartment of Clinical Immunology, Zealand University Hospital, DK-4700 Naestved, Denmark.
Erik SørensenDepartment of Clinical Immunology, Copenhagen University Hospital, DK-2100 Copenhagen Ø, Denmark.
Lene Holm HarritshøjDepartment of Clinical Immunology, Copenhagen University Hospital, DK-2100 Copenhagen Ø, Denmark.
Bitten AagaardDepartment of Clinical Immunology, Aalborg University Hospital, DK-9000 Aalborg, Denmark.
Khoa Manh DinhDepartment of Clinical Immunology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.
Michael P BuschDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, CA, USA.
Charlotte Sværke JørgensenDepartment of Virus and Microbiological Special Diagnostics, Statens Serum Institut, DK-2300 Copenhagen S, Denmark.
Tyra Grove KrauseEpidemiological Infectious Disease Preparedness, Statens Serum Institut, DK-2300 Copenhagen S, Denmark.
Henrik UllumEpidemiological Infectious Disease Preparedness, Statens Serum Institut, DK-2300 Copenhagen S, Denmark.
Sisse Rye OstrowskiDepartment of Clinical Immunology, Copenhagen University Hospital, DK-2100 Copenhagen Ø, Denmark.
Laura EspenhainEpidemiological Infectious Disease Preparedness, Statens Serum Institut, DK-2300 Copenhagen S, Denmark.
Ole Birger Vesterager PedersenDepartment of Clinical Immunology, Zealand University Hospital, DK-4700 Naestved, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Introduction of the Omicron variant caused a steep rise in SARS-CoV-2 infections despite high vaccination coverage in the Danish population. We used blood donor serosurveillance to estimate the percentage of recently infected residents in the similarly aged background population with no known comorbidity. Methods: To detect SARS-CoV-2 antibodies induced due to recent infection, and not vaccination, we assessed anti-nucleocapsid (anti-N) immunoglobulin G (IgG) in blood donor samples. Individual level data on SARS-CoV-2 RT-PCR results and vaccination status were available. Anti-N IgG was measured fortnightly from January 18 to April 3, 2022. Samples from November 2021 were analysed to assess seroprevalence before introduction of the Omicron variant in Denmark. Findings: A total of 43 088 donations from 35 309 Danish blood donors aged 17-72 years were screened. In November 2021, 1·2% (103/8 701) of donors had detectable anti-N IgG antibodies. Adjusting for test sensitivity (estimates ranging from 74%-81%) and November seroprevalence, we estimate that 66% (95% confidence intervals (CI): 63%-70%) of the healthy, similarly aged Danish population had been infected between November 1, 2021, and March 15, 2022. One third of infections were not captured by SARS-CoV-2 RT-PCR testing. The infection fatality rate (IFR) was 6·2 (CI: 5·1-7·5) per 100 000 infections. Interpretation: Screening for anti-N IgG and linkage to national registers allowed us to detect recent infections and accurately assess assay sensitivity in vaccinated or previously infected individuals during the Omicron outbreak. The IFR was lower than during previous waves. Funding: The Danish Ministry of Health.

Indexed as

Infection fatality rateSARS-CoV-2Seroprevalence

Identifiers

PMID35959415
PMCPMC9355516

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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.