Evidence map›Paper›PMID 35977938›Full record

ArticleNature communications2022

Trends in COVID-19 hospital outcomes in England before and after vaccine introduction, a cohort study.

Peter D Kirwan, Andre Charlett, Paul Birrell, Suzanne Elgohari, Russell Hope, Sema Mandal, Daniela De Angelis, Anne M Presanis

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.6field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 38 citations in OpenAlex.

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  9. The Impact of Vaccination on COVID-19 Outcomes in Vietnam.Diagnostics (Basel, Switzerland) · 2024
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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

8 authors at 2 institutions in 1 country.

Peter D KirwanMedical Research Council Biostatistics Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK. peter.kirwan@mrc-bsu.cam.ac.uk.ORCID 0000-0001-6904-0500
Andre CharlettUK Health Security Agency, London, UK.
Paul BirrellMedical Research Council Biostatistics Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK.ORCID 0000-0001-8131-4893
Suzanne ElgohariUK Health Security Agency, London, UK.
Russell HopeUK Health Security Agency, London, UK.
Sema MandalUK Health Security Agency, London, UK.
Daniela De AngelisMedical Research Council Biostatistics Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Anne M PresanisMedical Research Council Biostatistics Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
UK Health Security Agency · GBUniversity of Cambridge · GB

Funding

Department of Health PR-OD-1017-20006Medical Research Council MC_PC_19074Medical Research Council MC_UU_00002/11
6 · The paper itself

Abstract

Widespread vaccination campaigns have changed the landscape for COVID-19, vastly altering symptoms and reducing morbidity and mortality. We estimate trends in mortality by month of admission and vaccination status among those hospitalised with COVID-19 in England between March 2020 to September 2021, controlling for demographic factors and hospital load. Among 259,727 hospitalised COVID-19 cases, 51,948 (20.0%) experienced mortality in hospital. Hospitalised fatality risk ranged from 40.3% (95% confidence interval 39.4-41.3%) in March 2020 to 8.1% (7.2-9.0%) in June 2021. Older individuals and those with multiple co-morbidities were more likely to die or else experienced longer stays prior to discharge. Compared to unvaccinated people, the hazard of hospitalised mortality was 0.71 (0.67-0.77) with a first vaccine dose, and 0.56 (0.52-0.61) with a second vaccine dose. Compared to hospital load at 0-20% of the busiest week, the hazard of hospitalised mortality during periods of peak load (90-100%), was 1.23 (1.12-1.34). The prognosis for people hospitalised with COVID-19 in England has varied substantially throughout the pandemic and according to case-mix, vaccination, and hospital load. Our estimates provide an indication for demands on hospital resources, and the relationship between hospital burden and outcomes.

Indexed as

COVID-19VaccinesCohort StudiesHospitalsHumansSARS-CoV-2Vaccines

Identifiers

PMID35977938
PMCPMC9382625
OpenAlexW4292099413

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.