Evidence map›Paper›PMID 36016276›Full record

ArticleViruses2022

Serum SARS-CoV-2 Antigens for the Determination of COVID-19 Severity.

Julien Favresse, Jean-Louis Bayart, Clara David, Constant Gillot, Grégoire Wieërs, Gatien Roussel, Guillaume Sondag, Marc Elsen, Christine Eucher, Jean-Michel Dogné and 1 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. SARS-CoV-2 Plasma Antibody and Nucleocapsid Antigen Status Predict Outcomes in Outpatients With COVID-19.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 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

11 authors at 3 institutions in 1 country.

Julien FavresseDepartment of Laboratory Medicine, Clinique St-Luc Bouge, 5004 Namur, Belgium.
Jean-Louis BayartDepartment of Laboratory Medicine, Clinique St-Pierre Ottignies, 1340 Ottignies-Louvain-la-Neuve, Belgium.ORCID 0000-0003-2043-3455
Clara DavidQualiblood s.a., 5000 Namur, Belgium.
Constant GillotDepartment of Pharmacy, Namur Research Institute for LIfe Sciences, University of Namur, 5000 Namur, Belgium.ORCID 0000-0002-4151-9760
Grégoire WieërsDepartment of Internal Medicine, Clinique Saint-Pierre Ottignies, 1340 Ottignies-Louvain-la-Neuve, Belgium.
Gatien RousselDepartment of Laboratory Medicine, Clinique St-Pierre Ottignies, 1340 Ottignies-Louvain-la-Neuve, Belgium.
Guillaume SondagDepartment of Laboratory Medicine, Clinique St-Luc Bouge, 5004 Namur, Belgium.
Marc ElsenDepartment of Laboratory Medicine, Clinique St-Luc Bouge, 5004 Namur, Belgium.
Christine EucherDepartment of Laboratory Medicine, Clinique St-Luc Bouge, 5004 Namur, Belgium.
Jean-Michel DognéDepartment of Pharmacy, Namur Research Institute for LIfe Sciences, University of Namur, 5000 Namur, Belgium.
Jonathan DouxfilsDepartment of Pharmacy, Namur Research Institute for LIfe Sciences, University of Namur, 5000 Namur, Belgium.ORCID 0000-0002-7644-5298
University of Namur · BEClinique Saint-Joseph · BEClinique Saint Pierre · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The diagnostic of SARS-CoV-2 infection relies on reverse transcriptase polymerase chain reactions (RT-PCRs) performed on nasopharyngeal (NP) swabs. Nevertheless, false-negative results can be obtained with inadequate sampling procedures, making the use of other biological matrices worthy of investigation. This study aims to evaluate the kinetics of serum N antigens in severe and non-severe patients and compare the clinical performance of serum antigenic assays with NP RT-PCR. Ninety patients were included in the study and monitored for several days. Disease severity was determined according to the WHO clinical progression scale. Serum N antigen levels were measured with a chemiluminescent assay (CLIA) and the Single Molecular Array (Simoa) assay. Viremia thresholds for severity were determined and proposed. In severe patients, the peak antigen response was observed 7 days after the onset of symptoms, followed by a decline. No real peak response was observed in non-severe patients. Severity thresholds for the Simoa and the CLIA provided positive likelihood ratios of 30.0 and 10.9 for the timeframe between day 2 and day 14, respectively. Sensitive detection of N antigens in serum may thus provide a valuable new marker for COVID-19 diagnosis and evaluation of disease severity. When assessed during the first 2 weeks since the onset of symptoms, it may help in identifying patients at risk of developing severe COVID-19 to optimize better intensive care utilization.

Indexed as

COVID-19COVID-19 TestingHumansImmunologic TestsSARS-CoV-2Sensitivity and SpecificitySeverity of Illness Indexantigenic assayCOVID-19prognosis testRT-PCRSARS-CoV-2

Identifiers

PMID36016276
PMCPMC9415151
OpenAlexW4288489878

What OpenQuestion holds

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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.