Evidence map›Paper›PMID 36587737›Full record

ArticleClinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases2023

Impact of vaccination on the presence and severity of symptoms in hospitalized patients with an infection of the Omicron variant (B.1.1.529) of the SARS-CoV-2 (subvariant BA.1).

Guillaume Beraud, Laura Bouetard, Rok Civljak, Jocelyn Michon, Necla Tulek, Sophie Lejeune, Romain Millot, Aurélie Garchet-Beaudron, Maeva Lefebvre, Petar Velikov and 17 more

Abstract read
In one paragraph

Article in Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Clinical outcomes of the severe acute respiratory syndrome coronavirus 2 Omicron and Delta variant: systematic review and meta-analysis of 33 studies covering 6 037 144 coronavirus disease 2019-positive patients.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

27 authors.

Guillaume BeraudInfectious Disease Department, University Hospital of Poitiers, Poitiers, France. Electronic address: beraudguillaume@gmail.com.
Laura BouetardAssistance Publique des Hôpitaux de Paris, Hôpital Antoine Béclère, Service de Médecine Interne, Clamart, France; Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, INSERM U1018, Centre de Recherche en Épidémiologie et Santé des Populations, Le Kremlin-Bicêtre, France.
Rok CivljakUniversity Hospital for Infectious Diseases 'Dr. Fran Mihaljevic' Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia.
Jocelyn MichonDepartment of Infectious Diseases, University Hospital of Caen, Caen, France.
Necla TulekAtilim University, Department of Infectious Diseases and Clinical Microbiology, Ankara Training and Research Hospital, Ankara, Turkey.
Sophie LejeuneInfectious Diseases, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.
Romain MillotInfectious Disease Department, University Hospital of Poitiers, Poitiers, France.
Aurélie Garchet-BeaudronInfectious Diseases Department, Centre Hospitalier, Le Mans, France.
Maeva LefebvreInfectious Diseases Department, Centre for Prevention of Infectious and Transmissible Diseases, Centre Hospitalier Universitaire de Nantes, Nantes, France; INSERM Centre d'Investigation Clinique 1413 Nantes University, Nantes, France.
Petar VelikovInfectious Diseases Hospital 'Prof. Ivan Kirov', Medical University of Sofia, Sofia, Bulgaria.
Benjamin FestouCentre Hospitalier Universitaire de Limoges, Department of Infectious Diseases and Tropical Medicine, Limoges, France.
Sophie AbgrallAssistance Publique des Hôpitaux de Paris, Hôpital Antoine Béclère, Service de Médecine Interne, Clamart, France; Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, INSERM U1018, Centre de Recherche en Épidémiologie et Santé des Populations, Le Kremlin-Bicêtre, France.
Ivan K LizatovicUniversity Hospital for Infectious Diseases 'Dr. Fran Mihaljevic' Zagreb, Croatia.
Aurélie BaldolliDepartment of Infectious Diseases, University Hospital of Caen, Caen, France.
Huseyin EsmerAtilim University, Department of Infectious Diseases and Clinical Microbiology, Ankara Training and Research Hospital, Ankara, Turkey.
Sophie BlanchiInfectious Diseases Department, Centre Hospitalier, Le Mans, France.
Gabrielle FroidevauxInfectious Diseases Department, Centre for Prevention of Infectious and Transmissible Diseases, Centre Hospitalier Universitaire de Nantes, Nantes, France.
Nikol KapinchevaInfectious Diseases Hospital 'Prof. Ivan Kirov', Medical University of Sofia, Sofia, Bulgaria.
Jean-François FaucherCentre Hospitalier Universitaire de Limoges, Department of Infectious Diseases and Tropical Medicine, Limoges, France; INSERM U1094, Limoges, France.
Mario DuvnjakClinic for Infectious Diseases, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine Osijek, J. J. Strossmayer University of Osijek, Osijek, Croatia.
Elçin AfşarAtılım University, Vocational School of Health Services, Ankara, Turkey.
Luka ŠvitekClinic for Infectious Diseases, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine Osijek, J. J. Strossmayer University of Osijek, Osijek, Croatia.
Saliha YarimogluKaraman Training and Research Hospital, Karaman, Turkey.
Rafet YarimogluKaraman Training and Research Hospital, Karaman, Turkey.
Cécile JanssenInfectious Disease Unit, Centre Hospitalier Annecy Genevois, Annecy, France.
Olivier EpaulardInfectious Diseases, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.
EVASG (ESCMID vaccination study group)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe emergence of SARS-CoV-2 variants raised questions about the extent to which vaccines designed in 2020 have remained effective. We aimed to assess whether vaccine status was associated with the severity of Omicron SARS-CoV-2 infection in hospitalized patients.

methodsWe conducted an international, multi-centric, retrospective study in 14 centres (Bulgaria, Croatia, France, and Turkey). We collected data on patients hospitalized for ≥24 hours between 1 December 2021 and 3 March 2022 with PCR-confirmed infection at a time of exclusive Omicron circulation and hospitalization related or not related to the infection. Patients who had received prophylaxis by monoclonal antibodies were excluded. Patients were considered fully vaccinated if they had received at least two injections of either mRNA and/or ChAdOx1-S or one injection of Ad26.CoV2-S vaccines.

resultsAmong 1215 patients (median age, 73.0 years; interquartile range, 57.0-84.0; 51.3% men), 746 (61.4%) were fully vaccinated. In multivariate analysis, being vaccinated was associated with lower 28-day mortality (Odds Ratio [95% Confidence Interval] (OR [95CI]) = 0.50 [0.32-0.77]), intensive care unit admission (OR [95CI] = 0.40 [0.26-0.62]), and oxygen requirement (OR [95CI] = 0.34 [0.25-0.46]), independent of age and comorbidities. When co-analysing these patients with Omicron infection with 948 patients with Delta infection from a study we recently conducted, Omicron infection was associated with lower 28-day mortality (OR [95CI] = 0.53 [0.37-0.76]), intensive care unit admission (OR [95CI] = 0.19 [0.12-0.28]), and oxygen requirements (OR [95CI] = 0.50 [0.38-0.67]), independent of age, comorbidities, and vaccination status. DISCUSSION: Originally designed vaccines have remained effective on the severity of Omicron SARS-CoV-2 infection. Omicron is associated with a lower risk of severe forms, independent of vaccination and patient characteristics.

Indexed as

COVID-19SARS-CoV-2AgedChAdOx1 nCoV-19FemaleHumansMaleRetrospective StudiesVaccinationChAdOx1 nCoV-19Breakthrough infectionOmicronSARS-CoV-2SeverityVaccine

Identifiers

PMID36587737
PMCPMC9798780

What OpenQuestion holds

Textmetadata
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.