Evidence map›Paper›PMID 36737369›Full record

ArticleEnfermedades infecciosas y microbiologia clinica (English ed.)2024

Comparative severity of COVID-19 cases caused by Alpha, Delta or Omicron SARS-CoV-2 variants and its association with vaccination.

Elena Varea-Jiménez, Esteban Aznar Cano, Lorena Vega-Piris, Elena Vanessa Martínez Sánchez, Clara Mazagatos, Lucía García San Miguel Rodríguez-Alarcón, Inmaculada Casas, María José Sierra Moros, Maria Iglesias-Caballero, Sonia Vazquez-Morón and 3 more

Open access · greenAbstract read
In one paragraph

Article in Enfermedades infecciosas y microbiologia clinica (English ed.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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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

13 authors at 4 institutions in 1 country.

Elena Varea-JiménezNational Centre of Epidemiology - Institute of Health Carlos III, Madrid, Spain.
Esteban Aznar CanoCentre for the Coordination of Alerts and Health Emergencies - Ministry of Health, Madrid, Spain.
Lorena Vega-PirisNational Centre of Epidemiology - Institute of Health Carlos III, Madrid, Spain.
Elena Vanessa Martínez SánchezCentre for the Coordination of Alerts and Health Emergencies - Ministry of Health, Madrid, Spain; CIBER Epidemiology and Public Health, Spain.
Clara MazagatosNational Centre of Epidemiology - Institute of Health Carlos III, Madrid, Spain; CIBER Epidemiology and Public Health, Spain.
Lucía García San Miguel Rodríguez-AlarcónCentre for the Coordination of Alerts and Health Emergencies - Ministry of Health, Madrid, Spain.
Inmaculada CasasCIBER Epidemiology and Public Health, Spain; National Centre of Microbiology - Institute of Health Carlos III, Madrid, Spain.
María José Sierra MorosCentre for the Coordination of Alerts and Health Emergencies - Ministry of Health, Madrid, Spain; CIBER Infectious Diseases, Spain.
Maria Iglesias-CaballeroNational Centre of Microbiology - Institute of Health Carlos III, Madrid, Spain.
Sonia Vazquez-MorónNational Centre of Microbiology - Institute of Health Carlos III, Madrid, Spain.
Amparo LarrauriNational Centre of Epidemiology - Institute of Health Carlos III, Madrid, Spain; CIBER Epidemiology and Public Health, Spain.
Susana MongeNational Centre of Epidemiology - Institute of Health Carlos III, Madrid, Spain; CIBER Infectious Diseases, Spain. Electronic address: smonge@isciii.es.
Working group for the surveillance and control of COVID-19
Instituto de Salud Carlos III · ESMinistry of Health · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESCentre for Biomedical Network Research on Rare Diseases · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study compares the severity of SARS-CoV-2 infections caused by Alpha, Delta or Omicron variants in periods of co-circulation in Spain, and estimates the variant-specific association of vaccination with severe disease.

methodsSARS-CoV-2 infections notified to the national epidemiological surveillance network with information on genetic variant and vaccination status were considered cases if they required hospitalisation or controls otherwise. Alpha and Delta were compared during June-July 2021; and Delta and Omicron during December 2021-January 2022. Adjusted odds ratios (aOR) were estimated using logistic regression, comparing variant and vaccination status between cases and controls.

resultsWe included 5,345 Alpha and 11,974 Delta infections in June-July and 5,272 Delta and 10,578 Omicron in December-January. Unvaccinated cases of Alpha (aOR: 0.57; 95% CI: 0.46-0.69) or Omicron (0.28; 0.21-0.36) had lower probability of hospitalisation vs. Delta. Complete vaccination reduced hospitalisation, similarly for Alpha (0.16; 0.13-0.21) and Delta (June-July: 0.16; 0.14-0.19; December-January: 0.36; 0.30-0.44) but lower from Omicron (0.63; 0.53-0.75) and individuals aged 65+ years.

conclusionResults indicate higher intrinsic severity of the Delta variant, compared with Alpha or Omicron, with smaller differences among vaccinated individuals. Nevertheless, vaccination was associated to reduced hospitalisation in all groups.

Indexed as

COVID-19HospitalizationHumansSARS-CoV-2VaccinationAlfaAlphaCOVID-19DeltaHospitalisationHospitalizaciónOmicronÓmicronSARS-CoV-2SARS-CoV-2 variantesSARS-CoV-2 variantsVaccinationVacuna

Identifiers

PMID36737369
PMCPMC9890374
OpenAlexW4318833394

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.