Evidence map›Paper›PMID 36840484›Full record

ArticleImmunity, inflammation and disease2023

Vaccination status and outcomes of COVID-19 patients admitted to a tertiary hospital in Iran during the dominant Delta variant period.

Hamed Mehdinezhad, Bardia Karim, Niloufar Ahmadi, Reza Mohseni Ahangar, Ali Asadolahzadeh, Mahmoud Sadeghi Haddad-Zavareh, Fatemeh Khoshkhou, Zeynab Qolami, Neda Mahdinezhad Gorji, Mouloud Agajani Delavar

Open access · goldAbstract read
In one paragraph

Article in Immunity, inflammation and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 3 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

10 authors at 1 institution in 1 country.

Hamed MehdinezhadDepartment of Internal Medicine, School of Medicine, Rouhani Hospital, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0002-1049-1267
Bardia KarimDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0002-2037-4056
Niloufar AhmadiDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0003-4971-2351
Reza Mohseni AhangarDepartment of Internal Medicine, School of Medicine, Rouhani Hospital, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0001-6388-979X
Ali AsadolahzadehDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0002-6647-1329
Mahmoud Sadeghi Haddad-ZavarehDepartment of Infectious Disease, School of Medicine, Infectious Diseases and Tropical Medicine Research Center, Health Research Institute Rouhani Hospital, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0001-8701-7267
Fatemeh KhoshkhouDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0003-3339-8273
Zeynab QolamiDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0002-5450-7769
Neda Mahdinezhad GorjiDepartment of Internal Medicine, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0002-5093-371X
Mouloud Agajani DelavarDepartment of Internal Medicine, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Mazandaran, Iran.ORCID 0000-0001-6906-1440
Babol University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to determine the characteristics, vaccination status, and outcomes of confidence interval (COVID-19) patients, admitted to a tertiary hospital in Iran during the predominant severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) Delta variant period.

methodsThis retrospective study assessed the medical records of all hospitalized COVID-19 patients, who were admitted to a tertiary hospital from July 10 to September 15, 2021. Adjusted binary logistic regression analyses were conducted to determine factors associated with poor outcomes.

resultsMore than 25% of hospitalized patients received at least one vaccine dose of SARS-CoV-2. The Sinopharm BIBP vaccine (China) was the most commonly received vaccine (73.3%). After adjusting for age and comorbidities, the adjusted odds ratio (AOR) for poor outcomes was significantly lower in hospitalized patients who received Remdesivir compared to those not receiving Remdesivir (AOR: 0.35; 95% confidence interval [CI]: 0.15, 0.78; p < .010). Besides, age ≥50 years (AOR: 2.51; 95% CI: 1.38, 4.59; p < .003), low educational level (AOR: 3.99; 95% CI: 1.17, 13.53; p < .027), work outside in the past year (AOR: 1.75; 95% CI: 1.02, 3.00; p < .041), and diabetes mellitus (AOR: 1.95; 95% CI: 1.66, 3.26; p = .011) were associated with more poor outcomes.

conclusionBased on the present results, the risk of mortality and the risk of poor outcomes were lower in patients who received Remdesivir compared to those not receiving Remdesivir. The number of vaccinated patients was smaller than the unvaccinated among hospitalized patients. It is important to emphasize that vaccination reduced the need for hospitalization and that only vaccinated patients with comorbidities required hospitalization.

Indexed as

COVID-19COVID-19 VaccinesHospitalizationHumansIranMiddle AgedRetrospective StudiesSARS-CoV-2Tertiary Care CentersVaccinationVaccines, InactivatedBIBP COVID-19 vaccineCOVID-19 VaccinesVaccines, Inactivatedbreakthrough infectionCOVID-19 vaccineshospitalizationIranmortalitypandemic

Identifiers

PMID36840484
PMCPMC9950873
OpenAlexW4321792224

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Registered trials

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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.