Evidence map›Paper›PMID 36870745›Full record

Observational studyIndian journal of medical microbiology

COVID-19 patients' clinical profile and outcome with respect to their vaccination status: A prospective observational multicentre cohort study during third wave in Western India.

Atul K Patel, Dhruv Patel, Manoj Shevkani, Aniket Shah, Surabhi Madan, Swati Gohel, Chirag Chhatwani, Aakash Doshi, Vipul Patel, Kalpesh Sukhwani and 6 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Indian journal of medical microbiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

16 authors at 5 institutions in 1 country.

Atul K PatelInfectious Diseases Department, Sterling Hospital, Ahmedabad 380052, India. Electronic address: atulpatel65@gmail.com.
Dhruv PatelInfectious Diseases and Tropical Medicine Clinic, Gala Business Center II, Off C G Road, Ahmedabad 380006, India.
Manoj ShevkaniAvron Hospital, Navarangpura, Ahmedabad 380013, India.
Aniket ShahInfectious Diseases, Shraddha Hospital, 14 Harihar Society, Maninagar, Ahmedabad 380008, India.
Surabhi MadanMarengo CIMS Hospital, Off Science City Road, Sola, Ahmedabad, India.
Swati GohelNarayana Multispeciality Hospital, Rakhiyal Cross Road, Rakhiyal, Ahmedabad 380023, India.
Chirag ChhatwaniAshirwad Infectious Disease Clinic (AIDC), 313-315, Zenon Apartment, Opp. Unique Hospital, Off. Ring Road, Surat 395007, India.
Aakash DoshiWokhardt Hospital, Kalawad Road, Rajkot, India.
Vipul PatelInfectious Diseases Care Clinic (IDCC), 302 Shubham Super Speciality Hospital, Near Sardar Patel Statue, Ahmedabad 380013, India.
Kalpesh SukhwaniKD Hospital, Vaishnodevi Circle, Ahmedabad, India.
Hiten KareliyaPrime Infection Care, OP Road, Vadodara, India.
Vipul ShahHealthcare Infectious Diseases Clinic, 301, Sankalp Square 2, Near Kalgi Cross Road, Ellisbridge, Ahmedabad 380006, India.
Pratik Savaj405, AXIS Business Space, Nanpura, Surat 395001, India.
Manish RanaCommunity Medicine Department, GMERS Medical College, Sola, Ahmedabad, Gujarat 380060, India.
Ketan K PatelInfectious Diseases Department, Sterling Hospital, Ahmedabad 380052, India.
Harsh BakshiCommunity Medicine Department, GMERS Medical College, Sola, Ahmedabad, Gujarat 380060, India.
B.J. Medical College · INSterling Hospitals · INCare Institute of Medical Sciences · INNarayana Health · INWockhardt Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo understand the benefits of COVID-19 vaccination (Covishield, Covaxin) on clinical features and outcome of COVID-19 during the third wave in India. MATERIALS AND

methodsThe primary study aim was to describe the clinical profile and outcome of COVID-19 regarding their vaccination and to identify risk factors for disease progression in vaccinated patients. This was a prospective observational multicentric study of COVID-19 attended by Infectious Disease physicians during January 15, 2022 to February 15, 2022. Adult patients with positive RT-PCR or rapid antigen test for COVID-19 were enrolled. Patient received treatment as per local institutional protocol. Chi square test for categorical and Mann Whitney test for continuous variables were applied for the analysis. Logistic regression was used to calculate adjusted odds ratios.

resultsA total of 788 patients were included in analysis out of 883 enrolled patients from 13 centers across Gujarat. By the end of two weeks' follow up, 22 patients (2.8%) had expired. The Median age of subjects was 54 years, with a (55.8%) male. 90% of the subjects were vaccinated, majority (77%) of them had received 2 doses of vaccine with Covishield (659, 93%). Mortality among the non-vaccinated was significantly (11.4%) higher than vaccinated (1.8%). Logistic regression analysis showed numbers of comorbidities (p ​= ​0.027), baseline higher WBC count (p ​= ​0.02), higher NLR (p ​= ​0.016), and Ct value (p ​= ​0.046) were associated with mortality while vaccination was associated with survival (p ​= ​0.001). The factors associated with mortality among vaccinated were age, comorbidities, baseline higher WBC, NLR, and CRP.

conclusionsOmicron variant was associated with mild symptoms. Clinical and laboratory risk factors for getting severe disease with Omicron variant were the same with previous SARS CoV-2 strain. Two doses of vaccine protect people against severe disease and death. Age, comorbidities, baseline leucocytosis, high NLR, elevated CRP are the risk factors for poor outcome in vaccinated patients.

Indexed as

COVID-19AdultChAdOx1 nCoV-19Cohort StudiesCOVID-19 VaccinesFemaleHumansIndiaMaleMiddle AgedSARS-CoV-2Vaccines, InactivatedBBV152 COVID-19 vaccineChAdOx1 nCoV-19COVID-19 VaccinesVaccines, InactivatedCovaxinCOVID-19CovishieldCVID-19 vaccineOmicronSARS CoV-2

Identifiers

PMID36870745
PMCPMC9793696
OpenAlexW4313443085

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.