Evidence map›Paper›PMID 37685639›Full record

ArticleJournal of clinical medicine2023

Change in the Clinical Picture of Hospitalized Patients with COVID-19 between the Early and Late Period of Dominance of the Omicron SARS-CoV-2 Variant.

Robert Flisiak, Dorota Zarębska-Michaluk, Krystyna Dobrowolska, Marta Rorat, Magdalena Rogalska, Justyna Anna Kryńska, Anna Moniuszko-Malinowska, Piotr Czupryna, Dorota Kozielewicz, Jerzy Jaroszewicz and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. 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
5.4field-weighted citation impact, top 3% 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, 28 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

14 authors at 9 institutions in 1 country.

Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, 15-540 Białystok, Poland.ORCID 0000-0003-3394-1635
Dorota Zarębska-MichalukDepartment of Infectious Diseases and Allergology, Jan Kochanowski University, 25-317 Kielce, Poland.ORCID 0000-0003-0938-1084
Krystyna DobrowolskaCollegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland.
Marta RoratDepartment of Infectious Diseases and Hepatology, Wrocław Medical University, 51-149 Wrocław, Poland.ORCID 0000-0002-5318-4945
Magdalena RogalskaDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, 15-540 Białystok, Poland.
Justyna Anna KryńskaDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, 15-540 Białystok, Poland.ORCID 0009-0008-7995-4427
Anna Moniuszko-MalinowskaDepartment of Infectious Diseases and Neuroinfections, Medical University of Białystok, 15-809 Białystok, Poland.
Piotr CzuprynaDepartment of Infectious Diseases and Neuroinfections, Medical University of Białystok, 15-809 Białystok, Poland.ORCID 0000-0002-0072-2180
Dorota KozielewiczDepartment of Infectious Diseases and Hepatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 87-100 Toruń, Poland.ORCID 0000-0003-4651-6443
Jerzy JaroszewiczDepartment of Infectious Diseases and Hepatology, Medical University of Silesia in Katowice, 41-902 Bytom, Poland.
Katarzyna SikorskaDivision of Tropical and Parasitic Diseases, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdańsk, Poland.ORCID 0000-0001-5678-5669
Agnieszka BednarskaDepartment of Adult's Infectious Diseases, Medical University of Warsaw, Hospital for Infectious Diseases, 02-091 Warsaw, Poland.
Anna PiekarskaDepartment of Infectious Diseases and Hepatology, Medical University of Łódź, 90-419 Łódź, Poland.ORCID 0000-0002-7188-4881
Piotr RzymskiDepartment of Environmental Medicine, Poznań University of Medical Sciences, 60-806 Poznań, Poland.ORCID 0000-0002-4713-0801
Medical University of Białystok · PLJan Kochanowski University · PLGdańsk Medical University · PLMedical University of Lodz · PLMedical University of Silesia · PLMedical University of Warsaw · PLNicolaus Copernicus University · PLPoznan University of Medical Sciences · PLWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to compare the clinical picture of COVID-19 in the initial and later period of Omicron dominance and to identify populations still at risk. A retrospective comparison of the clinical data of 965 patients hospitalized during the early period of Omicron's dominance (EO, January-June 2022) with 897 patients from a later period (LO, July 2022-April 2023) from the SARSTer database was performed. Patients hospitalized during LO, compared to EO, were older, had a better clinical condition on admission, had a lower need for oxygen and mechanical ventilation, had less frequent lung involvement in imaging, and showed much faster clinical improvement. Moreover, the overall mortality during EO was 14%, higher than that in LO-9%. Despite the milder course of the disease, mortality exceeding 15% was similar in both groups among patients with lung involvement. The accumulation of risk factors such as an age of 60+, comorbidities, lung involvement, and oxygen saturation <90% resulted in a constant need for oxygen in 98% of patients, an 8% risk of mechanical ventilation, and a 30% mortality rate in the LO period. Multiple logistic regression revealed lower odds of death during the LO phase. Despite the milder course of infections caused by the currently dominant subvariants, COVID-19 prophylaxis is necessary in people over 60 years of age, especially those with comorbidities, and in the case of pneumonia and respiratory failure.

Indexed as

COVID-19mortalityOmicronSARS-CoV-2severity

Identifiers

PMID37685639
PMCPMC10488127
OpenAlexW4386220150

What OpenQuestion holds

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LicenceCC BY
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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.