Evidence map›Paper›PMID 37753447›Full record

ArticleEClinicalMedicine2023

Early Omicron infection is associated with increased reinfection risk in older adults in long-term care and retirement facilities.

Jessica A Breznik, Ahmad Rahim, Ali Zhang, Jann Ang, Hannah D Stacey, Hina Bhakta, Rumi Clare, Li-Min Liu, Allison Kennedy, Megan Hagerman and 6 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 19 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

16 authors at 3 institutions in 1 country.

Jessica A BreznikMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
Ahmad RahimDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Ali ZhangMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
Jann AngMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
Hannah D StaceyMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
Hina BhaktaDepartment of Biochemistry & Biomedical Sciences, McMaster University, Hamilton, Ontario, Canada.
Rumi ClareDepartment of Biochemistry & Biomedical Sciences, McMaster University, Hamilton, Ontario, Canada.
Li-Min LiuMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
Allison KennedyMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
Megan HagermanMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
Tara KajaksMcMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada.
Matthew S MillerMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
Ishac NazyDepartment of Biochemistry & Biomedical Sciences, McMaster University, Hamilton, Ontario, Canada.
Jonathan L BramsonMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
Andrew P CostaDepartment of Medicine, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Dawn M E BowdishMcMaster Immunology Research Centre, McMaster University, Hamilton, Ontario, Canada.
McMaster University Medical Centre · CAImpact · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Older adults are at increased risk of SARS-CoV-2 Omicron infection and severe disease, especially those in congregate living settings, despite high SARS-CoV-2 vaccine coverage. It is unclear whether hybrid immunity (combined vaccination and infection) after one Omicron infection provides increased protection against subsequent Omicron reinfection in older adults. Methods: Incidence of SARS-CoV-2 Omicron infection was examined in 750 vaccinated residents of long-term care and retirement homes in the observational cohort Findings: 133 of 750 participants (17.7%) had a PCR-confirmed Omicron infection during the observation period. Increased infection risk was associated with prior Omicron infection (at 9-29 days: 47.67 [23.73-95.76]), and this was not attributed to days since fourth vaccination (1.00 [1.00-1.01]) or residence outbreaks (>6 compared to ≤6: 0.95 [0.37-2.41]). Instead, reinfected participants had lower serum neutralizing antibodies to ancestral and Omicron BA.1 SARS-CoV-2, and lower anti-RBD IgG and IgA antibodies, after their initial Omicron infection. Interpretation: Counterintuitively, SARS-CoV-2 Omicron infection was associated with increased risk of Omicron reinfection in residents of long-term care and retirement homes. Less robust humoral hybrid immune responses in older adults may contribute to risk of Omicron reinfection. Funding: COVID-19 Immunity Task Force of the Public Health Agency of Canada.

Indexed as

COVID-19Hybrid immunityOlder adultsOmicronSARS-CoV-2

Identifiers

PMID37753447
PMCPMC10518514
OpenAlexW4386034136

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.