Evidence map›Paper›PMID 38064470›Full record

ArticlePloS one2023

Assessing the impact of the Gamma variant on COVID-19 patient admissions in a southern Brazilian tertiary hospital-A comparison of dual pandemic phases.

Natalia R Domino, Bruna A Lapinscki, Felipe Zhen, Guilherme Yamaguto, Emanueli C S Costa, Vitor L Moriya, Luciane A Pereira, Ricardo Petterle, Meri B Nogueira, Sonia M Raboni

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. COVID-19 hospitalization in vaccinated and non-vaccinated patients: Clinical profile and outcomes.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    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

10 authors.

Natalia R DominoInfectious Diseases Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil.
Bruna A LapinsckiMicroorganisms Research and Molecular Biology Laboratory, Universidade Federal do Paraná, Curitiba, Brazil.
Felipe ZhenInfectious Diseases Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil.
Guilherme YamagutoInfectious Diseases Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil.
Emanueli C S CostaInfectious Diseases Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil.
Vitor L MoriyaInfectious Diseases Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil.
Luciane A PereiraVirology Laboratory, Universidade Federal do Paraná, Curitiba, Brazil.
Ricardo PetterleDepartment of Integrative Medicine, Universidade Federal do Paraná, Curitiba, Brazil.
Meri B NogueiraVirology Laboratory, Universidade Federal do Paraná, Curitiba, Brazil.
Sonia M RaboniInfectious Diseases Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil.ORCID 0000-0001-7907-7585

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the first case of COVID-19, Brazil has undergone infection waves with distinct characteristics. The description of new variants has alerted the emergence of more contagious or virulent viruses. The variant of concern Gamma emerged in Brazil and caused an epidemic wave, but its spread outside the country was limited. We report the clinical-epidemiological profile of hospitalized patients with COVID-19 by comparing two periods. A retrospective cohort study was performed. The primary outcome was to assess individuals with COVID-19 admitted in wards and intensive care units at the academic hospital of the Federal University of Parana (CHC-UFPR) between March 2020 and July 2021, correlating demographic, clinical-epidemiologic, and survival data with the most prevalent viral variant found in each period. We used Kaplan-Meier analysis to estimate the probability of survival and ROC curves to evaluate laboratory tests to find a cutoff point for poor outcomes. Data from 2,887 individuals were analyzed, 1,495 and 1,392 from the first and second periods, respectively. Hospitalization predominated among males in both periods, and the median age was significantly lower in the second one. The frequency of comorbidities was similar. Various demographic factors, clinical assessments, and laboratory tests were examined in relation to greater severity. When comparing the two periods, we observed predominance of the Wild virus during the first wave and the Gamma variant during the second, with no significant difference in outcomes. The findings suggest that despite the association of many factors with increased severity, the temporal variation between the two periods did not result in a notable divergence in the measured outcomes. The COVID-19 pandemic has lasted for a long time, with periods marked by peaks of cases, often caused by the emergence of viral variants, resulting in higher infection rates and rapid dissemination but, for variant Gamma, no apparent greater virulence.

Indexed as

COVID-19Patient AdmissionBrazilFemaleHumansMalePandemicsRetrospective StudiesSARS-CoV-2Tertiary Care Centers

Identifiers

PMID38064470
PMCPMC10707562

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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.