Evidence map›Paper›PMID 40273490›Full record

Observational studyClinics (Sao Paulo, Brazil)2025

Clinical characteristics, SARS-CoV-2 variants, and outcomes of adults hospitalized due to COVID-19 in Latin American countries.

Constantino López-Macías, Eduardo López-Medina, Maysa Bonfleur Alves, Aline da Rocha Matos, Juan V Hernández-Villena, Zuleika Aponte-Torres, Laura E Sarabia, Paula Manrique-Ramirez, Luis F Tejado-Gallegos, Larisa Ramirez Gutierrez and 2 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Clinics (Sao Paulo, Brazil), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05282017 (LatInamerican Vaccine Effectiveness Against Hospitalizations Due to Circulating COVID-19 VoC RWE Study), which is not on this 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.

NCT05282017 completednot on this map

LatInamerican Vaccine Effectiveness Against Hospitalizations Due to Circulating COVID-19 VoC RWE Study

TypeobservationalSponsorAstraZenecaRan2022 to 2023Enrolled792ConditionsCOVID-19, SARS-CoV-2
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

12 authors.

Constantino López-MacíasUnidad de Investigación Médica en Inmunoquímica, UMAE Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social (IMSS), Ciudad de México, Mexico.
Eduardo López-MedinaCentro de Estudios en Infectología Pediátrica CEIP, Departamento de Pediatría, Universidad del Valle, Clínica Imbanaco, Grupo Quironsalud, Colombia.
Maysa Bonfleur AlvesInstituto D'Or de Pesquisa e Ensino - IDOR, Rio de Janeiro, RJ, Brazil.
Aline da Rocha MatosFundação Oswaldo Cruz - Fiocruz, Instituto Oswaldo Cruz, Laboratório de Vírus Respiratórios, Exantemáticas, Enterovírus e Emergências Virais, Rio de Janeiro, RJ, Brazil.
Juan V Hernández-VillenaP95 Epidemiology & Pharmacovigilance, Leuven, Belgium.
Zuleika Aponte-TorresP95 Epidemiology & Pharmacovigilance, Leuven, Belgium.
Laura E SarabiaP95 Epidemiology & Pharmacovigilance, Leuven, Belgium.
Paula Manrique-RamirezP95 Epidemiology & Pharmacovigilance, Leuven, Belgium.
Luis F Tejado-GallegosVaccines and Immune Therapies, BioPharmaceuticals Medical, AstraZeneca, Ciudad de México, Mexico. Electronic address: luis.tejado@astrazeneca.com.
Larisa Ramirez GutierrezVaccines and Immune Therapies, BioPharmaceuticals Medical, AstraZeneca, Gaithersburg, USA.
Wilhelmine MeerausVaccines and Immune Therapies, BioPharmaceuticals Medical, AstraZeneca, Cambridge, UK.
Bárbara Emoingt FurtadoVaccines and Immune Therapies, BioPharmaceuticals Medical, AstraZeneca, Gaithersburg, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCOVID-19 vaccines prevented severe disease outcomes worldwide. As part of a vaccine effectiveness study, the authors summarized demographic and health profiles, vaccination data, SARS-CoV-2 variants, and disease outcomes from patients hospitalized due to COVID-19-like symptoms in Latin America between February and December 2022.

methodsLIVE was an observational-prospective study with a test-negative case-control design (NCT05282017). Adults admitted with COVID-19-like symptoms were recruited across five Latin American countries. Patients were tested for SARS-CoV-2, and variants were identified through sequencing. Data were collected from medical records and interviews.

resultsParticipants recruited (536 cases, 250 controls) had a mean age of 60.5 years. COVID-19 cases (63.7, SD = 19.1) were slightly older than controls (53.8, SD = 20.4). Disorders of the cardiovascular system were the most prevalent comorbidities, and most participants (73.0 %) reported at least one comorbidity. COVID-19 cases mostly presented with moderate (51.1 %) disease. Overall, 50.6 % of participants were unvaccinated against COVID-19, with a higher percentage in cases (56.3 %) than in controls (38.2 %). Viral genomic analysis identified the most prevalent SARS-CoV-2 lineages, BQ.1.1 (11.9 %) among Omicron BA.5 and XBB.1.15 (2.5 %) among recombinant variants. The study was underpowered to estimate vaccine effectiveness due to the low number of COVID-19 hospitalization cases.

conclusionThe present study revealed key demographic and clinical characteristics of patients hospitalized due to COVID-19. Notably, an older age among confirmed cases, a substantial proportion of unvaccinated individuals, and the decrease in hospitalizations emphasize the complexity of the COVID-19 landscape in Latin America and the need for continued research to inform public health strategies.

Indexed as

COVID-19COVID-19 VaccinesHospitalizationSARS-CoV-2AdultAgedAged, 80 and overCase-Control StudiesComorbidityFemaleHumansLatin AmericaMaleMiddle AgedProspective StudiesCOVID-19 VaccinesComorbidityCOVID-19 vaccinesHospitalizationLatin AmericaSARS-CoV-2 variants

Identifiers

PMID40273490
PMCPMC12051657

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.