The effects of vaccination on the disease severity and factors for viral clearance and hospitalization in Omicron-infected patients :A retrospective observational cohort study from recent regional outbreaks in China Article Swipe
Hongru Li
,
Xiongpeng Zhu
,
Rongguo Yu
,
Xin Qian
,
Yu Huang
,
Xiaoping Chen
,
Haibin Lin
,
Huiming Zheng
,
Yi Zhang
,
Jiarong Lin
,
Yanqin Deng
,
Wen Zhong
,
Yuejiao Ji
,
Li Q
,
Jiabin Fang
,
Xiaojie Yang
,
Rong Lin
,
Sufang Chen
,
Zhijun Su
,
Baosong Xie
,
Hong Li
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1101/2022.06.28.22276985
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1101/2022.06.28.22276985
Object It remains unelucidated regarding the effects of vaccination on disease severity and factors for viral clearance and hospitalization in omicron-infected patients. Methods The clinical manifestations of 3,265 Omicron-infected patients (BA.2 variant; the Omicron group) were compared with those of 226 Delta-infected patients (the Delta group).A Multi-class logistic regression model was employed to analyze the impacts of vaccination doses and intervals on disease severity; a logistic regression model to evaluate the risk factors for hospitalization; R 4.1.2 data analysis to investigate the factors for time for nucleic acid negativization (NAN). Results Compared with the Delta group, the Omicron group reported a fast transmission, mild symptoms, and lower severity incidence, and a significant inverse correlation of vaccination dose with clinical severity (OR: 0.803, 95%CI: 0.742-0.868, p<0.001). Of the 7 or 5 categories of vaccination status, the risk of severity significantly decreased only at ≥21 days after three doses (OR: 0.618, 95% CI: 0.475-0.803, p<0.001; OR: 0.627, 95% CI: 0.482-0.815, p<0.001, respectively). The Omicron group also reported underlying illness as an independent factor for hospitalization, sore throat as a protective factor, and much shorter time for NAN [15 (12,19) vs. 16 (12,22), p<0.05]. NAN was associated positively with age, female gender, fever, cough, and disease severity, but negatively with vaccination doses. Conclusion Booster vaccination should be advocated for COVID-19 pandemic-related control and prevention policies and adequate precautions should be taken for patients with underlying conditions.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.1101/2022.06.28.22276985
- https://www.medrxiv.org/content/medrxiv/early/2022/06/28/2022.06.28.22276985.full.pdf
- OA Status
- green
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4283694399
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4283694399Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1101/2022.06.28.22276985Digital Object Identifier
- Title
-
The effects of vaccination on the disease severity and factors for viral clearance and hospitalization in Omicron-infected patients :A retrospective observational cohort study from recent regional outbreaks in ChinaWork title
- Type
-
preprintOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-06-28Full publication date if available
- Authors
-
Hongru Li, Xiongpeng Zhu, Rongguo Yu, Xin Qian, Yu Huang, Xiaoping Chen, Haibin Lin, Huiming Zheng, Yi Zhang, Jiarong Lin, Yanqin Deng, Wen Zhong, Yuejiao Ji, Li Q, Jiabin Fang, Xiaojie Yang, Rong Lin, Sufang Chen, Zhijun Su, Baosong Xie, Hong LiList of authors in order
- Landing page
-
https://doi.org/10.1101/2022.06.28.22276985Publisher landing page
- PDF URL
-
https://www.medrxiv.org/content/medrxiv/early/2022/06/28/2022.06.28.22276985.full.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.medrxiv.org/content/medrxiv/early/2022/06/28/2022.06.28.22276985.full.pdfDirect OA link when available
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Medicine, Vaccination, Logistic regression, Internal medicine, Incidence (geometry), Sore throat, Outbreak, Cohort, Risk factor, Disease, Protective factor, Gastroenterology, Immunology, Virology, Optics, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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34Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.doses | 59, 147 |
| abstract_inverted_index.group | 99, 163 |
| abstract_inverted_index.lower | 107 |
| abstract_inverted_index.model | 50, 68 |
| abstract_inverted_index.taken | 228 |
| abstract_inverted_index.those | 39 |
| abstract_inverted_index.three | 146 |
| abstract_inverted_index.viral | 16 |
| abstract_inverted_index.≥21 | 143 |
| abstract_inverted_index.(NAN). | 90 |
| abstract_inverted_index.0.618, | 149 |
| abstract_inverted_index.0.627, | 155 |
| abstract_inverted_index.0.803, | 122 |
| abstract_inverted_index.95%CI: | 123 |
| abstract_inverted_index.Object | 1 |
| abstract_inverted_index.cough, | 201 |
| abstract_inverted_index.doses. | 209 |
| abstract_inverted_index.factor | 171 |
| abstract_inverted_index.female | 198 |
| abstract_inverted_index.fever, | 200 |
| abstract_inverted_index.group) | 35 |
| abstract_inverted_index.group, | 96 |
| abstract_inverted_index.should | 213, 226 |
| abstract_inverted_index.throat | 175 |
| abstract_inverted_index.(12,19) | 187 |
| abstract_inverted_index.Booster | 211 |
| abstract_inverted_index.Methods | 23 |
| abstract_inverted_index.Omicron | 34, 98, 162 |
| abstract_inverted_index.Results | 91 |
| abstract_inverted_index.analyze | 54 |
| abstract_inverted_index.control | 219 |
| abstract_inverted_index.disease | 11, 63, 203 |
| abstract_inverted_index.effects | 7 |
| abstract_inverted_index.factor, | 179 |
| abstract_inverted_index.factors | 14, 73, 83 |
| abstract_inverted_index.gender, | 199 |
| abstract_inverted_index.illness | 167 |
| abstract_inverted_index.impacts | 56 |
| abstract_inverted_index.inverse | 113 |
| abstract_inverted_index.nucleic | 87 |
| abstract_inverted_index.remains | 3 |
| abstract_inverted_index.shorter | 182 |
| abstract_inverted_index.status, | 134 |
| abstract_inverted_index.(12,22), | 190 |
| abstract_inverted_index.ABSTRACT | 0 |
| abstract_inverted_index.COVID-19 | 217 |
| abstract_inverted_index.Compared | 92 |
| abstract_inverted_index.adequate | 224 |
| abstract_inverted_index.analysis | 79 |
| abstract_inverted_index.clinical | 25, 119 |
| abstract_inverted_index.compared | 37 |
| abstract_inverted_index.employed | 52 |
| abstract_inverted_index.evaluate | 70 |
| abstract_inverted_index.group).A | 46 |
| abstract_inverted_index.logistic | 48, 66 |
| abstract_inverted_index.patients | 30, 43, 230 |
| abstract_inverted_index.policies | 222 |
| abstract_inverted_index.reported | 100, 165 |
| abstract_inverted_index.severity | 12, 108, 120, 138 |
| abstract_inverted_index.variant; | 32 |
| abstract_inverted_index.advocated | 215 |
| abstract_inverted_index.clearance | 17 |
| abstract_inverted_index.decreased | 140 |
| abstract_inverted_index.intervals | 61 |
| abstract_inverted_index.patients. | 22 |
| abstract_inverted_index.regarding | 5 |
| abstract_inverted_index.severity, | 204 |
| abstract_inverted_index.severity; | 64 |
| abstract_inverted_index.symptoms, | 105 |
| abstract_inverted_index.Conclusion | 210 |
| abstract_inverted_index.associated | 194 |
| abstract_inverted_index.categories | 131 |
| abstract_inverted_index.incidence, | 109 |
| abstract_inverted_index.negatively | 206 |
| abstract_inverted_index.positively | 195 |
| abstract_inverted_index.prevention | 221 |
| abstract_inverted_index.protective | 178 |
| abstract_inverted_index.regression | 49, 67 |
| abstract_inverted_index.underlying | 166, 232 |
| abstract_inverted_index.Multi-class | 47 |
| abstract_inverted_index.conditions. | 233 |
| abstract_inverted_index.correlation | 114 |
| abstract_inverted_index.independent | 170 |
| abstract_inverted_index.investigate | 81 |
| abstract_inverted_index.p<0.001, | 159 |
| abstract_inverted_index.p<0.001; | 153 |
| abstract_inverted_index.p<0.05]. | 191 |
| abstract_inverted_index.precautions | 225 |
| abstract_inverted_index.significant | 112 |
| abstract_inverted_index.vaccination | 9, 58, 116, 133, 208, 212 |
| abstract_inverted_index.0.475-0.803, | 152 |
| abstract_inverted_index.0.482-0.815, | 158 |
| abstract_inverted_index.0.742-0.868, | 124 |
| abstract_inverted_index.p<0.001). | 125 |
| abstract_inverted_index.unelucidated | 4 |
| abstract_inverted_index.significantly | 139 |
| abstract_inverted_index.transmission, | 103 |
| abstract_inverted_index.Delta-infected | 42 |
| abstract_inverted_index.manifestations | 26 |
| abstract_inverted_index.negativization | 89 |
| abstract_inverted_index.respectively). | 160 |
| abstract_inverted_index.hospitalization | 19 |
| abstract_inverted_index.Omicron-infected | 29 |
| abstract_inverted_index.hospitalization, | 173 |
| abstract_inverted_index.hospitalization; | 75 |
| abstract_inverted_index.omicron-infected | 21 |
| abstract_inverted_index.pandemic-related | 218 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5100339436 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 21 |
| corresponding_institution_ids | https://openalex.org/I4210143087 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8100000023841858 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.09272349 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |