Evidence map›Paper›PMID 38115964›Full record

ArticleThe Lancet regional health. Europe2023

Impact of COVID-19 on immunocompromised populations during the Omicron era: insights from the observational population-based INFORM study.

Rachael A Evans, Sabada Dube, Yi Lu, Mark Yates, Sofie Arnetorp, Eleanor Barnes, Samira Bell, Lucy Carty, Kathryn Evans, Sophie Graham and 8 more

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Europe, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06683937 (Evaluation of Direct Antiviral Treatments Against SARS-CoV-2 in Immunocompromised Patients With Covid-19. A G2i Study, National Multicenter Observational and Retrospective From June 2023 to April 2024), which is not on this map. Cited by 134 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 3 pooled it
36.1field-weighted citation impact, top 1% 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.

NCT06683937 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of Direct Antiviral Treatments Against SARS-CoV-2 in Immunocompromised Patients With Covid-19. A G2i Study, National Multicenter Observational and Retrospective From June 2023 to April 2024

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2025 to 2026Enrolled300ConditionsImmunocompromised Patients, SARS-CoV-2 DiseaseArmsCollection of data from the patient's medical file
3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 3 syntheses or guidelines pooled it, 186 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 10 institutions in 3 countries.

Rachael A EvansDepartment of Respiratory Sciences, University of Leicester, Leicester, United Kingdom.
Sabada DubeAstraZeneca UK Limited, BioPharmaceuticals Medical, Vaccines & Immunotherapies, Eastbrook House, First Floor, Shaftesbury Road, Cambridge, CB2 8DU, United Kingdom.
Yi LuEvidera, The Ark, 201 Talgarth Road, London W6 8BJ, United Kingdom.
Mark YatesData Analytics - Real World Evidence, Evidera, London, United Kingdom.
Sofie ArnetorpVaccines and Immune Therapies, Global Market Access and Pricing, AstraZeneca R&D, 431 83 Mölndal, Sweden.
Eleanor BarnesNuffield Department of Medicine, University of Oxford, OUH Hospital NHS Trust, Oxford, United Kingdom.
Samira BellPopulation Health and Genomics, School of Medicine, University of Dundee, Ninewells Hospital, Dundee, DD1 9SY, Scotland, United Kingdom.
Lucy CartyMedical and Payer Evidence Statistics, BioPharmaceuticals Medical, AstraZeneca, Cambridge, United Kingdom.
Kathryn EvansEvidera, Waltham, MA 02451, United States.
Sophie GrahamEvidera, The Ark, 201 Talgarth Road, London W6 8BJ, United Kingdom.
Nahila JustoIntegrated Solutions - Real World Evidence, Evidera, Stockholm, Sweden.
Paul MossInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Sudhir VenkatesanMedical and Payer Evidence, BioPharmaceuticals Medical, AstraZeneca, Cambridge, United Kingdom.
Renata YokotaP95, Leuven, Belgium.
Catia FerreiraAstraZeneca LP, 1800 Concord Pike, Wilmington, DE, 19850-5437, USA.
Richard McNultyMedical Affairs, AstraZeneca UK Limited, BioPharmaceuticals Medical, Vaccines & Immunotherapies, Eastbrook House, First Floor, Shaftesbury Road, Cambridge, CB2 8DU, United Kingdom.
Sylvia TaylorMedical Evidence, AstraZeneca UK Limited, BioPharmaceuticals Medical, Vaccines & Immunotherapies, Eastbrook House, First Floor, Shaftesbury Road, Cambridge, CB2 8DU, United Kingdom.
Jennifer K QuintNational Heart & Lung Institute, Imperial College London, United Kingdom.
AstraZeneca (United Kingdom) · GBAstraZeneca (Sweden) · SEAstraZeneca (United States) · USDiagnostics for the Real World (United States) · USImperial College London · GBIthaka Harbors · USUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity of Dundee · GBUniversity of Leicester · GBUniversity of Oxford · GB

Funding

Medical Research Council MC_PC_20031Medical Research Council MC_PC_20060
6 · The paper itself

Abstract

Background: Immunocompromised individuals are not optimally protected by COVID-19 vaccines and potentially require additional preventive interventions to mitigate the risk of severe COVID-19. We aimed to characterise and describe the risk of severe COVID-19 across immunocompromised groups as the pandemic began to transition to an endemic phase. Methods: COVID-19-related hospitalisations, intensive care unit (ICU) admissions, and deaths (01/01/2022-31/12/2022) were compared among different groups of immunocompromised individuals Findings: Overall, immunocompromised individuals accounted for 3.9% of the study population, but 22% (4585/20,910) of COVID-19 hospitalisations, 28% (125/440) of COVID-19 ICU admissions, and 24% (1145/4810) of COVID-19 deaths in 2022. Restricting to those vaccinated with ≥3 doses of COVID-19 vaccine (∼84% of immunocompromised and 51% of the general population), all immunocompromised groups remained at increased risk of severe COVID-19 outcomes, with adjusted incidence rate ratios (aIRR) for hospitalisation ranging from 1.3 to 13.1. At highest risk for COVID-19 hospitalisation were individuals with: solid organ transplant (aIRR 13.1, 95% confidence interval [95% CI] 11.2-15.3), moderate to severe primary immunodeficiency (aIRR 9.7, 95% CI 6.3-14.9), stem cell transplant (aIRR 11.0, 95% CI 6.8-17.6), and recent treatment for haematological malignancy (aIRR 10.6, 95% CI 9.5-11.9). Results were similar for COVID-19 ICU admissions and deaths. Interpretation: Immunocompromised individuals continue to be impacted disproportionately by COVID-19 and have an urgent need for additional preventive measures beyond current vaccination programmes. These data can help determine the immunocompromised groups for which targeted prevention strategies may have the highest impact. Funding: This study was funded by AstraZeneca UK.

Indexed as

COVID-19EnglandEpidemiologyHospitalisationICU admissionImmunocompromisedMortalityRetrospective studies

Identifiers

PMID38115964
PMCPMC10730312
OpenAlexW4387610864

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 Socratic graph.