5 research outputs found
Absence of Susceptibility Vessel Sign in Patients With Malignancy-Related Acute Ischemic Stroke Treated With Mechanical Thrombectomy.
- Author
- Aleman Enrique B
- Arnold Marcel
- Belachew Nebiyat F
- Berger Martin D
- Beyeler Morin
- Birner Barbara
- Bücke Philipp
- Dobrocky Tomas
- Fischer Urs
- Genceviciute Kotryna
- Gralla Jan
- Grunder Lorenz
- Jung Simon
- Kaesmacher Johannes
- Kielkopf Moritz
- Kurmann Christoph
- Léon Betancourt Alejandro Xavier
- Mattle Heinrich P
- Meinel Thomas R
- Mordasini Pasquale
- Pabst Thomas Niklaus
- Piechowiak Eike I
- Pilgram-Pastor Sara
- Scutelnic Adrian
- Seiffge David J
- Publication venue
- 'Frontiers Media SA'
- Publication date
- 14/07/2022
- Field of study
Background and Purpose
Clots rich in platelets and fibrin retrieved from patients with acute ischemic stroke (AIS) have been shown to be independently associated with the absence of the susceptibility vessel sign (SVS) on MRI and active malignancy. This study analyzed the association of SVS and the presence of active malignancy in patients with AIS who underwent mechanical thrombectomy (MT).
Methods
This single-center, retrospective, and cross-sectional study included consecutive patients with AIS with admission MRI treated with MT between January 2010 and December 2018. SVS status was evaluated on susceptibility-weighted imaging. Adjusted odds ratios (aORs) were calculated to determine the association between absent SVS and the presence of active or occult malignancy. The performance of predictive models incorporating and excluding SVS status was compared using areas under the receiver operating characteristics curve (auROC).
Results
Of 577 patients with AIS with assessable SVS status, 40 (6.9%) had a documented active malignancy and 72 (12.5%) showed no SVS. The absence of SVS was associated with active malignancy (aOR 4.85, 95% CI 1.94-12.11) or occult malignancy (aOR 11.42, 95% CI 2.36-55.20). The auROC of predictive models, including demographics and common malignancy biomarkers, was higher but not significant (0.85 vs. 0.81, p = 0.07) when SVS status was included.
Conclusion
Absence of SVS on admission MRI of patients with AIS undergoing MT is associated with malignancy, regardless of whether known or occult. Therefore, the SVS might be helpful in detecting paraneoplastic coagulation disorders and occult malignancy in patients with AIS
Self-irradiation-induced disorder in (U238Pu)O2
- Author
- B Marchand
- C Jégou
- D Horlait
- D Prieur
- D Staicu
- E De Bona
- E Villa-Aleman
- F Garrido
- G Dolling
- G Guimbretière
- G Gutierrez
- G Gutierrez
- G Williamson
- J Soullard
- JD Eshelby
- JF Ziegler
- JM Elorrieta
- L Desgranges
- L Medyk
- M Bricout
- M Kato
- M Naji
- PG Lucuta
- RA Enrique
- RS Barnes
- T Wangle
- T Wiss
- T Wiss
- T Wiss
- TD Chikalla
- V Petříček
- Z Talip
- Z Talip
- Publication venue
- 'Cambridge University Press (CUP)'
- Publication date
- Field of study
D. Die einzelnen romanischen Sprachen und Literaturen.
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- Giac Meazzini
- Giacomo L
- Gide
- Gieraoh
- Gigliucci B. R.
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- Gilberto S
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- Gr.
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- Grande Revue In La
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- GW.
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- I
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- Introduction
- Ipp Pindemonte
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- Ital III.
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- J·
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- K. B
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- Kr
- Kristian
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- L
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- Lecturas
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- Literatur Alfero G. A.
- Literaturgeschichte
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- Maeterlinck Maurice
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- Old Espinoea A M.
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- Sesto Fassini
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- Siena
- Sigmar Mehring
- Silvain Pouvreau
- Simioneeou
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- Siso Joaquin Botet
- Smith M.
- Snow William
- Sociote In La
- Sode Les
- Sode Les
- Soldati-Manis Nozze
- Soler A.
- Solone M
- Sommer
- Sommer
- Sophie Apponyi Lettres
- Sovira
- Spanish Lang H. R.
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- Spencer Dodgson Eduardo
- Spitzer
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- Stanislas Reizler
- Stanley Leman G
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- Steinilber
- Stendhal
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- Studi
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- T
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- Taine
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- Tareot M. L.
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- Temps In Le
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- Terenzio Tocoi
- Teresa Ruga Maria
- Terraoina
- Textes
- Th A.
- Th Bornecque H. B.
- The
- The Kastner L. E.
- The Northup G. T.
- The Spanish Rennert H. A.
- Theo Spira
- Theodor Gerold
- Theodor Kalepky
- Theodor Kalepky
- Theodor Kalepky
- Theodor Kalepky
- Theuriet
- Theuriet
- Thomas
- Thomasset
- Thoophile Gautier
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- Timoneda Juan
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- Tod
- Toledo Bd. I
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- TOU.
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- Trabajos de Diego Galan Cautiverio
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- Tristan F. M. War r en Enoas
- Tristan Tomo XV.
- Tuttle Edwin
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- UB.
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- Vaganay
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- Valfrido Garda
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- Velasoo Lino Munarriz
- Velleman
- Venetian Livingeton A. A.
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- Veronica Franco
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- VII
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- Villon
- Vinc Bartholomaeis
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- Vincenzina Messina
- Vincenzo P
- Vindry F.
- Vineon
- Vineon
- Virgilio P
- Viterbo
- Vladimiro
- Vogüe Marquis
- Voltaire
- Voltaire
- von Ballaigues Sinner
- von Beaujeu Renaut
- von Bouillon Godefroi
- Von G. L. P
- Von Georg R
- von Marseille Folquet
- von Metz Herviz
- von Romans Folquet
- Vorone Chateaubriand
- Vorst B.
- Vreiz-Izel Evit Alnumak
- Välsan GiÜglea G. u. G.
- W.
- W.
- W. F
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- W. Seh
- W. v.
- Waddington William
- Wagner J. K. G.
- Walberg
- Walter Bonary
- Walter Pater
- Walther Franke Max
- Walther Küchler
- Walther S
- Warszawska Biblioteka
- Weigand
- Weill
- Werder
- Werke S. M.
- Werr Gassner H.
- Wiehert
- Wilhelm T
- Wilhelm Weinmann
- Willcox C.
- Willibald
- Willibald
- Wilmotte
- Winifred Smith
- Witte
- WoHf Max
- Wolf Max
- Wolff
- Wolfg Wurzbach
- X S.
- X S.
- XV
- XVI
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- XXVIII
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- ßeatrice Cenci Guerrazzi F.D.
- ßeatrice Cenci Guerrazzi F.D.
- äficas R. C.
- äge
- ährig S.
- ätre de Maeterlinck Le
- öallo Juan Guzmann
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- Publication venue
- 'Walter de Gruyter GmbH'
- Publication date
- 01/01/1914
- Field of study
Risk of COVID-19 after natural infection or vaccinationResearch in context
- Author
- A. Lina Rosengren
- Abram Burgher
- Adam B. Brosz
- Adam Rosen
- Adam Schwartz
- Adriana Sordo Duran
- Adrienna Marquez
- Adrienne E. Shapiro
- Aeiress Duhart
- Afsoon Roberts
- Albert Liu
- Alejandro Hoberman
- Alejandro Quintín Barrat Hernández
- Alex Greninger
- Alexander Clark
- Alfredo Gilberto Guerreros Benavides
- Alice McGarry
- Alicia Arrazcaeta
- Alisha Lutat
- Alison Bondell
- Alison Pellecchia
- Allie Oplinger
- Allison Green
- Allison O'Brien
- Alpa Patel
- Alyssa-Kay Peay
- Amanda Horn
- Amanda Lilienthal
- Amanda Occhino
- Amanda Philyaw
- Amaran Moodley
- Amber Grant
- Amber Stanford
- Amesika Nyaku
- Amie Shannon
- Amina Z. Haggag
- Amit Paliwal
- Amy Caldwell
- Amy Chamberlain
- Amy Dye
- Amy Falk
- Amy Kelley
- Amy Medina
- Amy Potts
- Amy Salzl
- Amy Sherman
- Amy Starr
- Amy Thompson
- Andrea Berry
- Andrea Clement
- Andrea Wendrow
- Andrea Zimmer
- Andres Bran
- Andres Camacho-Gonzalez
- Andrew Lauria
- Andrew McConnell
- Andrew McWilliams
- Anelgine C. Yoon
- Angela Lee
- Angela R. Branche
- Angelica Kottkamp
- Angella Webb
- Ann M. Milliken
- Ann R. Falsey
- Anna S. Lok
- Anna Wald
- Anne Marit de Groot
- Anne-Marie Rick
- Annette R. Bennett
- Annie Ciambruschini
- Annie Luetkemeyer
- Anthony Kim
- Anum Abbas
- Anyela Lara
- April Pixler
- Ariana C. Stanton
- Arthur L. Zemanek
- Asha Inniss
- Ashley Kennedy
- Ashley Perez
- Ashley Warden
- Asif Noor
- Atoya Adams
- Aurelio Cruz-Valdez
- Austin Chan
- Austin Swanson
- Ayanna Walters
- Ayoade Avworo
- Bailey Jordan
- Barbara Corral
- Barbara Rizzardi
- Barbara Rizzardi
- Barbara S. Taylor
- Barry S. Zingman
- Barton G. Williams
- Beatriz Grinsztejn
- Becky Martinez
- Ben Ladner
- Benjamin Eckhardt
- Benjamin J. Luft
- Bernard Grunstra
- Beth Safirstein
- Bethanie Wilkinson
- Beverly E. Sha
- Beverly Ewing
- Bindu Balani
- Blanca Gomez
- Bo Shopsin
- Boerries Brandenburg
- Brandie Taylor
- Brandon J. Essink
- Brandy Ball
- Breanz Watkins
- Brenda Dorcely
- Brendan Levy
- Brett Gray
- Brett Leav
- Brian D.W. Chow
- Brit Sovic
- Brittany Feijoo
- Brittany Stewart
- Bruce C. Gebhardt
- Bruce G. Rankin
- Bruce McClenathan
- Bruno Valenti
- Bryan Gordon
- C. Mary Healy
- Caitlin J. Guiney
- Caitlin Moran
- Candace Smith
- Candice Montros
- Carina A. Rodriguez
- Carl Fichtenbaum
- Carl P. Griffin
- Carlos A. Fierro
- Carlos del Rio
- Carlos Lopez
- Carlos Malvestutto
- Carmel B. Dyer
- Carmen A. Paez
- Carmen Amador
- Carmen D. Zorrilla
- Carmen Medina
- Carol Ann Linebarger
- Carol Kauffman
- Carol L. Mitchell
- Carolene Stephenson
- Caroline Greene
- Carolyn Scatamacchia
- Carolyn Tran
- Carrie Johnston
- Carrie Sopher
- Catherine A. Bunce
- Catherine Mary Healy
- Catherine Q. Gular
- Cathy Laflan
- Cecilia McKeown-Bragas
- Celia Gonzalez
- Celia Maxwell
- Charles Harper
- Charles M. Fogarty
- Charlotte-Paige Rolle
- Charnell Cromer
- Chelsea Miles
- Chelsie Nutsch
- Chelsie Nutsch
- Chen S. Tan
- Chenchen Yu
- Cheryl Nuss
- Cheryl Young
- Chimeremma Nnadi
- Chinar Desai
- Christian Tomaszewski
- Christina A. Rostad
- Christina Bacher
- Christina Kennelly
- Christine Akamine
- Christine B. Turley
- Christine Hull
- Christine Wilson
- Christopher Carpenter
- Christopher Dedon
- Christopher Galloway
- Christopher Matich
- Christy Schmeck
- Christy Sweet
- Clarence B. Creech II
- Clarisse Baudelaire
- Claudia De La Matta Rodriguez
- Claudia Espinosa
- Claudio Nuñez Lagos
- Clint C. Guillory
- Clint Wilson
- Codi M. Anthony
- Colleen F. Kelley
- Colleen Jacobsen
- Connie Moya
- Cora Sonnier
- Corey G. Anderson
- Corey M. Chen
- Cornell Calinescu
- Corrina Pavetto
- Cortney Burch
- Cory J. Huffine
- Craig Dietz
- Cristina Cicogna
- Crystal Rowell
- Cynthia Becher Strout
- Cynthia Brown
- Cynthia Bueno
- Cynthia L. Gay
- Cynthia L. Monaco
- Cynthia Montano-Pereira
- Cyrus Hoseyni
- Dakotah C. Lane
- Dalia Tovar
- Daniel Duncanson
- Daniel Hoft
- Daniel Kaul
- Daniel S. Graciaa
- Daniel T. Lawler
- Daniela Pineda Méndez
- Danielle Raley
- Danny Sugimoto
- Danyel Johnson
- Darlene Bartilucci
- David B. Musante
- David Beckmann
- David Browder
- David Dellaero
- David Fitz-Patrick
- David Halpert
- David I. Bernstein
- David J. Diemert
- David J. Ensz
- David Kline
- David L. Fried
- David Metzger
- David Pampe
- David Pitrak
- David R. Andes
- David Rosenberg
- David Tatelbaum
- David Wohl
- Dawn Furey
- Dawn Robison
- Dean Follmann
- Dean M. Boswell
- Deanna Cooper
- Debora Dunbar
- Deborah A. Theodore
- Deborah Murray
- Debra B. Schroeck
- Delia Bullock
- Denis Tarakjian
- Denise Casey
- Denise Roadman
- Denise Sample
- Denisse Alejandra González Estrada
- Derek Lewis
- Derek M. Smith
- Destiny S. Heinzig-Cartwright
- Diana Badillo
- Diana F. Florescu
- Diana Vegas
- Dianca Sierra
- Diane H. Johnson
- Dilek Ince
- Dima Dandachi
- Dirk Heerwegh
- Dolores Rijos
- Donald M. Brandon
- Donald Quinn
- Donna Percy
- Doris Franco-Vitteri
- Douglas S. Denham
- E. Javier Pretell Alva
- Edgar Garcia
- Edith Swann
- Eduardo Gabriel Vázquez Saldaña
- Edward C. Jones-López
- Edward E. Walsh
- Edward Ellerbeck
- Edward M. Tavel Jr.
- Elham Ghadishah
- Elie Gharib
- Elisa Swieboda
- Elissa Malkin
- Elizabeth Barranco-Santana
- Elizabeth Bennett
- Elizabeth Bruce
- Elizabeth Danford
- Elizabeth Duke
- Elizabeth E. Robison
- Elizabeth Everette
- Elizabeth Formentini
- Elizabeth Hammershaimb
- Elizabeth Parker
- Elizabeth Secord
- Ellie Carmody
- Elliot DeHaan
- Elwaleed Elnagar
- Emily Degan
- Emily Oppenheim
- Emma Bainbridge
- Emmanuel B. Walter
- Eneyda Giuvanela Llerena Zegarra
- Enrique Ocaña
- Eric A. Meyerowitz
- Eric Bravo
- Eric McGrath
- Eric Miller
- Erica Herc
- Erica Johnson
- Erica Osmundsen
- Erica Sanchez
- Erika A. Cutz
- Erika Mendoza
- Erin A. Goecker
- Erin Cooksey
- Erin Coston
- Ernesto Delgado
- Esther L. Harmon
- Esther S. Huffine
- Evan C. Ewers
- Evan J. Anderson
- Evelyn Hall
- Evelyn Lomasney
- Evelyn Quevedo
- Fan Yang
- Farah Irani
- Farhan Siddiqui
- Fernanda Morales
- Fernando L. Merino
- Filip Dubovsky
- Flora Castellino
- Florence Momplaisir
- Florida Aristy
- Frances Downing
- Frank James
- Frank S. Eder
- Frank Struyf
- Fred E. Newton
- Frederick Raiser III
- Fredric Santiago
- Gail Broder
- Gary Albert
- Gary Headden
- Gary Horwith
- Gary Luckasen
- Gary Simon
- Gayle D. Hennekes
- Genevieve Beninati
- Genevieve Iwuala
- George H. Bauer Jr.
- George H. Freeman
- Georgette Ebuh
- Georgettea Geuss
- Gerald Kelty
- Germán Áñez
- Getahun Abate
- Gina Rivero
- Glenda E. Gray
- Glenn Wortman
- Gowdhami Mohan
- Grant Ellsworth
- Grant Geiger
- Greg Hachigian
- Greg Wilson
- Gregg H. Lucksinger
- Gregory C. Utz
- Gregory Holt
- Gregory J. Feldman
- Gregory M. Glenn
- Gregory M. Gottschlich
- Griet Van Roey
- Guillermo Miguel Ruiz-Palacios
- Gysella Muniz
- Hala Webster
- Hana M. El Sahly
- Hanh Chu
- Hanh Chu
- Hannah Catan
- Hannah Harrington
- Hannah Nevarez
- Haoua Dunbar
- Hayes Williams
- Heather Rattenbury-Shaw
- Henry Peralta
- Hilario Alvarado
- Hillary Dunlevy
- Holli Hamilton
- Holly E. Janes
- Hong V. Tieu
- Horacio Marafioti
- Howard I. Schwartz
- Howard Schwartz
- Hussain Malbari
- Huub G. Gelderblom
- Hyman Scott
- Ian De Proost
- Ian Frank
- Ian Hirsch
- Iksung Cho
- Ilse Van Dromme
- Insiya Valika
- Irene Graham
- Irene McKnight
- Iris García
- Isaac Thomsen
- Isabel Pereira
- Issac Pena-Renteria
- Jack Stapleton
- Jacob Coleman
- Jacqueline Miller
- Jacqueline Muenzner
- Jaleh Ostovar
- Jaleh Ostovar
- Jalima Quintero
- James Andersen
- James Fry
- James G. Kublin
- James H. Conway
- James Longe
- James Lovell
- James N. Goldenberg
- James Peacock
- James Ramsey
- James T. Peterson
- James W. Hurst
- James Walker
- James Zhou
- Jamie Ackerman
- Jamshid Saleh
- Jan Patterson
- Janet Garvey
- Janet Hill
- Janet Mendez
- Janet Otto
- Janeth Pacheco-Flores
- Janice Suyehira
- Janine Maenza
- Jarek Juraszek
- Jason F. Okulicz
- Jason Milligan
- Jay Meyer
- Jayasree Krishnankutty
- Jeanne Blevins
- Jeb Andrews
- Jeff Kingsley
- Jeffrey A. Henderson
- Jeffrey Adelglass
- Jeffrey Dugas Sr.
- Jeffrey Klein
- Jeffrey M. Jacobson
- Jeffrey Meier
- Jeffrey Rosen
- Jeffrey S. Overcash
- Jeffrey Thessing
- Jeffry Jacqmein
- Jenina Garcia
- Jennie Johnson
- Jennifer A. Johnson
- Jennifer A. Whitaker
- Jennifer Bashour
- Jennifer Berry
- Jennifer Chang
- Jennifer Foley
- Jennifer Knishinsky
- Jennifer Knowles
- Jennifer L. Dong
- Jennifer McCarter
- Jennifer Petts
- Jennifer Schwartz
- Jennifer Winbigler
- Jenny Hendriks
- Jerald Sadoff
- Jeremy Ackermann
- Jeremy Brown
- Jerome Custers
- Jerome G. Naifeh
- Jesse L. Clark
- Jessica E. Justman
- Jessica G. Andriesen
- Jessica Heimonen
- Jessica Ibarra
- Jessica L. Ansel
- Jessica L. Lee
- Jessica L. Weidler
- Jessica M. Mena
- Jessica Ortega
- Jessica Rodriguez
- Jessica Stahl
- Jewel J. White
- Jill Blumenthal
- Jill Kessler
- Jill York
- Jim Callis
- Joan Rothenberg
- Joanne L. Billings
- Jocelyn Zuleica Olmos Vega
- Jodi Meck
- Joel Solis
- Johan Vingerhoets
- John A. Kirby
- John J. Treanor
- John Johnson
- John Lucaj
- John M. Hill
- John Mascola
- John S. Kizer
- John Sanders
- John W. McGettigan Jr.
- John Witbeck
- Jon F. Dedon
- Jon Finley
- Jonathan Staben
- Jonlyn McGettigan
- Jordan Coslet
- Jordan L. Whatley
- Jorge A. Benitez
- Jorge A. Chacón
- Jorge Caso
- Jorge F. Méndez Galván
- Jose A. Bazan
- Jose C. Mancilla
- Jose Castillo Mancilla
- Jose Gonzales-Zamora
- Joseph Bocchini
- Joseph Boscia
- Joseph D. Davis
- Joseph Eron Jr.
- Joseph Grillo
- Joseph J. Eron
- Joseph L. Newberg
- Joseph P. Connor
- Joseph Yusin
- Joshua Rindt
- José O. Alemán
- Joy Nelson
- Juan J. Rivera
- Juan Luis Yrivarren Giorza
- Juan P. Torres
- Juan V. Guanira-Carranza
- Juana R. Pavie
- Juana Rivera
- Judith Borger
- Judith Brady
- Judith L. Kirstein
- Judith Martin
- Judy Pi
- Julia Hutter
- Julia Lord
- Julian A. Torres
- Julie A. Ake
- Julie Hussey
- Julie Ledgerwood
- Julie White
- Julio Nasim
- Justin Singletary
- Kacie Sales
- Kami Kim
- Karen Deutsch
- Karen Freudemann
- Karen L. Kotloff
- Karen Ruperto
- Karen Sofia Vega Orozco
- Karen Tashima
- Karin Choquette
- Karina Cano Martínez
- Karl M. Thompson
- Karla Beatriz Tafur Bances
- Karla Zepeda
- Kary Kelly
- Kate Harden
- Kate Jaegle
- Kate Zenlea
- Katherine Smith
- Katherine Stapleton
- Kathleen Linder
- Kathleen M. Mullane
- Kathleen M. Neuzil
- Kathleen Menasche
- Kathleen S. Jones
- Kathryn E. Stephenson
- Kawsar R. Talaat
- Keith R. Jerome
- Keith W. Vrbicky
- Kelly Kush
- Kelly McQuarrie
- Ken Ho
- Kendra Enright
- Kendra Lisec
- Kenneth Finkelstein
- Kenneth H. Mayer
- Kenneth Steil
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- Kevin Parks
- Kevin Zhang
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- Kia Lee
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- Kristen Kiersey
- Kristin Bialobok
- Kristin Marks
- Kristina Harrison
- Kristine J. Kucera
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- Lalitha Parameswaran
- Larkin T. Wadsworth III
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- Laura Pearlman
- Laura Pearlman
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- Laura Ruy Sanchez Guerrero
- Laura Stulken
- Lauren Clement
- Lauren Newhouse
- Laurence Chu
- Laurie J. Han-Conrad
- Lawrence Corey
- Lawrence J. Purpura
- Lazaro Gonzalez
- Leana Woodside
- Lee Tomatsu
- Leena Paul
- Leila Hojat
- Leland N. Allen III
- Lena R. Freese
- Leonard Singer
- Les B. Forgosh
- Lesley Browder
- Leslie A. Edwards
- Leslie Iverson
- Lilly Immergluck
- Lily Aleman
- Lina M. Forero
- Linda M. Schipani
- Linda Murray
- Linda R. Belhorn
- Lindsey R. Baden
- Lisa A. Jackson
- Lisa Chrisley
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- Lisa Holloway
- Lisa J. Sanders
- Lisa Johnson
- Lisa M. Dunkle
- Lisa S. Usdan
- Lisa Stangl
- Lisa Stevens Rameaka
- Logan Ledbetter
- Lois Katz
- Lora J. McGill
- Lori Nesbitt
- Lucy Ng-Price
- Luis H. González
- Luis I. De La Cruz
- Luke Friesen
- Luz Zapata
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- Lyndsea Folsom
- Lynn Eckert
- Lynne A. Haughey
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- Maria Mileno
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- Marianela Carvajal
- Maricruz E. Ortegón
- Marina Lee
- Mario Castro
- Mark A. Turner
- Mark E. Kutner
- Mark Eickhoff
- Mark Hutchens
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- Mark Lerman
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- Marshall Nash
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- Morgan McLaughlin
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- Trina L. Reynolds
- Troy Holdeman
- Tyler D. Bold
- Uriel R. Felsen
- Valentine M. Ebuh
- Valeria D. Cantos
- Valerie K. Arnold
- Vanessa Abad
- Vanessa Raabe
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- Veronica Garcia-Fragoso
- Veronica Procasky
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- Vickie Leathers
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- Victoria Engler
- Victoria Mosteller
- Victoria R. Anderson
- Vida Veronica Ruiz Herrera
- Vincent Huynh
- Vincent Mirkil
- Vivek Rajasekhar
- Viviana Gonzalez
- Vladimir Berthaud
- Walter Patton
- Wanda Ramon
- Waseem Chughtai
- Wayne L. Harper
- Wayne Woo
- Wendell Lewis
- Wendell Lewis III
- Wendy A. Keitel
- Wesley Campbell
- Wesley Van Ever
- Westly Keating
- Whitney West
- Will Hernandez
- William B. Davis
- William B. Smith
- William H. Jones
- William Jennings
- William Kirby
- William P. Silver
- William R. Hartman
- William S. Davis Jr.
- William Schnitz
- William Seger
- Winniberg Stephany Alvarez León
- Winston Cavert
- Xiaomi Tong
- Yaa D. Oppong
- Yi H. Wu
- Ying Huang
- Yogesh K. Paliwal
- Youyi Fong
- Yunda Huang
- Yunda Huang
- Yvonne Davis
- Zachary Bittner
- Zainab Rizvi
- Zindy Yazmín Zárate Hinojosa
- Zudi-Mwak Takizala
- Publication venue
- Elsevier
- Publication date
- 01/10/2023
- Field of study
Summary: Background: While vaccines have established utility against COVID-19, phase 3 efficacy studies have generally not comprehensively evaluated protection provided by previous infection or hybrid immunity (previous infection plus vaccination). Individual patient data from US government-supported harmonized vaccine trials provide an unprecedented sample population to address this issue. We characterized the protective efficacy of previous SARS-CoV-2 infection and hybrid immunity against COVID-19 early in the pandemic over three-to six-month follow-up and compared with vaccine-associated protection. Methods: In this post-hoc cross-protocol analysis of the Moderna, AstraZeneca, Janssen, and Novavax COVID-19 vaccine clinical trials, we allocated participants into four groups based on previous-infection status at enrolment and treatment: no previous infection/placebo; previous infection/placebo; no previous infection/vaccine; and previous infection/vaccine. The main outcome was RT-PCR-confirmed COVID-19 >7–15 days (per original protocols) after final study injection. We calculated crude and adjusted efficacy measures. Findings: Previous infection/placebo participants had a 92% decreased risk of future COVID-19 compared to no previous infection/placebo participants (overall hazard ratio [HR] ratio: 0.08; 95% CI: 0.05–0.13). Among single-dose Janssen participants, hybrid immunity conferred greater protection than vaccine alone (HR: 0.03; 95% CI: 0.01–0.10). Too few infections were observed to draw statistical inferences comparing hybrid immunity to vaccine alone for other trials. Vaccination, previous infection, and hybrid immunity all provided near-complete protection against severe disease. Interpretation: Previous infection, any hybrid immunity, and two-dose vaccination all provided substantial protection against symptomatic and severe COVID-19 through the early Delta period. Thus, as a surrogate for natural infection, vaccination remains the safest approach to protection. Funding: National Institutes of Health
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Risk of COVID-19 after natural infection or vaccinationResearch in context
- Author
- Abad Vanessa
- Abate Getahun
- Abbas Anum
- Ackerman Jamie
- Ackerman Ronald
- Ackermann Jeremy
- Adams Atoya
- Adams Mark S.
- Adams Michael R.
- Adelglass Jeffrey
- Afework Sarah
- Ahmad Nina
- Akamine Christine
- Ake Julie A.
- Al-Ibrahim Mohamed S.
- Albert Gary
- Alcaide Maria L.
- Alderson Nathan
- Aleman Lily
- Alemán José O.
- Allaw Mohammed
- Alva E. Javier Pretell
- Alvarado Hilario
- Amador Carmen
- Andersen James
- Anderson Corey G.
- Anderson Evan J.
- Anderson Victoria R.
- Andes David R.
- Andrasik Michele P.
- Andree Stephanie
- Andrews Jeb
- Andriesen Jessica G.
- Andriulis Victoria
- Ansel Jessica L.
- Anthony Codi M.
- Antwi Mohammed
- Arduino Roberto C.
- Aristy Florida
- Arnold Valerie K.
- Arrazcaeta Alicia
- Atmar Robert L.
- Avworo Ayoade
- Bacher Christina
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- Badillo Diana
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- Baka Michele
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- Balani Bindu
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- Áñez Germán
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/10/2023
- Field of study
Background: While vaccines have established utility against COVID-19, phase 3 efficacy studies have generally not comprehensively evaluated protection provided by previous infection or hybrid immunity (previous infection plus vaccination). Individual patient data from US government-supported harmonized vaccine trials provide an unprecedented sample population to address this issue. We characterized the protective efficacy of previous SARS-CoV-2 infection and hybrid immunity against COVID-19 early in the pandemic over three-to six-month follow-up and compared with vaccine-associated protection. Methods: In this post-hoc cross-protocol analysis of the Moderna, AstraZeneca, Janssen, and Novavax COVID-19 vaccine clinical trials, we allocated participants into four groups based on previous-infection status at enrolment and treatment: no previous infection/placebo; previous infection/placebo; no previous infection/vaccine; and previous infection/vaccine. The main outcome was RT-PCR-confirmed COVID-19 >7–15 days (per original protocols) after final study injection. We calculated crude and adjusted efficacy measures. Findings: Previous infection/placebo participants had a 92% decreased risk of future COVID-19 compared to no previous infection/placebo participants (overall hazard ratio [HR] ratio: 0.08; 95% CI: 0.05–0.13). Among single-dose Janssen participants, hybrid immunity conferred greater protection than vaccine alone (HR: 0.03; 95% CI: 0.01–0.10). Too few infections were observed to draw statistical inferences comparing hybrid immunity to vaccine alone for other trials. Vaccination, previous infection, and hybrid immunity all provided near-complete protection against severe disease. Interpretation: Previous infection, any hybrid immunity, and two-dose vaccination all provided substantial protection against symptomatic and severe COVID-19 through the early Delta period. Thus, as a surrogate for natural infection, vaccination remains the safest approach to protection. Funding: National Institutes of Health