The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
SARS-CoV-2 viral load is associated with increased disease severity and mortality
Open accessAbstract
The relationship between SARS-CoV-2 viral load and risk of disease progression remains largely undefined in coronavirus disease 2019 (COVID-19). Here, we quantify SARS-CoV-2 viral load from participants with a diverse range of COVID-19 disease severity, including those requiring hospitalization, outpatients with mild disease, and individuals with resolved infection. We detected SARS-CoV-2 plasma RNA in 27% of hospitalized participants, and 13% of outpatients diagnosed with COVID-19. Amongst the participants hospitalized with COVID-19, we report that a higher prevalence of detectable SARS-CoV-2 plasma viral load is associated with worse respiratory disease severity, lower absolute lymphocyte counts, and increased markers of inflammation, including C-reactive protein and IL-6. SARS-CoV-2 viral loads, especially plasma viremia, are associated with increased risk of mortality. Our data show that SARS-CoV-2 viral loads may aid in the risk stratification of patients with COVID-19, and therefore its role in disease pathogenesis should be further explored.
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Cites
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Cited by
Transmission of SARS-CoV-2: A Review of Viral, Host, and Environmental Factors
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Long COVID in a prospective cohort of home-isolated patients
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Metadata
- Authors
- Fajnzylber, J., Regan, J., Coxen, K., Corry, H., Wong, C., Rosenthal, A., Worrall, D., Giguel, F., Piechocka-Trocha, A., Atyeo, C., Fischinger, S., Chan, A., Flaherty, K. T., Hall, K., Dougan, M., Ryan, E. T., Gillespie, E., Chishti, R., Li, Y., Jilg, N., Hanidziar, D., Baron, R. M., Baden, L., Tsibris, A. M., Armstrong, K. A., Kuritzkes, D. R., Alter, G., Walker, B. D., Yu, X., Li, J. Z., The Massachusetts Consortium for Pathogen Readiness, Abayneh, B. A., Allen, P., Antille, D., Balazs, A., Bals, J., Barbash, M., Bartsch, Y., Boucau, J., Boyce, S., Braley, J., Branch, K., Broderick, K., Carney, J., Chevalier, J., Choudhary, M. C., Chowdhury, N., Cordwell, T., Daley, G., Davidson, S., Desjardins, M., Donahue, L., Drew, D., Einkauf, K., Elizabeth, S., Elliman, A., Etemad, B., Fallon, J., Fedirko, L., Finn, K., Flannery, J., Forde, P., Garcia-Broncano, P., Gettings, E., Golan, D., Goodman, K., Griffin, A., Grimmel, S., Grinke, K., Hartana, C. A., Healy, M., Heller, H., Henault, D., Holland, G., Jiang, C., Jordan, H., Kaplonek, P., Karlson, E. W., Karpell, M., Kayitesi, C., Lam, E. C., LaValle, V., Lefteri, K., Lian, X., Lichterfeld, M., Lingwood, D., Liu, H., Liu, J., Lopez, K., Lu, Y., Luthern, S., Ly, N. L., MacGowan, M., Magispoc, K., Marchewka, J., Martino, B., McNamara, R., Michell, A., Millstrom, I., Miranda, N., Nambu, C., Nelson, S., Noone, M., Novack, L., O’Callaghan, C., Ommerborn, C., Osborn, M., Pacheco, L. C., Phan, N., Pillai, S., Porto, F. A., Rassadkina, Y., Reissis, A., Ruzicka, F., Seiger, K., Selleck, K., Sessa, L., Sharpe, A., Sharr, C., Shin, S., Singh, N., Slaughenhaupt, S., Sheppard, K. S., Sun, W., Sun, X., Suschana, E., Talabi, O., Ticheli, H., Weiss, S. T., Wilson, V., & Zhu, A.
- Venue
- Nature Communications
- Published
- 2020-10-30
- Volume
- 11
- Issue
- 1
- Pages
- 5493-5493
- ISSN
- 2041-1723 (ISSN-L)
- OpenAlex
- W3095153958
- Cited by
- 906
- References
- 37
- FWCI
- 21.88
- Type
- journal article
- Language
- en
- Open access
- gold
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- Fajnzylber, J., Regan, J., Coxen, K., Corry, H., Wong, C., Rosenthal, A., Worrall, D., Giguel, F., Piechocka-Trocha, A., Atyeo, C., Fischinger, S., Chan, A., Flaherty, K. T., Hall, K., Dougan, M., Ryan, E. T., Gillespie, E., Chishti, R., Li, Y., . . . Zhu, A. (2020). SARS-CoV-2 viral load is associated with increased disease severity and mortality. Nature Communications. https://doi.org/10.1038/s41467-020-19057-5
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