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Early signals of significantly increased vaccine breakthrough, decreased hospitalization rates, and less severe disease in patients with COVID-19 caused by the Omicron variant of SARS-CoV-2 in Houston, Texas
Paul A Christensen; Randall James Olsen; Scott Wesley Long; Richard Snehal; James J Davis; Matthew Ojeda Saavedra; Kristina Reppond; Madison N Shyer; Jessica Cambric; Ryan Gadd; Rashi M Thakur; Akanksha Batajoo; Regan Mangham; Sindy Pena; Trina Trinh; Jacob C Kinskey; Guy Williams; Robert Olson; Jimmy Gollihar; James M Musser.
Afiliación
  • Paul A Christensen; Houston Methodist Research Institute
  • Randall James Olsen; Houston Methodist Research Institute
  • Scott Wesley Long; Houston Methodist Research Institute
  • Richard Snehal; Houston Methodist Research Institute
  • James J Davis; Argonne National Laboratory
  • Matthew Ojeda Saavedra; Houston Methodist Research Institute
  • Kristina Reppond; Houston Methodist Research Institute
  • Madison N Shyer; Houston Methodist Research Institute
  • Jessica Cambric; Houston Methodist Research Institute
  • Ryan Gadd; Houston Methodist Research Institute
  • Rashi M Thakur; Houston Methodist Research Institute
  • Akanksha Batajoo; Houston Methodist Research Institute
  • Regan Mangham; Houston Methodist Research Institute
  • Sindy Pena; Houston Methodist Research Institute
  • Trina Trinh; Houston Methodist Research Institute
  • Jacob C Kinskey; Houston Methodist Research Institute
  • Guy Williams; Houston Methodist Research Institute
  • Robert Olson; Argonne National Laboratory
  • Jimmy Gollihar; Houston Methodist Research Institute
  • James M Musser; Houston Methodist Research Institute
Preprint en En | PREPRINT-MEDRXIV | ID: ppmedrxiv-21268560
ABSTRACT
Genetic variants of SARS-CoV-2 continue to dramatically alter the landscape of the COVID-19 pandemic. The recently described variant of concern designated Omicron (B.1.1.529) has rapidly spread worldwide and is now responsible for the majority of COVID-19 cases in many countries. Because Omicron was recognized very recently, many knowledge gaps exist about its epidemiology, clinical severity, and disease course. A genome sequencing study of SARS-CoV-2 in the Houston Methodist healthcare system identified 4,468 symptomatic patients with infections caused by Omicron from late November 2021 through January 5, 2022. Omicron very rapidly increased in only three weeks to cause 90% of all new COVID-19 cases, and at the end of the study period caused 98% of new cases. Compared to patients infected with either Alpha or Delta variants in our healthcare system, Omicron patients were significantly younger, had significantly increased vaccine breakthrough rates, and were significantly less likely to be hospitalized. Omicron patients required less intense respiratory support and had a shorter length of hospital stay, consistent with on average decreased disease severity. Two patients with Omicron "stealth" sublineage BA.2 also were identified. The data document the unusually rapid spread and increased occurrence of COVID-19 caused by the Omicron variant in metropolitan Houston, and address the lack of information about disease character among US patients.
Licencia
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Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Prognostic_studies Idioma: En Año: 2022 Tipo del documento: Preprint
Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Prognostic_studies Idioma: En Año: 2022 Tipo del documento: Preprint