Table.
Comparison of studies assessing the effect of lineage B.1.1.7 on disease severity and clinical outcomes
Frampton et al3 | Challen et al6 | Davies et al7 | Grint et al8 | |
---|---|---|---|---|
Patient recruitment | Hospitalised patients with confirmed COVID-19 | Public health data from community-based testing dataset | Public health data from community-based testing dataset | Public health data from both community and hospital-based testing dataset |
Study dates | Nov 9, to Dec 20, 2020 | Oct 1, 2020, to Jan 28, 2021 | Nov 1, 2020, to Jan 23, 2021 | Nov 16, 2020, to Jan 11, 2021 |
Number of participants | 341 (69%) included of 496 available patients screened | 109 812 (11·6%) included of 941 518 available patients screened | 1 146 534 (51·1%) included of 2 245 263 available patients screened | 184 786 (41·9%) included of 441 161 available patients screened |
Age of participants, years | Median 60 (IQR 47–75) | Mean 46·3 (SD 11·0) | 1–34 (513 726/1 14 6534 [44·8%]); 35–54 (403 313/1 14 6534 [35·2%]); 55–69 (175 983/1 14 6534 [15·3%]); 70–84 (440 46/1 14 6534 [3·8%]); ≥85 (9446/1 14 6534 [0·8%]) | Median 38·0 (IQR 24·0–52·0); mean 38·2 (SD 18·1) |
Detection of lineage B.1.1.7 | Whole-genome sequencing and matching to COG-UK Mutation Explorer database | Surrogate measure using S-gene negativity on Thermo TaqPath COVID-19 multiplex PCR assay | Surrogate measure using S-gene negativity on Thermo TaqPath COVID-19 multiplex PCR assay | Surrogate measure using S-gene negativity on Thermo TaqPath COVID-19 multiplex PCR assay |
Controls | Non-B.1.1.7 infections | S-gene positive patients | S-gene positive patients | S-gene positive patients |
Primary outcome | Clinical severity as defined by WHO ordinal scale ≥6; mortality at 28 days | Mortality at 28 days | Mortality at 28 days | Mortality at 28 days |
Overall rate of severe disease | 36·9% | Data not available | Data not available | Data not available |
Overall mortality rate | 16·2% | 0·3% | 0·9% | 0·5% |
Effect on mortality | No significant difference | HR 1·64 (95% CI 1·32–2·04) | HR 1·55 (95% CI 1·39–1·72) | HR 1·67 (95% CI 1·34–2·09) |
HR=hazard ratio.