Clinical characteristics and comorbidities associated with SARS-CoV-2 breakthrough infection in the University of California Healthcare Systems
M.D Michael Hogarth, Daniel John, Yuxiang Li, M.D Jessica Wang-Rodriguez, Jaideep Chakladar, B.S Wei Tse Li, M.D Sanjay R Mehta, M.D Sharad Jain, Sharad Jain M.D Weg M Ongkeko
The American Journal of the Medical Sciences, doi:10.1016/j.amjms.2023.04.019
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Conflicts of Interest The authors declare no conflict of interest.
Role of Funder/Sponsor The funding sources had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Additional Contributions: The authors thank the Center for Data-driven Insights and Innovation at UC Health (CDI2; https://www.ucop.edu/uc-health/functions/center-for-data-driveninsights-and-innovations-cdi2.html), for its analytical and technical support related to use of the UC Health Data Warehouse and related data assets, including the UC COVID Research Data Set (CORDS). Figure Legend
References
Antos, Kwong, Balmorez, Villanueva, Murakami, Unusually High Risks of COVID-19 Mortality with Age-Related Comorbidities: An Adjusted Meta-Analysis Method to Improve the Risk Assessment of Mortality Using the Comorbid Mortality Data, Infect Dis Rep,
doi:10.3390/idr13030065
Bajaj, Gadi, Spihlman, Wu, Choi et al., Aging, Immunity, and COVID-19: How Age Influences the Host Immune Response to Coronavirus Infections?, Front Physiol,
doi:10.3389/fphys.2020.571416
Bernal, Andrews, Gower, Effectiveness of Covid-19 Vaccines against the B.1.617.2 (Delta) Variant, N Engl J Med,
doi:10.1056/NEJMoa2108891
Castillo, Costa, Barrios, Effect of calcifediol treatment and best available therapy versus best available therapy on intensive care unit admission and mortality among patients hospitalized for COVID-19: A pilot randomized clinical study, J Steroid Biochem Mol Biol. Oct,
doi:10.1016/j.jsbmb.2020.105751
Cfd, Risk for COVID-19 infection, hospitalization, and death by age group, Centers for Disease Control and Prevention
Chemaitelly, Tang, Hasan, Waning of BNT162b2 Vaccine Protection against SARS-CoV-2 Infection in Qatar, N Engl J Med,
doi:10.1056/NEJMoa2114114
Cowling, Ng, Ip, Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong, J Infect Dis. Sep,
doi:10.1086/655811
Dupont, Power calculations for matched case-control studies, Biometrics. Dec
Flythe, Assimon, Tugman, Characteristics and Outcomes of Individuals With Pre-existing Kidney Disease and COVID-19 Admitted to Intensive Care Units in the United States, Am J Kidney Dis,
doi:10.1053/j.ajkd.2020.09.003
Goldberg, Mandel, Bar-On, Waning immunity after the BNT162b2 vaccine in Israel
Jonathan, Thomas, Gregory, Bojana, The regulation of ACE-2 in the heart and lungs. The Southwest Respiratory and Critical Care,
doi:10.12746/swrccc.v9i40.895
Khan, Khan, Mustagir, Rana, Islam et al., Effects of underlying morbidities on the occurrence of deaths in COVID-19 patients: A systematic review and metaanalysis, J Glob Health. Dec,
doi:10.7189/jogh.10.020503
Kim, Crimmins, How does age affect personal and social reactions to COVID-19: Results from the national Understanding America Study, PLoS One,
doi:10.1371/journal.pone.0241950
Lab, Self-reported compliance and attitudes about social distancing during the COVID-19 outbreak
Lerner, Klein, Hardesty, Panagiotou, Misquith et al., Comparison of COVID-19 outcomes in organ transplant recipients (OTr) and non-transplant patients: a study protocol for rapid review. Syst Rev,
doi:10.1186/s13643-021-01854-8
Lin, Savoia, Agboola, Viswanath, What have we learned about communication inequalities during the H1N1 pandemic: a systematic review of the literature,
doi:10.1186/1471-2458-14-484
Lips, Vitamin D deficiency and secondary hyperparathyroidism in the elderly: consequences for bone loss and fractures and therapeutic implications, Endocr Rev. Aug,
doi:10.1210/edrv.22.4.0437
Maghbooli, Sahraian, Ebrahimi, Vitamin D sufficiency, a serum 25-hydroxyvitamin D at least 30 ng/mL reduced risk for adverse clinical outcomes in patients with COVID-19 infection, PLoS One,
doi:10.1371/journal.pone.0239799
Moline, Whitaker, Deng, Effectiveness of COVID-19 Vaccines in Preventing Hospitalization Among Adults Aged ≥65 Years -COVID-NET, 13 States, MMWR Morb Mortal Wkly Rep,
doi:10.15585/mmwr.mm7032e3
Naaber, Tserel, Kangro, Dynamics of antibody response to BNT162b2 vaccine after six months: a longitudinal prospective study, Lancet Reg Health Eur. Nov,
doi:10.1016/j.lanepe.2021.100208
Pilishvili, Gierke, Ke, Effectiveness of mRNA Covid-19 Vaccine among U.S. Health Care Personnel, N Engl J Med,
doi:10.1056/NEJMoa2106599
Puranik, Lenehan, Silvert, Comparison of two highly-effective mRNA vaccines for COVID-19 during periods of Alpha and Delta variant prevalence. medRxiv,
doi:10.1101/2021.08.06.21261707
Rentsch, Kidwai-Khan, Tate, Covid-19 by Race and Ethnicity: A National Cohort Study of 6 Million United States Veterans. medRxiv
Rosenberg, Dorabawila, Easton, COVID-19 vaccine effectiveness in New York state
Self, Tenforde, Rhoads, Comparative Effectiveness of Moderna, Pfizer-BioNTech, and Janssen (Johnson & Johnson) Vaccines in Preventing COVID-19 Hospitalizations Among Adults Without Immunocompromising Conditions -United States, MMWR Morb Mortal Wkly Rep,
doi:10.15585/mmwr.mm7038e1
Sheikh, Robertson, Taylor, BNT162b2 and ChAdOx1 nCoV-19 Vaccine Effectiveness against Death from the Delta Variant, N Engl J Med,
doi:10.1056/NEJMc2113864
Stahl, Brown, None, Cell Therapy Strategies to Combat Immunosenescence
Sun, Zheng, Madhira, Association Between Immune Dysfunction and COVID-19 Breakthrough Infection After SARS-CoV-2 Vaccination in the US, JAMA Intern Med,
doi:10.1001/jamainternmed.2021.7024
Tartof, Slezak, Fischer, Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA: a retrospective cohort study, Lancet,
doi:10.1016/s0140-6736(21)02183-8
Tenforde, Self, Adams, Association Between mRNA Vaccination and COVID-19 Hospitalization and Disease Severity, Jama,
doi:10.1001/jama.2021.19499
Von Elm, Altman, Egger, Pocock, Gøtzsche et al., The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies, J Clin Epidemiol. Apr,
doi:10.1016/j.jclinepi.2007.11.008
Wilson, Sharma, Schluechtermann, Factors influencing risk for COVID-19 exposure among young adults aged 18-23 years, Morbidity and Mortality Weekly Report
Woodward, Epidemiology: study design and data analysis, Centers for Disease Control and Prevention. COVID Data Tracker
Wu, Chen, Cai, Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease, JAMA Intern Med,
doi:10.1001/jamainternmed.2020.0994
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'Qatar',
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'volume': '182',
'author': 'Sun',
'year': '2022',
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'doi-asserted-by': 'crossref',
'first-page': '344',
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'article-title': 'The Strengthening the Reporting of Observational Studies in '
'Epidemiology (STROBE) statement: guidelines for reporting observational '
'studies',
'volume': '61',
'author': 'von Elm',
'year': '2008',
'journal-title': 'J Clin Epidemiol'},
{ 'issue': '4',
'key': '10.1016/j.amjms.2023.04.019_bib0022',
'doi-asserted-by': 'crossref',
'first-page': '1157',
'DOI': '10.2307/2531743',
'article-title': 'Power calculations for matched case-control studies',
'volume': '44',
'author': 'Dupont',
'year': '1988',
'journal-title': 'Biometrics'},
{ 'key': '10.1016/j.amjms.2023.04.019_bib0023',
'series-title': 'Epidemiology: study design and data analysis',
'first-page': '24',
'author': 'Woodward',
'year': '2013'},
{ 'key': '10.1016/j.amjms.2023.04.019_bib0024',
'unstructured': 'Centers for Disease Control and Prevention. COVID Data Tracker. Atlanta, '
'GA: US Department of Health and Human Services, CDC; 2022, December 20. '
'https://covid.cdc.gov/covid-data-tracker'},
{ 'issue': '2',
'key': '10.1016/j.amjms.2023.04.019_bib0025',
'doi-asserted-by': 'crossref',
'DOI': '10.7189/jogh.10.020503',
'article-title': 'Effects of underlying morbidities on the occurrence of deaths in '
'COVID-19 patients: A systematic review and meta-analysis',
'volume': '10',
'author': 'Khan',
'year': '2020',
'journal-title': 'J Glob Health'},
{ 'issue': '7821',
'key': '10.1016/j.amjms.2023.04.019_bib0026',
'doi-asserted-by': 'crossref',
'first-page': '430',
'DOI': '10.1038/s41586-020-2521-4',
'article-title': 'Factors associated with COVID-19-related death using OpenSAFELY',
'volume': '584',
'author': 'Williamson',
'year': '2020',
'journal-title': 'Nature'},
{ 'issue': '7',
'key': '10.1016/j.amjms.2023.04.019_bib0027',
'doi-asserted-by': 'crossref',
'first-page': '934',
'DOI': '10.1001/jamainternmed.2020.0994',
'article-title': 'Risk Factors Associated With Acute Respiratory Distress Syndrome and '
'Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, '
'China',
'volume': '180',
'author': 'Wu',
'year': '2020',
'journal-title': 'JAMA Intern Med'},
{ 'issue': '1',
'key': '10.1016/j.amjms.2023.04.019_bib0028',
'doi-asserted-by': 'crossref',
'first-page': '27',
'DOI': '10.1016/j.kint.2020.04.031',
'article-title': 'COVID-19: clinical course and outcomes of 36 hemodialysis patients in '
'Spain',
'volume': '98',
'author': 'Goicoechea',
'year': '2020',
'journal-title': 'Kidney Int'},
{ 'issue': '2',
'key': '10.1016/j.amjms.2023.04.019_bib0029',
'doi-asserted-by': 'crossref',
'DOI': '10.1053/j.ajkd.2020.09.003',
'article-title': 'Characteristics and Outcomes of Individuals With Pre-existing Kidney '
'Disease and COVID-19 Admitted to Intensive Care Units in the United '
'States',
'volume': '77',
'author': 'Flythe',
'year': '2021',
'journal-title': 'Am J Kidney Dis'},
{ 'issue': '1',
'key': '10.1016/j.amjms.2023.04.019_bib0030',
'doi-asserted-by': 'crossref',
'first-page': '299',
'DOI': '10.1186/s13643-021-01854-8',
'article-title': 'Comparison of COVID-19 outcomes in organ transplant recipients (OTr) '
'and non-transplant patients: a study protocol for rapid review',
'volume': '10',
'author': 'Lerner',
'year': '2021',
'journal-title': 'Syst Rev.'},
{ 'issue': '1',
'key': '10.1016/j.amjms.2023.04.019_bib0031',
'doi-asserted-by': 'crossref',
'first-page': '422',
'DOI': '10.1186/s13054-020-03120-0',
'article-title': 'Role of angiotensin-converting enzyme 2 (ACE2) in COVID-19',
'volume': '24',
'author': 'Ni',
'year': '2020',
'journal-title': 'Crit Care.'},
{ 'key': '10.1016/j.amjms.2023.04.019_bib0032',
'article-title': 'The regulation of ACE-2 in the heart and lungs',
'volume': '9',
'author': 'Jonathan',
'year': '2021'},
{ 'key': '10.1016/j.amjms.2023.04.019_bib0033',
'series-title': 'Risk for COVID-19 infection, hospitalization, and death by age group',
'article-title': 'Prevention',
'year': '2021'},
{ 'key': '10.1016/j.amjms.2023.04.019_bib0034',
'unstructured': 'Provisional COVID-19 Deaths by Sex and Age. '
'https://data.cdc.gov/NCHS/Provisional-COVID-19-Deaths-by-Sex-and-Age/9bhg-hcku'},
{ 'key': '10.1016/j.amjms.2023.04.019_bib0035',
'article-title': 'Aging, Immunity, and COVID-19: How Age Influences the Host Immune '
'Response to Coronavirus Infections?',
'volume': '11',
'author': 'Bajaj',
'year': '2020',
'journal-title': 'Front Physiol'},
{ 'issue': '4',
'key': '10.1016/j.amjms.2023.04.019_bib0036',
'doi-asserted-by': 'crossref',
'first-page': '159',
'DOI': '10.1080/15476278.2015.1120046',
'article-title': 'Cell Therapy Strategies to Combat Immunosenescence',
'volume': '11',
'author': 'Stahl',
'year': '2015',
'journal-title': 'Organogenesis'},
{ 'issue': '11',
'key': '10.1016/j.amjms.2023.04.019_bib0037',
'doi-asserted-by': 'crossref',
'DOI': '10.1371/journal.pone.0241950',
'article-title': 'How does age affect personal and social reactions to COVID-19: Results '
'from the national Understanding America Study',
'volume': '15',
'author': 'Kim',
'year': '2020',
'journal-title': 'PLoS One'},
{ 'issue': '41',
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'doi-asserted-by': 'crossref',
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'DOI': '10.15585/mmwr.mm6941e2',
'article-title': 'Factors influencing risk for COVID-19 exposure among young adults aged '
'18–23 years—Winnebago County, Wisconsin, March–July 2020',
'volume': '69',
'author': 'Wilson',
'year': '2020',
'journal-title': 'Morbidity and Mortality Weekly Report'},
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'DOI': '10.1086/655811',
'article-title': 'Community psychological and behavioral responses through the first wave '
'of the 2009 influenza A(H1N1) pandemic in Hong Kong',
'volume': '202',
'author': 'Cowling',
'year': '2010',
'journal-title': 'J Infect Dis'},
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'doi-asserted-by': 'crossref',
'first-page': '484',
'DOI': '10.1186/1471-2458-14-484',
'article-title': 'What have we learned about communication inequalities during the H1N1 '
'pandemic: a systematic review of the literature',
'volume': '14',
'author': 'Lin',
'year': '2014',
'journal-title': 'BMC Public Health'},
{ 'key': '10.1016/j.amjms.2023.04.019_bib0041',
'doi-asserted-by': 'crossref',
'unstructured': 'Lab B.Self-reported compliance and attitudes about social distancing '
'during the COVID-19 outbreak. 2020.',
'DOI': '10.31219/osf.io/bv28d'},
{ 'key': '10.1016/j.amjms.2023.04.019_bib0042',
'doi-asserted-by': 'crossref',
'unstructured': 'Yilmazkuday H. COVID-19 and Unequal Social Distancing across Demographic '
'Groups. Aug 18 2020;doi:10.1111/rsp3.12329',
'DOI': '10.2139/ssrn.3580302'},
{ 'issue': '7',
'key': '10.1016/j.amjms.2023.04.019_bib0043',
'doi-asserted-by': 'crossref',
'first-page': '720',
'DOI': '10.1016/j.mayocp.2013.05.011',
'article-title': 'Vitamin D for health: a global perspective',
'volume': '88',
'author': 'Hossein-nezhad',
'year': '2013',
'journal-title': 'Mayo Clin Proc'},
{ 'issue': '2',
'key': '10.1016/j.amjms.2023.04.019_bib0044',
'doi-asserted-by': 'crossref',
'first-page': '319',
'DOI': '10.1016/j.ecl.2013.02.004',
'article-title': 'Vitamin D and aging',
'volume': '42',
'author': 'Gallagher',
'year': '2013',
'journal-title': 'Endocrinol Metab Clin North Am'},
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'key': '10.1016/j.amjms.2023.04.019_bib0045',
'doi-asserted-by': 'crossref',
'first-page': '477',
'DOI': '10.1210/edrv.22.4.0437',
'article-title': 'Vitamin D deficiency and secondary hyperparathyroidism in the elderly: '
'consequences for bone loss and fractures and therapeutic implications',
'volume': '22',
'author': 'Lips',
'year': '2001',
'journal-title': 'Endocr Rev.'},
{ 'issue': '2',
'key': '10.1016/j.amjms.2023.04.019_bib0046',
'doi-asserted-by': 'crossref',
'first-page': '60',
'DOI': '10.12974/2309-6128.2014.02.02.1',
'article-title': 'The Role of Vitamin D in the Aging Adult',
'volume': '2',
'author': 'Meehan',
'year': '2014',
'journal-title': 'J Aging Gerontol'},
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'doi-asserted-by': 'crossref',
'DOI': '10.1016/j.jsbmb.2020.105751',
'article-title': 'Effect of calcifediol treatment and best available therapy versus best '
'available therapy on intensive care unit admission and mortality among '
'patients hospitalized for COVID-19: A pilot randomized clinical study',
'volume': '203',
'author': 'Entrenas Castillo',
'year': '2020',
'journal-title': 'J Steroid Biochem Mol Biol'},
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'key': '10.1016/j.amjms.2023.04.019_bib0048',
'doi-asserted-by': 'crossref',
'DOI': '10.1371/journal.pone.0239799',
'article-title': 'Vitamin D sufficiency, a serum 25-hydroxyvitamin D at least 30 ng/mL '
'reduced risk for adverse clinical outcomes in patients with COVID-19 '
'infection',
'volume': '15',
'author': 'Maghbooli',
'year': '2020',
'journal-title': 'PLoS One'},
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'key': '10.1016/j.amjms.2023.04.019_bib0049',
'doi-asserted-by': 'crossref',
'first-page': '190',
'DOI': '10.1136/archdischild-2014-307214',
'article-title': 'Sunshine and vitamin D',
'volume': '101',
'author': 'Saraff',
'year': '2016',
'journal-title': 'Arch Dis Child.'}],
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