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Genomic Epidemiology of SARS-CoV-2 Infection During the Initial Pandemic Wave and Association With Disease Severity
Author(s) -
Frank Esper,
YuWei Cheng,
Thamali M. Adhikari,
Zheng Jin Tu,
Derek Li,
Erik A. Li,
Daniel H. Farkas,
Gary W. Procop,
Jennifer S. Ko,
Timothy A. Chan,
Lara Jehi,
Brian P. Rubin,
Jing Li
Publication year - 2021
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2021.7746
Subject(s) - pandemic , epidemiology , covid-19 , disease , virology , medicine , genome wide association study , biology , infectious disease (medical specialty) , genotype , outbreak , genetics , single nucleotide polymorphism , gene
Key Points Question Are SARS-CoV-2 variants, virus clades, or clade groups associated with disease severity and patient outcomes? Findings In this cross-sectional study of 302 SARS-CoV-2 isolates, 6 different Global Initiative on Sharing All Influenza Data clades circulated in the community followed by a rapid reduction in clade diversity. Several variants, including 23403A>G (D614G), were significantly associated with lower hospitalization rates and increased patient survival. Meaning These findings suggest that SARS-CoV-2 clade assignment is an important factor that may aid in estimating patient outcomes.

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