No difference in risk of hospitalization between reported cases of the SARS-CoV-2 Delta variant and Alpha variant in Norway

ABSTRACT: Objectives: To estimate the risk of hospitalization among reported cases of the Delta variant of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) compared with the Alpha variant in Norway, and the risk of hospitalization by vaccination status. Methods: A cohort study was condu...

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Main Authors: Lamprini Veneti, Beatriz Valcarcel Salamanca, Elina Seppälä, Jostein Starrfelt, Margrethe Larsdatter Storm, Karoline Bragstad, Olav Hungnes, Håkon Bøås, Reidar Kvåle, Line Vold, Karin Nygård, Eirik Alnes Buanes, Robert Whittaker
Format: Article
Language:English
Published: Elsevier 2022-02-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971221012182
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author Lamprini Veneti
Beatriz Valcarcel Salamanca
Elina Seppälä
Jostein Starrfelt
Margrethe Larsdatter Storm
Karoline Bragstad
Olav Hungnes
Håkon Bøås
Reidar Kvåle
Line Vold
Karin Nygård
Eirik Alnes Buanes
Robert Whittaker
author_facet Lamprini Veneti
Beatriz Valcarcel Salamanca
Elina Seppälä
Jostein Starrfelt
Margrethe Larsdatter Storm
Karoline Bragstad
Olav Hungnes
Håkon Bøås
Reidar Kvåle
Line Vold
Karin Nygård
Eirik Alnes Buanes
Robert Whittaker
author_sort Lamprini Veneti
collection DOAJ
description ABSTRACT: Objectives: To estimate the risk of hospitalization among reported cases of the Delta variant of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) compared with the Alpha variant in Norway, and the risk of hospitalization by vaccination status. Methods: A cohort study was conducted on laboratory-confirmed cases of SARS-CoV-2 in Norway, diagnosed between 3 May and 15 August 2021. Adjusted risk ratios (aRR) with 95% confidence intervals (CI) were calculated using multi-variable log-binomial regression, accounting for variant, vaccination status, demographic characteristics, week of sampling and underlying comorbidities. Results: In total, 7977 cases of the Delta variant and 12,078 cases of the Alpha variant were included in this study. Overall, 347 (1.7%) cases were hospitalized. The aRR of hospitalization for the Delta variant compared with the Alpha variant was 0.97 (95% CI 0.76–1.23). Partially vaccinated cases had a 72% reduced risk of hospitalization (95% CI 59–82%), and fully vaccinated cases had a 76% reduced risk of hospitalization (95% CI 61–85%) compared with unvaccinated cases. Conclusions: No difference was found between the risk of hospitalization for Delta cases and Alpha cases in Norway. The results of this study support the notion that partially and fully vaccinated cases are highly protected against hospitalization with coronavirus disease 2019.
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spelling doaj.art-bdb300a680ac4d0da8526edb1236b3b92022-12-21T23:28:56ZengElsevierInternational Journal of Infectious Diseases1201-97122022-02-01115178184No difference in risk of hospitalization between reported cases of the SARS-CoV-2 Delta variant and Alpha variant in NorwayLamprini Veneti0Beatriz Valcarcel Salamanca1Elina Seppälä2Jostein Starrfelt3Margrethe Larsdatter Storm4Karoline Bragstad5Olav Hungnes6Håkon Bøås7Reidar Kvåle8Line Vold9Karin Nygård10Eirik Alnes Buanes11Robert Whittaker12Department of Infection Control and Preparedness, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Method Development and Analytics, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Infection Control and Vaccines, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Infection Control and Preparedness, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Infectious Disease Registries, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Virology, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Virology, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Infection Control and Preparedness, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, University of Bergen, Bergen, NorwayDepartment of Infection Control and Preparedness, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Infection Control and Preparedness, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway; Norwegian Intensive Care and Pandemic Registry, Haukeland University Hospital, Bergen, NorwayDepartment of Infection Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway; Corresponding author. Address: Norwegian Institute of Public Health, Lovisenberggata 8, 0456 Oslo, Norway. Tel.: +47 21 07 63 93.ABSTRACT: Objectives: To estimate the risk of hospitalization among reported cases of the Delta variant of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) compared with the Alpha variant in Norway, and the risk of hospitalization by vaccination status. Methods: A cohort study was conducted on laboratory-confirmed cases of SARS-CoV-2 in Norway, diagnosed between 3 May and 15 August 2021. Adjusted risk ratios (aRR) with 95% confidence intervals (CI) were calculated using multi-variable log-binomial regression, accounting for variant, vaccination status, demographic characteristics, week of sampling and underlying comorbidities. Results: In total, 7977 cases of the Delta variant and 12,078 cases of the Alpha variant were included in this study. Overall, 347 (1.7%) cases were hospitalized. The aRR of hospitalization for the Delta variant compared with the Alpha variant was 0.97 (95% CI 0.76–1.23). Partially vaccinated cases had a 72% reduced risk of hospitalization (95% CI 59–82%), and fully vaccinated cases had a 76% reduced risk of hospitalization (95% CI 61–85%) compared with unvaccinated cases. Conclusions: No difference was found between the risk of hospitalization for Delta cases and Alpha cases in Norway. The results of this study support the notion that partially and fully vaccinated cases are highly protected against hospitalization with coronavirus disease 2019.http://www.sciencedirect.com/science/article/pii/S1201971221012182NorwaySARS-CoV-2HospitalizationVariants of concernDeltaAlpha
spellingShingle Lamprini Veneti
Beatriz Valcarcel Salamanca
Elina Seppälä
Jostein Starrfelt
Margrethe Larsdatter Storm
Karoline Bragstad
Olav Hungnes
Håkon Bøås
Reidar Kvåle
Line Vold
Karin Nygård
Eirik Alnes Buanes
Robert Whittaker
No difference in risk of hospitalization between reported cases of the SARS-CoV-2 Delta variant and Alpha variant in Norway
International Journal of Infectious Diseases
Norway
SARS-CoV-2
Hospitalization
Variants of concern
Delta
Alpha
title No difference in risk of hospitalization between reported cases of the SARS-CoV-2 Delta variant and Alpha variant in Norway
title_full No difference in risk of hospitalization between reported cases of the SARS-CoV-2 Delta variant and Alpha variant in Norway
title_fullStr No difference in risk of hospitalization between reported cases of the SARS-CoV-2 Delta variant and Alpha variant in Norway
title_full_unstemmed No difference in risk of hospitalization between reported cases of the SARS-CoV-2 Delta variant and Alpha variant in Norway
title_short No difference in risk of hospitalization between reported cases of the SARS-CoV-2 Delta variant and Alpha variant in Norway
title_sort no difference in risk of hospitalization between reported cases of the sars cov 2 delta variant and alpha variant in norway
topic Norway
SARS-CoV-2
Hospitalization
Variants of concern
Delta
Alpha
url http://www.sciencedirect.com/science/article/pii/S1201971221012182
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