Association between antibody responses post-vaccination and severe COVID-19 outcomes in Scotland.


Journal

NPJ vaccines
ISSN: 2059-0105
Titre abrégé: NPJ Vaccines
Pays: England
ID NLM: 101699863

Informations de publication

Date de publication:
14 Jun 2024
Historique:
received: 17 04 2023
accepted: 03 06 2024
medline: 15 6 2024
pubmed: 15 6 2024
entrez: 14 6 2024
Statut: epublish

Résumé

Several population-level studies have described individual clinical risk factors associated with suboptimal antibody responses following COVID-19 vaccination, but none have examined multimorbidity. Others have shown that suboptimal post-vaccination responses offer reduced protection to subsequent SARS-CoV-2 infection; however, the level of protection from COVID-19 hospitalisation/death remains unconfirmed. We use national Scottish datasets to investigate the association between multimorbidity and testing antibody-negative, examining the correlation between antibody levels and subsequent COVID-19 hospitalisation/death among double-vaccinated individuals. We found that individuals with multimorbidity ( ≥ five conditions) were more likely to test antibody-negative post-vaccination and 13.37 [6.05-29.53] times more likely to be hospitalised/die from COVID-19 than individuals without conditions. We also show a dose-dependent association between post-vaccination antibody levels and COVID-19 hospitalisation or death, with those with undetectable antibody levels at a significantly higher risk (HR 9.21 [95% CI 4.63-18.29]) of these serious outcomes compared to those with high antibody levels.

Identifiants

pubmed: 38877008
doi: 10.1038/s41541-024-00898-w
pii: 10.1038/s41541-024-00898-w
doi:

Types de publication

Journal Article

Langues

eng

Pagination

107

Subventions

Organisme : RCUK | Medical Research Council (MRC)
ID : MC_PC_19075

Informations de copyright

© 2024. The Author(s).

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Auteurs

Calum Macdonald (C)

Usher Institute, University of Edinburgh, Teviot Pl, EH8 9AG, Edinburgh, UK. calum.macdonald@hdruk.ac.uk.
Health Data Research UK, Gibbs Building, 215 Euston Road, NW1 2BE, London, UK. calum.macdonald@hdruk.ac.uk.

Norah Palmateer (N)

School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens, Road, Glasgow, G4 0BA, UK. norah.palmateer@phs.scot.
Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK. norah.palmateer@phs.scot.

Andrew McAuley (A)

School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens, Road, Glasgow, G4 0BA, UK.
Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.

Laura Lindsay (L)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.

Taimoor Hasan (T)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.

Safraj Shahul Hameed (SS)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.

Elliot Hall (E)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.

Karen Jeffrey (K)

Usher Institute, University of Edinburgh, Teviot Pl, EH8 9AG, Edinburgh, UK.

Zoë Grange (Z)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.

Petros Gousias (P)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.

Sally Mavin (S)

Scottish Microbiology Reference Laboratory, Raigmore Hospital, Old Perth Road, Inverness, IV2 3UJ, UK.

Lisa Jarvis (L)

Scottish National Blood Transfusion Service, Jack Copland Centre, 52 Research Avenue North, EH14 4BE, Edinburgh, UK.

J Claire Cameron (JC)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.

Luke Daines (L)

Usher Institute, University of Edinburgh, Teviot Pl, EH8 9AG, Edinburgh, UK.

Holly Tibble (H)

Usher Institute, University of Edinburgh, Teviot Pl, EH8 9AG, Edinburgh, UK.

Colin R Simpson (CR)

School of Health, Wellington Faculty of Health, Victoria University of Wellington, PO Box 600, Wellington, 6140, Wellington, New Zealand.

Colin McCowan (C)

School of Medicine, University of St Andrews, North Haugh, St Andrews, KY16 9TF, UK.

Srinivasa Vittal Katikireddi (SV)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.
MRC/CSO Social & Public Health Sciences Unit, University of Glasgow Berkeley Square, 99 Berkeley St., G3 7HR, Glasgow, UK.

Igor Rudan (I)

Usher Institute, University of Edinburgh, Teviot Pl, EH8 9AG, Edinburgh, UK.

Adeniyi Francis Fagbamigbe (AF)

Institute of Applied Health Sciences, University of Aberdeen, Polwarth Building, Foresterhill Rd, AB25 2ZD, Aberdeen, UK.

Lewis Ritchie (L)

Centre of Academic Primary Care, University of Aberdeen, Polwarth Building, Foresterhill Rd, AB25 2ZD, Aberdeen, UK.

Ben Swallow (B)

School of Mathematics and Statistics, University of St Andrews, KY16 9SS, St Andrews, UK.

Paul Moss (P)

Institute of Immunology and Immunotherapy, University of Birmingham, Cancer Sciences Building, Edgbaston, B15 2TT, Birmingham, UK.

Chris Robertson (C)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.
Department of Mathematics and Statistics, University of Strathclyde, Richmond Street Glasgow, G1 1XH, Glasgow, UK.

Aziz Sheikh (A)

Usher Institute, University of Edinburgh, Teviot Pl, EH8 9AG, Edinburgh, UK.
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, Oxford, UK.

Josie Murray (J)

Public Health Scotland, Meridian Court, 5 Cadogan Street, G2 6QE, Glasgow, UK.
School of Medicine, University of St Andrews, North Haugh, St Andrews, KY16 9TF, UK.

Classifications MeSH