Proceedings of the National Academy of Sciences · 2021 · 254 citations · 48 references
Life SciencesInfectious DiseasesMolecular BiologyMolecular VirologySurvival AnalysisVirologyDisease ModelingInfectious Disease DynamicsMortality ModelingSurvival ModelingViral EpidemiologyViral PersistenceDynamic Disease ModelingLong-term Viral SheddingLongitudinal Disease ModelingSars-cov-2 InfectionViral KineticsViral Replication KineticsViral Shedding AssessmentVirus Diseases
). Finally, we used our model to simulate the effects of effective pharmacological interventions on time to viral clearance and mortality. A treatment able to reduce viral production by 90% upon hospital admission would shorten the time to viral clearance by 2.0 and 2.9 d in patients of age <65 y and ≥65 y, respectively. Assuming that the association between viral dynamics and mortality would remain similar to that observed in our population, this could translate into a reduction of mortality from 19 to 14% in patients of age ≥65 y with risk factors. Our results show that viral dynamics is associated with mortality in hospitalized patients. Strategies aiming to reduce viral load could have an effect on mortality rate in this population.
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Veterinary Medicine, Infectious Diseases, Clinical Epidemiology +6