Hospitalization and Mortality Risk for COVID-19 Cases With SARS-CoV-2 AY.4.2 (VUI-21OCT-01) Compared to Non-AY.4.2 Delta Variant Sublineages

Author:

Nyberg Tommy1ORCID,Harman Katie2ORCID,Zaidi Asad2ORCID,Seaman Shaun R1ORCID,Andrews Nick3ORCID,Nash Sophie G2ORCID,Charlett Andre4ORCID,Lopez Bernal Jamie3ORCID,Myers Richard5ORCID,Groves Natalie5ORCID,Gallagher Eileen5,Gharbia Saheer6ORCID,Chand Meera5ORCID,Thelwall Simon2ORCID,De Angelis Daniela1ORCID,Dabrera Gavin2ORCID,Presanis Anne M1ORCID

Affiliation:

1. Medical Research Council Biostatistics Unit, University of Cambridge , Cambridge , United Kingdom

2. COVID-19 National Epidemiology Cell, UK Health Security Agency , London , United Kingdom

3. Immunisation and Countermeasures Division, UK Health Security Agency , London , United Kingdom

4. National Infection Service, UK Health Security Agency , London , United Kingdom

5. Genomics Cell, UK Health Security Agency , London , United Kingdom

6. Genomics Programme, UK Health Security Agency , London , United Kingdom

Abstract

Abstract To investigate if the AY.4.2 sublineage of the SARS-CoV-2 delta variant is associated with hospitalization and mortality risks that differ from non-AY.4.2 delta risks, we performed a retrospective cohort study of sequencing-confirmed COVID-19 cases in England based on linkage of routine health care datasets. Using stratified Cox regression, we estimated adjusted hazard ratios (aHR) of hospital admission (aHR = 0.85; 95% confidence interval [CI], .77–.94), hospital admission or emergency care attendance (aHR = 0.87; 95% CI, .81–.94), and COVID-19 mortality (aHR = 0.85; 95% CI, .71–1.03). The results indicate that the risks of hospitalization and mortality are similar or lower for AY.4.2 compared to cases with other delta sublineages.

Funder

United Kingdom Research and Innovation Medical Research Council

Department of Health and Social Care National Institute for Health Research

NIHR Health Protection Unit in Behavioural Science and Evaluation

NIHR Cambridge Biomedical Research Centre

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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