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Severe Acute Respiratory Syndrome Coronavirus 2 Re-Infection Risk and Vaccine Efficacy in Austria

Completed
Conditions
COVID-19
Interventions
Biological: Vaccination against SARS-CoV-2
Registration Number
NCT06162533
Lead Sponsor
Medical University of Graz
Brief Summary

The coronavirus disease 2019 (COVID-19) pandemic was caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. In this study, we aim to evaluate how strong and how long are individuals in Austria after vaccination and/or infection with SARS-CoV-2 protected against COVID-19 disease.

In this project, we will analyze national health data from all inhabitants of Austria (about 9 million persons) during the COVID-19 pandemic. The population of Austria will be stratified into different groups according to previous vaccinations against SARS-CoV-2 and previous SARS-CoV-2 infections.

We primarily evaluate how strong and how long after vaccination against SARS-CoV-2 and/or infection with SARS-CoV-2, the risk for COVID-19 deaths is reduced or altered as compared to less vaccinated and/or infected persons. As secondary study aims, we perform such analyses also for SARS-CoV-2 infections, hospitalizations and intensive care unit (ICU) stays, with or due to SARS-CoV-2. These analyses will be performed during different time periods of the COVID-19 pandemic, and we will also perform various subgroup analyses as for example according to age and gender. Given that antibodies against SARS-CoV-2 are usually detected after vaccination and/or infection, we will use such antibody data from blood donors in Tyrol, to elucidate how well the national health data on SARS-CoV-2 infections and vaccinations match with the respective antibody data, and how well these antibody data indicate risk of COVID-19 deaths and infections.

We will calculate the probability of dying due to a SARS-CoV-2 infection (case/infection fatality rate) for different times of the COVID-19 pandemic, in order to document the health threat due to SARS-CoV-2. Based on all these data, we will calculate how many persons have to be vaccinated against SARS-CoV-2 to prevent one COVID-19 death at different times during this COVID-19 pandemic. We will consider the respective COVID-19 policies such as mask mandates, lock-downs, SARS-CoV-2 test mandates in our analyses and will evaluate the impact of these policies on COVID-19 deaths and diseases. In addition, we will evaluate data on total mortality according to the number of SARS-CoV-2 vaccinations and/or infections, and we will aim to collaborate with other research groups in order to extend our analyses.

In conclusion, the results of this study should provide an overview on the COVID-19 pandemic with respect to protection conferred by vaccinations and previous SARS-CoV-2 infections, as well as the health threat of SARS-CoV-2, in order to provide knowledge for future COVID-19 policy and future pandemics.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
9090868
Inclusion Criteria
  • Residency in Austria.
Exclusion Criteria
  • None.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Hybrid Immunity against SARS-CoV-2Vaccination against SARS-CoV-2Individuals who received a SARS-CoV-2 vaccine and who were previously infected with SARS-CoV-2. Subgroups will be formed according to the number and time period of previous SARS-CoV-2 infections, the number and type of vaccines against SARS-CoV-2, and according to whether the vaccination or the infection was the first immune conferring event.
Vaccinated against SARS-CoV-2Vaccination against SARS-CoV-2Individuals who received a SARS-CoV-2 vaccine but have no record of a previous SARS-CoV-2 infection. Subgroups will be formed according to the number and type of vaccines against SARS-CoV-2.
Primary Outcome Measures
NameTimeMethod
COVID-19 deathJanuary 1, 2000 to June 30, 2023

Death due to COVID-19

Secondary Outcome Measures
NameTimeMethod
ICU stayJanuary 1, 2000 to June 30, 2023

ICU stay of COVID-19 patients

HospitalizationJanuary 1, 2000 to June 30, 2023

Hospitalization of COVID-19 patients

All-cause mortalityJanuary 1, 2000 to June 30, 2023

Death due to all-causes

SARS-CoV-2 infectionJanuary 1, 2000 to June 30, 2023

Documented SARS-CoV-2 infection

Trial Locations

Locations (3)

Medical University of Innsbruck

🇦🇹

Innsbruck, Austria

Medical University of Graz

🇦🇹

Graz, Austria

Austrian Agency for Health and Food Safety

🇦🇹

Vienna, Austria

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