Evidence map›Paper›PMID 15313884›Full record

Trial reportBMJ (Clinical research ed.)2004

Effect of influenza vaccination on excess deaths occurring during periods of high circulation of influenza: cohort study in elderly people.

Ben G Armstrong, Punam Mangtani, Astrid Fletcher, Sari Kovats, Anthony McMichael, Sam Pattenden, Paul Wilkinson

2 registry-linked trialsAbstract readClinical TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01945268 phase4completednot on this mapstarted 2015, after this paper: background citation

A Randomized Controlled Trial of Influenza Vaccine to Prevent Adverse Vascular Events: A Pilot Study

TypeinterventionalSponsorMcMaster UniversityRan2015 to 2015Enrolled107ConditionsHeart FailureArmsinactivated trivalent influenza vaccine, Sterile saline
NCT02762851 phase4unknown statusnot on this mapstarted 2016, after this paper: background citation

A Randomized Controlled Trial of Influenza Vaccine to Prevent Adverse Vascular Events

TypeinterventionalSponsorMcMaster UniversityRan2016 to 2020Enrolled5,000ConditionsHeart Failure, InfluenzaArmsSterile saline, inactivated trivalent influenza vaccine
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Vaccines for preventing influenza in the elderly.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Article
  11. Article
  12. [Economic and Health impact of influenza vaccination with adjuvant MF59 in population over 64 years in Spain].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2018
    Article
  13. Health effects of milder winters: a review of evidence from the United Kingdom.Environmental health : a global access science source · 2017
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Impact of the GP contract on inequalities associated with influenza immunisation: a retrospective population-database analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
    Article
  19. Article
  20. Measuring preventive procedures by French GPs: an observational survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ben G ArmstrongLondon School of Hygiene and Tropical Medicine, London WC1E 7HT. ben.armstrong@lshtm.ac.uk
Punam Mangtani
Astrid Fletcher
Sari Kovats
Anthony McMichael
Sam Pattenden
Paul Wilkinson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the protection against death provided by vaccination against influenza.

designProspective cohort follow up supplemented by weekly national counts of influenza confirmed in the community.

settingPrimary care.

participants24,535 patients aged over 75 years from 73 general practices in Great Britain.

main outcome measureDeath.

resultsIn unvaccinated members of the cohort daily all cause mortality was strongly associated with an index of influenza circulating in the population (mortality ratio 1.16, 95% confidence interval 1.04 to 1.29 at 90th centile of circulating influenza). The association was strongest for respiratory deaths but was also present for cardiovascular deaths. In contrast, in vaccinated people mortality from any cause was not associated with circulating influenza. The difference in patterns between vaccinated and unvaccinated people could not easily be due to chance (P = 0.02, all causes).

conclusionsThis study, using a novel and robust approach to control for confounding, provides robust evidence of a protective effect on mortality of vaccination against influenza.

Indexed as

AgedCohort StudiesHumansInfluenza, HumanInfluenza VaccinesProspective StudiesRegression AnalysisUnited KingdomVaccinationInfluenza Vaccines

Identifiers

PMID15313884
PMCPMC517645

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.