Evidence map›Paper›PMID 22353593›Full record

Trial reportCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2012

Neonatal outcomes after influenza immunization during pregnancy: a randomized controlled trial.

Mark C Steinhoff, Saad B Omer, Eliza Roy, Shams El Arifeen, Rubhana Raqib, Caitlin Dodd, Robert F Breiman, K Zaman

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 10 pooled it
18.1field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 10 syntheses or guidelines pooled it, 203 citations in OpenAlex.

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  4. Vaccines for preventing influenza in healthy adults.The Cochrane database of systematic reviews · 2018
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  5. Guideline
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  7. Maternal influenza and birth outcomes: systematic review of comparative studies.BJOG : an international journal of obstetrics and gynaecology · 2017
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  10. Pneumococcal vaccination during pregnancy for preventing infant infection.The Cochrane database of systematic reviews · 2015
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43 more citing papers are in PubMed but not listed here.

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

8 authors at 2 institutions in 2 countries.

Mark C SteinhoffBloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. mark.steinhoff@cchmc.org
Saad B Omer
Eliza Roy
Shams El Arifeen
Rubhana Raqib
Caitlin Dodd
Robert F Breiman
K Zaman
Cincinnati Children's Hospital Medical Center · USInternational Centre for Diarrhoeal Disease Research · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are limited data about the effect of maternal influenza infection on fetuses and newborns. We performed a secondary analysis of data from the Mother's Gift project, a randomized study designed to test the effectiveness of inactivated influenza and pneumococcal vaccines during pregnancy.

methodsIn the Mother's Gift project, 340 pregnant women in Bangladesh received either inactivated influenza vaccine or 23-valent pneumococcal polysaccharide vaccine (control). This study was performed from August 2004 through December 2005. We performed a secondary analysis of outcomes following maternal influenza immunization during two periods: when influenza virus was not circulating (September 2004 through January 2005) and when influenza virus was circulating (February through October 2005). We assessed gestational age, mean birth weight and the proportion of infants who were small for gestational age.

resultsDuring the period with no circulating influenza virus, there were no differences in the incidence of respiratory illness with fever per 100 person-months among mothers and infants in the two groups (influenza vaccine: 3.9; control: 4.0; p > 0.9). The proportion of infants who were small for gestational age and the mean birth weight were similar between groups (small for gestational age: influenza vaccine 29.1%, control 34.3%; mean birth weight: influenza vaccine 3083 g, control 3053 g). During the period with circulating influenza virus, there was a substantial reduction in the incidence per 100 person-months of respiratory illness with fever among the mothers and infants who had received the influenza vaccine (influenza vaccine: 3.7; control: 7.2; p = 0.0003). During this period, the proportion of infants who were small for gestational age was lower in the influenza vaccine group than in the control group (25.9% v. 44.8%; p = 0.03). The mean birth weight was higher among infants whose mothers received the influenza vaccine than among those who received the control vaccine during this period (3178 g v. 2978 g; p = 0.02).

interpretationDuring the period with circulating influenza virus, maternal immunization during pregnancy was associated with a lower proportion of infants who were small for gestational age and an increase in mean birth weight. These data need confirmation but suggest that prevention of influenza infection in pregnancy can influence intrauterine growth.

trial registrationClinicalTrials.gov: NCT 00142389.

Indexed as

Birth WeightGestational AgePrenatal CareVaccinationAdultBangladeshFemaleHumansIncidenceInfant, NewbornInfant, Small for Gestational AgeInfluenza, HumanInfluenza VaccinesIntention to Treat AnalysisMaleOdds RatioInfluenza VaccinesPneumococcal Vaccines

Identifiers

PMID22353593
PMCPMC3314035
OpenAlexW2141470641

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.