Evidence map›Paper›PMID 22515877›Full record

ArticleAmerican journal of public health2012

H1N1 influenza vaccination during pregnancy and fetal and neonatal outcomes.

Deshayne B Fell, Ann E Sprague, Ning Liu, Abdool S Yasseen, Shi-Wu Wen, Graeme Smith, Mark C Walker, Better Outcomes Registry & Network (BORN) Ontario

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 10 pooled it
12.7field-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

63 citing papers in PubMed, 10 syntheses or guidelines pooled it, 138 citations in OpenAlex.

  1. Pooled it
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  5. Vaccines for preventing influenza in healthy adults.The Cochrane database of systematic reviews · 2018
    Pooled it
  6. Guideline
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  8. Community Mitigation Guidelines to Prevent Pandemic Influenza - United States, 2017.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2017
    Guideline
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  11. Trial
  12. Review
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3 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 1 institution in 1 country.

Deshayne B FellBetter Outcomes Registry & Network (BORN) Ontario, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Ann E Sprague
Ning Liu
Abdool S Yasseen
Shi-Wu Wen
Graeme Smith
Mark C Walker
Better Outcomes Registry & Network (BORN) Ontario
Children's Hospital of Eastern Ontario · CA

Funding

Canadian Institutes of Health Research 218653
6 · The paper itself

Abstract

objectivesWe evaluated the relationship between maternal H1N1 vaccination and fetal and neonatal outcomes among singleton births during the 2009-2010 H1N1 pandemic.

methodsWe used a population-based perinatal database in Ontario, Canada, to examine preterm birth (PTB), small-for-gestational-age (SGA) births, 5-minute Apgar score below 7, and fetal death via multivariable regression. We compared outcomes between women who did and did not receive an H1N1 vaccination during pregnancy.

resultsOf the 55,570 mothers with a singleton birth, 23,340 (42.0%) received an H1N1 vaccination during pregnancy. Vaccinated mothers were less likely to have an SGA infant based on the 10th (adjusted risk ratio [RR]=0.90; 95% confidence interval [CI]=0.85, 0.96) and 3rd (adjusted RR=0.81; 95% CI=0.72, 0.92) growth percentiles; PTB at less than 32 weeks' gestation (adjusted RR=0.73; 95% CI=0.58, 0.91) and fetal death (adjusted RR=0.66; 95% CI=0.47, 0.91) were also less likely among these women.

conclusionsOur results suggest that second- or third-trimester H1N1 vaccination was associated with improved fetal and neonatal outcomes during the recent pandemic. Our findings need to be confirmed in future studies with designs that can better overcome concerns regarding biased estimates of vaccine efficacy.

Indexed as

Influenza A Virus, H1N1 SubtypePregnancy Complications, InfectiousPregnancy OutcomeAdultCohort StudiesFemaleFetal DeathHumansInfant, NewbornInfant, Small for Gestational AgeInfluenza, HumanInfluenza VaccinesOdds RatioOntarioPandemicsPregnancyInfluenza Vaccines

Identifiers

PMID22515877
PMCPMC3483960
OpenAlexW2155995435

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.