Evidence map›Paper›PMID 24361852›Full record

ArticleJournal of cardiac failure2014

Lack of persistence of influenza vaccine antibody titers in patients with heart failure.

Caroline M Albrecht, Nancy K Sweitzer, Maryl R Johnson, Orly Vardeny

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cardiac failure, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02787044 (INfluenza Vaccine to Effectively Stop Cardio Thoracic Events and Decompensated Heart Failure), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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.

NCT02787044 phase4completednot on this mapstarted 2016, after this paper: background citation

INfluenza Vaccine to Effectively Stop Cardio Thoracic Events and Decompensated Heart Failure

TypeinterventionalSponsorBrigham and Women's HospitalRan2016 to 2020Enrolled5,388ConditionsHeart Failure, Myocardial InfarctionArmsHigh Dose Trivalent Influenza Vaccine, Standard Dose Quadrivalent Influenza Vaccine
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Skin immunization with influenza vaccines.Current topics in microbiology and immunology · 2015
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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

4 authors.

Caroline M AlbrechtSchool of Pharmacy, University of Wisconsin, Madison, Wisconsin.
Nancy K SweitzerSchool of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Maryl R JohnsonSchool of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Orly VardenySchool of Pharmacy, University of Wisconsin, Madison, Wisconsin. Electronic address: ovardeny@pharmacy.wisc.edu.

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Institutional Clinical and Translational Science Award (UW-Madison)KL2RR025012 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$11.1M
NCATS NIH HHS UL1 TR000427NCRR NIH HHS KL2 RR025012
6 · The paper itself

Abstract

backgroundPatients with heart failure (HF) have lower initial antibody responses to the influenza vaccine compared with healthy individuals. Whether antibody titers wane faster in this population remains unknown. METHODS AND

resultsWe studied 62 HF patients (18 ischemic, 44 idiopathic) and 40 healthy control subjects (HC) during the 2006-2007 and 2007-2008 influenza seasons. Antibody titers were measured before and 2-4 weeks and 11-12 months after vaccination. Serum antibody production was measured by hemagglutination inhibition assay, and antibody titers to individual vaccine viral strains between the HF and HC groups were compared after the influenza season to measure persistence of antibody response. All participants demonstrated early antibody seroprotection (titers 40 hemmaglutination inhibition units to 1 strain). Although antibody titers waned over time in both groups, titers to A/H3N2 and A/H1N1 strains decreased more in HF than in HC participants (P = .004 and P = .04, respectively). Titers to the B-type strain decreased to below seroprotective levels in both groups.

conclusionsAntibody titers to influenza A vaccine strains wane to below seroprotective levels in HF patients compared with HC, despite similar rates of initial seroprotection and seroconversion. These findings suggest that HF patients may remain at increased risk for influenza infection despite annual vaccination.

Indexed as

AdultAgedAntibodies, ViralAntibody FormationFemaleHeart FailureHumansInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza B virusInfluenza VaccinesMaleMiddle AgedRetrospective StudiesAntibodies, ViralInfluenza VaccinesantibodiesInfluenzavaccine

Identifiers

PMID24361852
PMCPMC3944056

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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.