Evidence map›Paper›PMID 25392931›Full record

ArticlePloS one2014

Influenza vaccine effectiveness in preventing influenza A(H3N2)-related hospitalizations in adults targeted for vaccination by type of vaccine: a hospital-based test-negative study, 2011-2012 A(H3N2) predominant influenza season, Valencia, Spain.

Joan Puig-Barberà, Juan García-de-Lomas, Javier Díez-Domingo, Alberto Arnedo-Pena, Montserrat Ruiz-García, Ramón Limón-Ramírez, Silvia Pérez-Vilar, José Luis Micó-Esparza, Miguel Tortajada-Girbés, Concha Carratalá-Munuera and 8 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Hospitalisation trends of respiratory syncytial virus (RSV) infection in adults, six European countries, before and during COVID-19, 2016 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Influenza vaccine effectiveness against laboratory-confirmed influenza in hospitalised adults aged 60 years or older, Valencia Region, Spain, 2017/18 influenza season.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Observational
  11. Article
  12. Comparison of influenza vaccine effectiveness in preventing outpatient and inpatient influenza cases in older adults, northern Spain, 2010/11 to 2015/16.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2018
    Article
  13. 2015/16 seasonal vaccine effectiveness against hospitalisation with influenza A(H1N1)pdm09 and B among elderly people in Europe: results from the I-MOVE+ project.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017
    Article
  14. Article
  15. 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

18 authors at 9 institutions in 1 country.

Joan Puig-BarberàFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, Spain; Centro de Salud Pública de Castellón, Castellón, Spain.
Juan García-de-LomasInstituto Valenciano de Microbiología, Valencia, Spain.
Javier Díez-DomingoFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, Spain.
Alberto Arnedo-PenaCentro de Salud Pública de Castellón, Castellón, Spain.
Montserrat Ruiz-GarcíaCentro de Salud Pública de Castellón, Castellón, Spain.
Ramón Limón-RamírezHospital de la Plana, Vila-real, Spain.
Silvia Pérez-VilarHospital de la Plana, Vila-real, Spain.
José Luis Micó-EsparzaHospital Aranau de Vilanova, Valencia, Spain.
Miguel Tortajada-GirbésHospital Doctor Peset, Valencia, Spain.
Concha Carratalá-MunueraHospital San Juan, Alicante, Spain; Cátedra de Medicina de Familia, Departamento de Medicina Clínica, Universidad Miguel Hernández, San Juan, Alicante, Spain.
Rosa Larrea-GonzálezHospital General de Castellón, Castellón, Spain.
Juan Manuel Beltrán-GarridoHospital General de Castellón, Castellón, Spain.
Maria Del Carmen Otero-ReigadaHospital Universitario y Politécnico La Fe, Valencia, Spain.
Joan Mollar-MaseresHospital Universitario y Politécnico La Fe, Valencia, Spain.
Patricia Correcher-MedinaHospital Lluis Alcanyis, Xativa, Spain, 12 Centro de Salud San Blas, Alicante, Spain, 13 Hospital de Elda, Elda, Spain.
Germán Schwarz-ChavarriCentro de Salud San Blas, Alicante, Spain.
Vicente Gil-GuillénCátedra de Medicina de Familia, Departamento de Medicina Clínica, Universidad Miguel Hernández, San Juan, Alicante, Spain; Hospital de Elda, Elda, Spain.
Valencia Hospital Network for the Study of Influenza and Respiratory Virus Disease
Hospital Arnau de Vilanova · ESFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESHospital General Universitari de Castelló · ESHospital Universitari i Politècnic La Fe · ESBiomechanics Institute of Valencia · ESHospital General de Elda · ESHospital Lluis Alcanyis · ESHospital Universitario Doctor Peset · ESUniversitat de Miguel Hernández d'Elx · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost evidence of the effectiveness of influenza vaccines comes from studies conducted in primary care, but less is known about their effectiveness in preventing serious complications. Here, we examined the influenza vaccine effectiveness (IVE) against hospitalization with PCR-confirmed influenza in the predominant A(H3N2) 2011-2012 influenza season.

methodsA hospital-based, test-negative study was conducted in nine hospitals in Valencia, Spain. All emergency admissions with a predefined subset of symptoms were eligible. We enrolled consenting adults age 18 and over, targeted for influenza vaccination because of comorbidity, with symptoms of influenza-like-illness within seven days of admission. We estimated IVE as (1-adjusted vaccination odds ratio)*100 after accounting for major confounders, calendar time and recruitment hospital.

resultsThe subjects included 544 positive for influenza A(H3N2) and 1,370 negative for influenza admissions. Age was an IVE modifying factor. Regardless of vaccine administration, IVE was 72% (38 to 88%) in subjects aged under 65 and 21% (-5% to 40%) in subjects aged 65 and over. By type of vaccine, the IVE of classical intramuscular split-influenza vaccine, used in subjects 18 to 64, was 68% (12% to 88%). The IVE for intradermal and virosomal influenza vaccines, used in subjects aged 65 and over, was 39% (11% to 58%) and 16% (-39% to 49%), respectively.

conclusionsThe split-influenza vaccine was effective in preventing influenza-associated hospitalizations in adults aged under 65. The intradermal vaccine was moderately effective in those aged 65 and over.

Indexed as

Influenza VaccinesAdolescentAdultAgedAged, 80 and overComparative Effectiveness ResearchFemaleHospitalizationHumansInfluenza A Virus, H3N2 SubtypeInfluenza, HumanMaleMiddle AgedProspective StudiesSpainYoung AdultInfluenza Vaccines

Identifiers

PMID25392931
PMCPMC4230985
OpenAlexW2090801237

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.