Evidence map›Paper›PMID 27486858›Full record

ArticlePloS one2016

Infant Respiratory Outcomes Associated with Prenatal Exposure to Maternal 2009 A/H1N1 Influenza Vaccination.

Deshayne B Fell, Kumanan Wilson, Robin Ducharme, Steven Hawken, Ann E Sprague, Jeffrey C Kwong, Graeme Smith, Shi Wu Wen, Mark C Walker

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
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

9 authors.

Deshayne B FellBetter Outcomes Registry & Network (BORN) Ontario, Ottawa, Ontario, Canada.
Kumanan WilsonDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Robin DucharmeInstitute for Clinical Evaluative Sciences, Ottawa and Toronto, Ontario, Canada.
Steven HawkenInstitute for Clinical Evaluative Sciences, Ottawa and Toronto, Ontario, Canada.
Ann E SpragueBetter Outcomes Registry & Network (BORN) Ontario, Ottawa, Ontario, Canada.
Jeffrey C KwongInstitute for Clinical Evaluative Sciences, Ottawa and Toronto, Ontario, Canada.
Graeme SmithDepartment of Obstetrics & Gynaecology, Queen's University, Kingston, Ontario, Canada.
Shi Wu WenClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Mark C WalkerBetter Outcomes Registry & Network (BORN) Ontario, Ottawa, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfants are at high risk for influenza illness, but are ineligible for vaccination before 6 months. Transfer of maternal antibodies to the fetus has been demonstrated for 2009 A/H1N1 pandemic vaccines; however, clinical effectiveness is unknown. Our objective was to evaluate the association between 2009 A/H1N1 pandemic vaccination during pregnancy and rates of infant influenza and pneumonia.

methodsWe linked a population-based birth cohort to administrative databases to measure rates of influenza and pneumonia diagnosed during ambulatory physician visits, hospitalizations and emergency department visits during one year of follow-up. We estimated incidence rate ratios and 95% confidence intervals (95% CI) using Poisson regression, comparing infants born to A/H1N1-vaccinated women (vaccine-exposed infants) with unexposed infants, adjusted for confounding using high-dimensional propensity scores.

resultsAmong 117,335 infants in the study, 36,033 (31%) were born to A/H1N1-vaccinated women. Crude rates of influenza during the pandemic (per 100,000 infant-days) for vaccine-exposed and unexposed infants were similar (2.19, 95% CI: 1.27-3.76 and 3.60, 95% CI: 2.51-5.14, respectively), as were crude rates of influenza and pneumonia combined. We did not observe any significant differences in rates of study outcomes between study groups during the second wave of the 2009 A/H1N1 pandemic, nor during any post-pandemic time period.

conclusionWe observed no difference in rates of study outcomes among infants born to A/H1N1-vaccinated mothers relative to unexposed infants born during the second A/H1N1 pandemic wave; however, due to late availability of the pandemic vaccine, the available follow-up time during the pandemic time period was very limited.

Indexed as

AdultCohort StudiesFemaleHumansInfant, NewbornInfant, Newborn, DiseasesInfluenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesMaleMiddle AgedPneumoniaPregnancyPrenatal Exposure Delayed EffectsRespiratory Distress Syndrome, NewbornRetrospective StudiesInfluenza Vaccines

Identifiers

PMID27486858
PMCPMC4972313

What OpenQuestion holds

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Registered trials

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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.