Evidence map›Paper›PMID 28525597›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Influenza Vaccination Modifies Disease Severity Among Community-dwelling Adults Hospitalized With Influenza.

Carmen Arriola, Shikha Garg, Evan J Anderson, Patrician A Ryan, Andrea George, Shelley M Zansky, Nancy Bennett, Arthur Reingold, Marisa Bargsten, Lisa Miller and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
14.2field-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

89 citing papers in PubMed, 1 synthesis or guideline pooled it, 182 citations in OpenAlex.

  1. Pooled it
  2. A Retrospective Test-Negative Case-Control Study to Evaluate Influenza Vaccine Effectiveness in Preventing Hospitalizations in Children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Severity of Clinical Presentation and Outcomes in Hospitalized Adult People With Influenza by Type and Subtype, United States-2017-2020.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

29 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

19 authors at 14 institutions in 2 countries.

Carmen ArriolaInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Shikha GargInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Evan J AndersonDepartments of Medicine and Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Patrician A RyanMaryland Emerging Infections Program, Maryland Department of Health and Mental Hygiene, Baltimore.
Andrea GeorgeSalt Lake County Health Department, Utah, Salt Lake City.
Shelley M ZanskyEmerging Infections Program, New York State Department of Public Health, Albany.
Nancy BennettDepartment of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Arthur ReingoldCalifornia Emerging Infections Program, Oakland.
Marisa BargstenNew Mexico Emerging Infections Program, New Mexico Department of Health, Santa Fe.
Lisa MillerColorado Department of Public Health and Environment, Denver.
Kimberly Yousey-HindesConnectitut Emerging Infections Program, Yale School of Public Health, New Haven.
Lilith TathamOhio Department of Health, Columbus.
Susan R BohmMichigan Department of Community Health, Lansing.
Ruth LynfieldMinnesota Department of Health, St Paul.
Ann ThomasOregon Public Health Division, Portland.
Mary Lou LindegrenVanderbilt University School of Medicine, Nashville, Tennessee.
William SchaffnerVanderbilt University School of Medicine, Nashville, Tennessee.
Alicia M FryInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sandra S ChavesInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · KEVanderbilt University · USColorado Department of Public Health and Environment · USEmory University · USLake County · USMaryland Department of Health · USMichigan Department of Health and Human Services · USMinnesota Department of Health · USNew Mexico Department of Health · USNew York State Department of Health · USOhio Department of Health · USOregon Health Authority · USUniversity of Rochester · USYale New Haven Health System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Intramural CDC HHS CC999999NCATS NIH HHS UL1 TR001863OSTLTS CDC HHS U38 OT000143
6 · The paper itself

Abstract

Background: We investigated the effect of influenza vaccination on disease severity in adults hospitalized with laboratory-confirmed influenza during 2013-14, a season in which vaccine viruses were antigenically similar to those circulating. Methods: We analyzed data from the 2013-14 influenza season and used propensity score matching to account for the probability of vaccination within age strata (18-49, 50-64, and ≥65 years). Death, intensive care unit (ICU) admission, and hospital and ICU lengths of stay (LOS) were outcome measures for severity. Multivariable logistic regression and competing risk models were used to compare disease severity between vaccinated and unvaccinated patients, adjusting for timing of antiviral treatment and time from illness onset to hospitalization. Results: Influenza vaccination was associated with a reduction in the odds of in-hospital death among patients aged 18-49 years (adjusted odds ratios [aOR] = 0.21; 95% confidence interval [CI], 0.05 to 0.97), 50-64 years (aOR = 0.48; 95% CI, 0.24 to 0.97), and ≥65 years (aOR = 0.39; 95% CI, 0.17 to 0.66). Vaccination also reduced ICU admission among patients aged 18-49 years (aOR = 0.63; 95% CI, 0.42 to 0.93) and ≥65 years (aOR = 0.63; 95% CI, 0.48 to 0.81), and shortened ICU LOS among those 50-64 years (adjusted relative hazards [aRH] = 1.36; 95% CI, 1.06 to 1.74) and ≥65 years (aRH = 1.34; 95% CI, 1.06 to 1.73), and hospital LOS among 50-64 years (aRH = 1.13; 95% CI, 1.02 to 1.26) and ≥65 years (aRH = 1.24; 95% CI, 1.13 to 1.37). Conclusions: Influenza vaccination during 2013-14 influenza season attenuated adverse outcome among adults that were hospitalized with laboratory-confirmed influenza.

Indexed as

AdolescentAdultAgedFemaleHumansInfluenza, HumanInfluenza VaccinesMaleMiddle AgedPropensity ScoreRetrospective StudiesSeverity of Illness IndexUnited StatesVaccinationYoung AdultInfluenza Vaccinesadultsdisease severityInfluenza vaccination

Identifiers

PMID28525597
PMCPMC5718038
OpenAlexW2616790117

What OpenQuestion holds

Textmetadata
LicenceTDM
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.