Evidence map›Paper›PMID 30536590›Full record

ArticleInfluenza and other respiratory viruses2019

Antibody levels in a cohort of pregnant women after the 2009 influenza A(H1N1) pandemic: Waning and association with self-reported severity and duration of illness.

Gro Tunheim, Ida Laake, Anna Hayman Robertson, Kristian Waalen, Olav Hungnes, Lisbeth M Naess, Rebecca J Cox, Siri Mjaaland, Lill Trogstad

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2019. 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
0.3field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Gro TunheimDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0002-8280-8243
Ida LaakeDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Anna Hayman RobertsonDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Kristian WaalenDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Olav HungnesDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Lisbeth M NaessDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Rebecca J CoxK. G. Jebsen Centre for Influenza Vaccine Research, University of Oslo, Oslo, Norway.
Siri MjaalandDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Lill TrogstadDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Norwegian Institute of Public Health · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA population-based pregnancy cohort was established in Norway to study potential effects of exposure to the 2009 influenza pandemic or pandemic vaccination during pregnancy.

objectivesWe studied maternal A(H1N1)pdm09-specific hemagglutination inhibition (HI)-titer levels and waning in women with influenza-like illness (ILI) in pregnancy compared to vaccinated women. Moreover, we studied the association between HI-titers and self-reported severity and duration of ILI.

methodsHI-titers against the pandemic virus were measured in maternal blood samples obtained at birth, 3-9 months after exposure, and linked with information about pregnancy, influenza and vaccination from national registries and a cohort questionnaire.

resultsAmong 1821 pregnant women included, 43.7% were unvaccinated and 19.3% of these had ILI. HI-titers were low (geometric mean titer (GMT) 11.3) in the unvaccinated women with ILI. Higher HI-titers (GMT 37.8) were measured in the vaccinated women. Estimated HI-titer waning was similar for vaccinated women and women with ILI. Most ILI episodes were moderate and lasted 3-5 days. Women with ILI reporting specific influenza symptoms such as fever or cough had higher HI-titers than women without these symptoms. Women who reported being "very ill" or illness duration of >5 days had higher HI-titers than women reporting less severe illness or illness of shorter duration, respectively.

conclusionsAntibody waning was similar in vaccinated women and women with ILI. More severe ILI or longer duration of illness was associated with higher HI-titers. Most unvaccinated pregnant women with ILI had low HI-titers, probably due to moderate illness and HI-titer waning between exposure and sampling.

Indexed as

RegistriesAdolescentAdultAntibodies, ViralCohort StudiesFemaleHemagglutination Inhibition TestsHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesMiddle AgedPregnancySelf ReportSeverity of Illness IndexSurveys and QuestionnairesAntibodies, ViralInfluenza Vaccinesantibodiesinfluenzapandemic H1N1pdm09pregnancyvaccinationwaning

Identifiers

PMID30536590
PMCPMC6379636
OpenAlexW2905375374

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.