Evidence map›Paper›PMID 31041354›Full record

ArticleOpen forum infectious diseases2019

The Effect of Influenza Vaccination on Mortality and Risk of Hospitalization in Patients With Heart Failure: A Systematic Review and Meta-analysis.

Sanjay Poudel, Fadi Shehadeh, Ioannis M Zacharioudakis, Giannoula S Tansarli, Fainareti N Zervou, Markos Kalligeros, Robertus van Aalst, Ayman Chit, Eleftherios Mylonakis

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
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  13. Adult Immunization in Occupational Settings: A Consensus of Indian Experts.Indian journal of occupational and environmental medicine
    Review
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 4 institutions in 3 countries.

Sanjay PoudelInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Fadi ShehadehInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Ioannis M ZacharioudakisDivision of Infectious Diseases and Immunology, Department of Medicine, NYU School of Medicine, New York, New York.
Giannoula S TansarliInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Fainareti N ZervouInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Markos KalligerosInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Robertus van AalstRegional Epidemiology and Health Economics, Sanofi Pasteur, Swiftwater, Pennsylvania.
Ayman ChitRegional Epidemiology and Health Economics, Sanofi Pasteur, Swiftwater, Pennsylvania.
Eleftherios MylonakisInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Brown University · USNew York University · USSanofi (United States) · USUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfluenza is a major cause of morbidity and mortality in patients diagnosed with heart failure. The aim of this study was to evaluate the effectiveness of influenza vaccination in this population in terms of reduction in all-cause mortality and rate of hospitalization.

methodsWe conducted a systematic review and meta-analysis using PubMed and EMBASE entries from January of 2000 through April 2018. Publication bias was examined using the Egger's regression test. Statistical heterogeneity was examined using the Higgins

resultsWe identified 8 studies that included a total of 82 354 patients with heart failure. In patients with heart failure who were vaccinated against influenza, we found a reduced risk of all-cause mortality (hazard ratio [HR], 0.69; 95% confidence interval [CI], 0.51-0.87). No evidence of publication bias was found, and the effect was more pronounced during influenza season (HR, 0.49; 95% CI, 0.30-0.69), compared with noninfluenza season (HR, 0.79; 95% CI, 0.68-0.89). In terms of heart failure hospitalizations, we did not identify a statistically significant difference between the cohorts (HR, 0.62; 95% CI, 0.00-1.23).

conclusionsInfluenza vaccination was associated with a decreased risk of all-cause mortality in patients with heart failure, and this effect was more prominent during the influenza season.

Indexed as

all-cause mortalityheart failurehospitalizationinfluenza vaccination

Identifiers

PMID31041354
PMCPMC6483130
OpenAlexW2927245266

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.