Evidence map›Paper›PMID 32683040›Full record

ReviewAgeing research reviews2020

Effects of influenza vaccination on the risk of cardiovascular and respiratory diseases and all-cause mortality.

Yangyang Cheng, Xinxi Cao, Zhi Cao, Chenjie Xu, Li Sun, Ying Gao, Yuan Wang, Shu Li, Cunjin Wu, Xin Li and 2 more

Open access · greenAbstract readReview
In one paragraph

Review in Ageing research reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Cardiovascular Manifestations and Mechanisms in Patients with COVID-19.Trends in endocrinology and metabolism: TEM · 2020
    Pooled it
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Does influenza vaccination contribute to the prevention of cardiovascular events? An umbrella review.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025
    Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
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  20. 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

12 authors at 4 institutions in 2 countries.

Yangyang ChengDepartment of Health Service Management, Tianjin Medical University School of Public Health, Tianjin, China.
Xinxi CaoDepartment of Health Service Management, Tianjin Medical University School of Public Health, Tianjin, China.
Zhi CaoDepartment of Health Service Management, Tianjin Medical University School of Public Health, Tianjin, China.
Chenjie XuDepartment of Health Service Management, Tianjin Medical University School of Public Health, Tianjin, China.
Li SunDepartment of Health Service Management, Tianjin Medical University School of Public Health, Tianjin, China.
Ying GaoHealth Management Centre, Tianjin Medical University General Hospital, Tianjin, China.
Yuan WangDepartment of Health Service Management, Tianjin Medical University School of Public Health, Tianjin, China.
Shu LiDepartment of Health Service Management, Tianjin Medical University School of Public Health, Tianjin, China.
Cunjin WuDepartment of Geriatric, Second Hospital of Tianjin Medical University, Tianjin, China; Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Xin LiDepartment of Geriatric, Second Hospital of Tianjin Medical University, Tianjin, China.
Yaogang WangDepartment of Health Service Management, Tianjin Medical University School of Public Health, Tianjin, China. Electronic address: wyg@tmu.edu.cn.
Sean X LengDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: sleng1@jhmi.edu.
Tianjin Medical University · CNJohns Hopkins University · USSecond Hospital of Tianjin Medical University · CNTianjin Medical University General Hospital · CN

Funding

Sex differences in the impact of frailty on vaccine-induced immune responses in community-dwelling older adultsU54AG062333 · NIA · JOHNS HOPKINS UNIVERSITY · PI KLEIN, SABRA L. · 2018 to 2022
$8.9M
Leveraging an ongoing longitudinal study of influenza vaccination to define immune signatures of response and risk of infection in older adults >75U01AI165826 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Sean Xiao Leng · 2022 to 2026
$8.2M
Influenza vaccine failure in adults over age 75: role of chronic CMV infectionR01AI108907 · NIAID · JOHNS HOPKINS UNIVERSITY · PI LENG, SEAN XIAO · 2014 to 2018
$2.8M
T-cell responses to CMV as a determinant of systemic immune activationR21AG059742 · NIA · JOHNS HOPKINS UNIVERSITY · PI LENG, SEAN XIAO, MARGOLICK, JOSEPH B. · 2019 to 2020
$450k
NIAID NIH HHS R01 AI108907NIAID NIH HHS U01 AI165826NIA NIH HHS R21 AG059742NIA NIH HHS U54 AG062333
6 · The paper itself

Abstract

backgroundInfluenza vaccination is a simple strategy recommended for the prevention of influenza infection and its complications. This meta-analysis aimed to provide current supportive evidence for the breadth and validity of the observed protective effects of influenza vaccination on cardiovascular and respiratory adverse outcomes and all-cause mortality in older adults and in general adult population.

methodsWe searched PubMed, Embase, Web of Science, and the Cochrane Library to identify all published studies comparing influenza vaccination with placebo from the database inception to November 11, 2018. These included studies reporting the associations of influenza vaccination with the risk of aforementioned adverse outcomes.

resultsThe pooled adjusted relative risks among influenza-vaccinated people relative to unvaccinated people for the outcomes of interest were 0.74 (95 % confidence interval [CI] = 0.70-0.78) for cardiovascular diseases (63 studies), 0.82 (95 % CI = 0.75-0.91) for respiratory diseases (29 studies), and 0.57 (95 % CI = 0.51-0.63) for all-cause mortality (43 studies). We performed subgroup analysis of age, sex, and region/country and found that these protective effects were evident in the general adult population and particularly robust in older adults and in those with pre-existing specific diseases.

conclusionInfluenza vaccine is associated with a significant risk reduction of cardiovascular and respiratory adverse outcomes as well as all-cause mortality. Such a preventative measure can benefit the general population as well as those in old age and with pre-existing specific diseases.

Indexed as

Influenza, HumanCardiovascular DiseasesHepatitis B, ChronicHumansInfluenza VaccinesPercutaneous Coronary InterventionRespiration DisordersVaccinationInfluenza VaccinesAll-cause mortalityCardiovascular diseaseInfluenza vaccinationRespiratory disease

Identifiers

PMID32683040
PMCPMC7365105
OpenAlexW3043232784

What OpenQuestion holds

Textmetadata
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.