Evidence map›Paper›PMID 32685605›Full record

ArticleOpen forum infectious diseases2020

Varying Vaccination Rates Among Patients Seeking Care for Acute Respiratory Illness: A Systematic Review and Meta-analysis.

Fadi Shehadeh, Ioannis M Zacharioudakis, Markos Kalligeros, Evangelia K Mylona, Tanka Karki, Robertus van Aalst, Ayman Chit, Eleftherios Mylonakis

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Vaccination status as a determinant of hospitalization in influenza: Insights from emergency department data.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Observational
  2. Article
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

8 authors at 4 institutions in 3 countries.

Fadi ShehadehInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Ioannis M ZacharioudakisDivision of Infectious Diseases and Immunology, Department of Medicine, NYU School of Medicine, New York, New York, USA.
Markos KalligerosInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Evangelia K MylonaInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Tanka KarkiInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Robertus van AalstVaccine Epidemiology and Modelling, Sanofi Pasteur, Swiftwater, Pennsylvania, USA.
Ayman ChitVaccine Epidemiology and Modelling, Sanofi Pasteur, Swiftwater, Pennsylvania, USA.
Eleftherios MylonakisInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Brown University · USNew York University · USUniversity of Groningen · NLUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplications following influenza infection are a major cause of morbidity and mortality, and the Centers for Disease Control Advisory Committee on Immunization Practices recommends universal annual vaccination. However, vaccination rates have remained significantly lower than the Department of Health and Human Services goal. The aim of this work was to assess the vaccination rate among patients who present to health care providers with influenza-like illness and identify groups with lower vaccination rates.

methodsWe performed a systematic search of the PubMed and EMBASE databases with a time frame of January 1, 2010, to March 1, 2019 and focused on the vaccination rate among patients seeking care for acute respiratory illness in the United States. A random effects meta-analysis was performed to estimate the pooled seasonal influenza vaccination rate, and we used a time trend analysis to identify differences in annual vaccination over time.

resultsThe overall pooled influenza vaccination rate was 48.61% (whites: 50.87%; blacks: 36.05%; Hispanics: 41.45%). There was no significant difference among gender groups (men: 46.43%; women: 50.11%). Interestingly, the vaccination rate varied by age group and was significantly higher among adults aged >65 (78.04%) and significantly lower among children 9-17 years old (36.45%). Finally, we found a significant upward time trend in the overall influenza vaccination rate among whites (coef. = .0107;

conclusionsIn conclusion, because of the significantly lower influenza vaccination rates in black and Hispanic communities, societal initiatives and community outreach programs should focus on these populations and on children and adolescents aged 9-17 years.

Indexed as

acute respiratory illnessinfluenzameta-analysissystematic reviewvaccination

Identifiers

PMID32685605
PMCPMC7357453
OpenAlexW3036706706

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.