Evidence map›Paper›PMID 33055462›Full record

Trial reportJournal of atherosclerosis and thrombosis2021

Safety and Efficacy of Simultaneous Inoculations of Pneumococcal and Influenza Vaccines in Patients with Coronary Artery Disease.

Kazunori Shimada, Hiroaki Morinaga, Takashi Kiyanagi, Tetsuro Miyazaki, Miho Nishitani-Yokoyama, Iwao Okai, Hiroshi Tamura, Hakuoh Konishi, Takeshi Kurata, Katsumi Miyauchi and 1 more

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of atherosclerosis and thrombosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Journal of preventive medicine and hygiene · 2026
    Article
  2. Review
  3. Influenza and Pneumococcal Vaccination in Coronary Artery Disease.Journal of atherosclerosis and thrombosis · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Kazunori ShimadaDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Hiroaki MorinagaDivision of Cardiovascular Medicine, Tokyo Metropolitan Tama Medical Center.
Takashi KiyanagiDivision of General Medicine, Obihiro Daiichi Hospital.
Tetsuro MiyazakiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Miho Nishitani-YokoyamaDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Iwao OkaiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Hiroshi TamuraDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Hakuoh KonishiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Takeshi KurataDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Katsumi MiyauchiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Hiroyuki DaidaDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Juntendo University · JPObihiro National Hospital · JPTokyo Metropolitan Tama Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPneumococcal and influenza infections can cause serious morbidity and mortality in patients with cardiovascular diseases. The purpose of this study was to investigate the safety and efficacy of simultaneous inoculations of 23-valent pneumococcal polysaccharide vaccine (PPSV23) and trivalent influenza vaccine (TIV) in patients with coronary artery disease (CAD).

methodsThis was a prospective, randomized, single-blind, placebo-controlled study. A total of 40 patients with CAD were randomly assigned to the TIV+PPSV23 (simultaneous inoculations of TIV and PPSV23) and TIV+Placebo (inoculations of TIV and placebo) groups. Primary outcomes were the safety of simultaneous vaccinations and the changing of circulating cardiovascular biomarkers before, at 4-, and at 12-weeks after vaccinations.

resultsThe baseline characteristics between the two groups were identical. The prevalence of injection-site pain, swelling, and reddening were 47%, 37%, and 37% in the TIV+PPSV23 group, and 10%, 5%, and 0% in the TIV+Placebo group, respectively. All reactions were self-limited. Body temperature >37.0℃ or serious injection-related reaction was not observed. The levels of white blood cells, high-sensitivity C-reactive protein, N-terminal pro-B-type natriuretic peptide, pentraxin-3, and malondialdehide-modified low-density lipoprotein (LDL), were not significantly different between the two groups before and after vaccinations. The levels of anti-oxidized LDL were significantly and step-wisely decreased from baseline, to 4-, and 12-weeks vaccinations in the both groups. No significant changes of other markers were observed in both groups at each time point.

conclusionSimultaneous inoculations of TIV and PPSV23 were safety in patients with CAD, suggesting that dual vaccinations can be considered even in patients with CAD.

Indexed as

AgedDrug-Related Side Effects and Adverse ReactionsFemaleFollow-Up StudiesHumansInfluenza A virusInfluenza, HumanInfluenza VaccinesJapanMalePatient SafetyPneumococcal InfectionsPneumococcal VaccinesPrognosisProspective StudiesSingle-Blind MethodInfluenza VaccinesPneumococcal Vaccines23-valent pneumococcal polysaccharide vaccineCoronary artery diseaseInflammationInfluenza vaccineOxidized low-density lipoprotein

Identifiers

PMID33055462
PMCPMC8326172
OpenAlexW3092912539

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.