Evidence map›Paper›PMID 33388741›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Effectiveness of Influenza Vaccine for Preventing Laboratory-Confirmed Influenza Hospitalizations in Immunocompromised Adults.

Kailey Hughes, Donald B Middleton, Mary Patricia Nowalk, Goundappa K Balasubramani, Emily T Martin, Manjusha Gaglani, H Keipp Talbot, Manish M Patel, Jill M Ferdinands, Richard K Zimmerman and 2 more

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

  1. Prophylactic Efficacy of CD388, a Novel Drug-Fc Conjugate, in a Human Influenza A/H3N2 Virus Challenge Model: A Randomized, Controlled Phase 2a Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Trial
  2. Article
  3. Article
  4. Article
  5. Severity of Clinical Presentation and Outcomes in Hospitalized Adult People With Influenza by Type and Subtype, United States-2017-2020.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Vaccine Effectiveness Against Influenza A-Associated Hospitalization, Organ Failure, and Death: United States, 2022-2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Message in a bottle: mRNA vaccination for influenza.The Journal of general virology · 2022
    Article
  20. 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

12 authors.

Kailey HughesUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Donald B MiddletonUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Mary Patricia NowalkUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Goundappa K BalasubramaniUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Emily T MartinUniversity of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Manjusha GaglaniBaylor Scott & White Health, Texas A&M University College of Medicine, Temple, Texas, USA.
H Keipp TalbotVanderbilt University Medical Center, Nashville, Tennessee, USA.
Manish M PatelInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Jill M FerdinandsInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Richard K ZimmermanUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Fernanda P SilveiraUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
HAIVEN Study Investigators

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Flu vaccine effectiveness in thosehospitalized in a large diverse health systemU01IP000969 · IP · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZIMMERMAN, RICHARD K · 2015 to 2019
$4.5M
US Hospital Vaccine Effectiveness (VE) Network - SupplementU01IP000974 · IP · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MONTO, ARNOLD S · 2015 to 2019
$4.5M
Core_Apt Measure of PCR-based Influenza Vaccine Effectiveness in Inpatient AdultsU01IP000972 · IP · SCOTT AND WHITE MEMORIAL HOSPITAL · PI GAGLANI, MANJUSHA · 2015 to 2019
$3.5M
NCATS NIH HHS UL1 TR001857NCIRD CDC HHS U01 IP000969NCIRD CDC HHS U01 IP000972NCIRD CDC HHS U01 IP000974
6 · The paper itself

Abstract

backgroundYearly influenza immunization is recommended for immunocompromised (IC) individuals, although immune responses are lower than that for the nonimmunocompromised and the data on vaccine effectiveness (VE) in the IC is scarce. We evaluated VE against influenza-associated hospitalization among IC adults.

methodsWe analyzed data from adults ≥ 18 years hospitalized with acute respiratory illness (ARI) during the 2017-2018 influenza season at 10 hospitals in the United States. IC adults were identified using prespecified case definitions using electronic medical record data. VE was evaluated with a test-negative case-control design using multivariable logistic regression with polymerase chain reaction-confirmed influenza as the outcome and vaccination status as the exposure, adjusting for age, enrolling site, illness onset date, race, days from onset to specimen collection, self-reported health, and self-reported hospitalizations.

resultsOf 3524 adults hospitalized with ARI, 1210 (34.3%) had an immunocompromising condition. IC adults were more likely to be vaccinated than non-IC (69.5% vs 65.2%) and less likely to have influenza (22% vs 27.8%). The mean age did not differ among IC and non-IC (61.4 vs 60.8 years of age). The overall VE against influenza hospitalization, including immunocompetent adults, was 33% (95% confidence interval [CI], 21-44). VE among IC vs non-IC adults was lower at 5% (95% CI, -29% to 31%) vs 41% (95% CI, 27-52) (P < .05 for interaction term).

conclusionsVE in 1 influenza season was very low among IC individuals. Future efforts should include evaluation of VE among the different immunocompromising conditions and whether enhanced vaccines improve the suboptimal effectiveness among the immunocompromised.

Indexed as

Influenza, HumanInfluenza VaccinesAdultCase-Control StudiesHospitalizationHumansLaboratoriesMiddle AgedSeasonsUnited StatesVaccinationInfluenza Vaccinesimmunocompromisedinfluenzavaccinevaccine effectiveness

Identifiers

PMID33388741
PMCPMC8664442

What OpenQuestion holds

Textmetadata
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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.