Evidence map›Paper›PMID 35288031›Full record

ArticleEuropean journal of internal medicine2022

Thrombotic events following Covid-19 vaccines compared to Influenza vaccines.

Marcelo Gabriel Vallone, Andre Luis Falcón, Horacio Matias Castro, Augusto Ferraris, Ramiro Francisco Cantarella, María Inés Staneloni, Valeria Ines Aliperti, Analia Ferloni, Daniela Mezzarobba, Fernando Javier Vázquez and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in European journal of internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Comparison of Venous Thromboembolism Outcomes after COVID-19 and Influenza Vaccinations.TH open : companion journal to thrombosis and haemostasis · 2023
    Article
  8. Article
  9. Article
  10. Potential mechanisms of vaccine-induced thrombosis.European journal of internal medicine · 2022
    Review
  11. Article
  12. 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

11 authors at 1 institution in 1 country.

Marcelo Gabriel ValloneInternal Medicine Section, Hospital Italiano de Buenos Aires. J.D. Perón 4190, Ciudad Autónoma de Buenos Aires, C1181ACH, Argentina. Electronic address: marcelo.vallone@hospitalitaliano.org.ar.
Andre Luis FalcónInternal Medicine Section, Hospital Italiano de Buenos Aires. J.D. Perón 4190, Ciudad Autónoma de Buenos Aires, C1181ACH, Argentina.
Horacio Matias CastroPulmonology Section, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
Augusto FerrarisInternal Medicine Section, Hospital Italiano de Buenos Aires. J.D. Perón 4190, Ciudad Autónoma de Buenos Aires, C1181ACH, Argentina.
Ramiro Francisco CantarellaInternal Medicine Section, Hospital Italiano de Buenos Aires. J.D. Perón 4190, Ciudad Autónoma de Buenos Aires, C1181ACH, Argentina.
María Inés StaneloniInfectious Diseases Department, Infection Control Committee, Hospital Italiano de Buenos Aires, Argentina.
Valeria Ines AlipertiInvestigation Department, Hospital Italiano de Buenos Aires, Argentina.
Analia FerloniInvestigation Department, Hospital Italiano de Buenos Aires, Argentina.
Daniela MezzarobbaHematology Section, Hospital Italiano de Buenos Aires. Ciudad Autónoma de Buenos Aires, Argentina; Internal Medicine Research Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Fernando Javier VázquezInternal Medicine Section, Hospital Italiano de Buenos Aires. J.D. Perón 4190, Ciudad Autónoma de Buenos Aires, C1181ACH, Argentina; CONICET Independent Research.
María Florencia Grande RattiInternal Medicine Research Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; CONICET Independent Research.
Hospital Italiano de Buenos Aires · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceThe actual risk of thrombotic events after Covid-19 vaccination is unknown.

objectiveTo evaluate the risk of thrombotic events after Covid-19 vaccination.

designRetrospective cohort study which included consecutive adult patients vaccinated with the first dose of Covid-19 vaccine between January 1 and May 30, 2021, and a historic control group, defined as consecutive patients vaccinated with influenza vaccine between March 1 and July 30, 2019.

settingHospital Italiano de Buenos Aires, a tertiary hospital in Argentina.

participantsNon-Hospitalized Adults vaccinated with the first dose of a Covid-19 vaccine. EXPOSURE: Vaccination with Covid-19 vaccines available during the study period: Gam-COVID-Vac (Sputnik), ChAdOx1 nCoV-19 (AstraZeneca/Oxford or Covishield), BBIBP-CorV (Beijing Institute of Biological Products) (Sinopharm). Active comparator group exposure was Influenza vaccine. MAIN OUTCOME: Primary endpoint was cumulative incidence of any symptomatic thrombotic event at 30 days, defined as the occurrence of at least one of the following: symptomatic acute deep venous thrombosis (DVT); symptomatic acute pulmonary embolism (PE); acute ischemic stroke (AIS); acute coronary syndrome (ACS) or arterial thrombosis.

resultsFrom a total of 29,985 adult patients who received at least a first dose of Covid-19 vaccine during study period and 24,777 who received Influenza vaccine in 2019, we excluded those who were vaccinated during hospitalization. We finally included 29,918 and 24,753 patients respectively. Median age was 73 years old (IQR 75-81) and 67% were females in both groups. Thirty six subjects in the Covid-19 vaccination group (36/29,918) and 15 patients in the Influenza vaccination group (15/24,753) presented at least one thrombotic event. The cumulative incidence of any thrombotic event at 30 days was 12 per 10,000 (95%CI 9-17) for Covid-19 group and 6 per 10,000 (95%CI 4-10) for Influenza group (p-value=0.022). CONCLUSIONS AND RELEVANCE: This study shows a significant increase in thrombotic events in subjects vaccinated with Covid-19 vaccines in comparison to a control group. The clinical implication of these findings should be interpreted with caution, in light of the high effectiveness of vaccination and the inherent risk of thrombosis from Covid-19 infection itself.

Indexed as

COVID-19Influenza, HumanInfluenza VaccinesIschemic StrokeThrombosisAdultAgedChAdOx1 nCoV-19COVID-19 VaccinesFemaleHumansMaleRetrospective StudiesChAdOx1 nCoV-19COVID-19 VaccinesInfluenza VaccinesCovid-19Thrombotic eventsVaccines

Identifiers

PMID35288031
PMCPMC8904150
OpenAlexW4221110374

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.