Evidence map›Paper›PMID 35347706›Full record

ArticleJournal of the American Geriatrics Society2022

Long-term effects of SARS-CoV-2 vaccination in the nursing home setting.

Giulia Rivasi, Matteo Bulgaresi, Chiara Bandinelli, Daniela Balzi, Francesca Tarantini, Silvia Tognelli, Chiara Lorini, Primo Buscemi, Lorenzo Baggiani, Giancarlo Landini and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Resident Factors Associated With Breakthrough SARS-CoV-2 Infections.Journal of the American Medical Directors Association · 2023
    Article
  4. Review
  5. Review
  6. Article
  7. Long-term effects of SARS-CoV-2 vaccination in the nursing home setting.Journal of the American Geriatrics Society · 2022
    Article
  8. 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

14 authors at 4 institutions in 1 country.

Giulia RivasiDivision of Geriatric and Intensive Care Medicine, Careggi Hospital and University of Florence, Florence.ORCID 0000-0002-2736-2242
Matteo BulgaresiGeriatric Unit, Santa Maria Annunziata Hospital, Local Health Unit "Toscana Centro", Florence, Italy.
Chiara BandinelliGeriatric Unit, Santa Maria Annunziata Hospital, Local Health Unit "Toscana Centro", Florence, Italy.
Daniela BalziEpidemiology Unit, Health District "Toscana Centro", Florence, Italy.
Francesca TarantiniDivision of Geriatric and Intensive Care Medicine, Careggi Hospital and University of Florence, Florence.
Silvia TognelliGeriatric Unit, Santa Maria Annunziata Hospital, Local Health Unit "Toscana Centro", Florence, Italy.
Chiara LoriniDepartment of Health Science, University of Florence, Florence, Italy.
Primo BuscemiDepartment of Health Science, University of Florence, Florence, Italy.
Lorenzo BaggianiDepartment of Community Healthcare Network, Health District "Toscana Centro", Florence, Italy.
Giancarlo LandiniDepartment of Internal Medicine, Santa Maria Nuova Hospital, Health District "Toscana Centro", Florence, Italy.
Andrea UngarDivision of Geriatric and Intensive Care Medicine, Careggi Hospital and University of Florence, Florence.
Guglielmo BonaccorsiDepartment of Health Science, University of Florence, Florence, Italy.
Enrico MosselloDivision of Geriatric and Intensive Care Medicine, Careggi Hospital and University of Florence, Florence.ORCID 0000-0002-7730-5836
Enrico BenvenutiGeriatric Unit, Santa Maria Annunziata Hospital, Local Health Unit "Toscana Centro", Florence, Italy.
Azienda Usl Toscana Centro · ITAzienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · ITSanta Maria Nuova Hospital · IT

Funding

Azienda Ospedaliero-Universitaria CareggiAzienda USL Toscana Centro
6 · The paper itself

Abstract

backgroundSARS-CoV-2 vaccination has significantly reduced infection, hospitalization, and lethality rates among nursing home (NH) residents, but durability of vaccine effects remains unknown. This study investigated the long-term impact of BNT162b2 SARS-CoV-2 vaccine on breakthrough infection rates in the NHs of Florence, Italy.

methodsParticipants included residents living in Florence NHs as of April 1st, 2021, who had completed the primary SARS-CoV2 vaccination course by February 15th, 2021. Weekly rates of breakthrough infection were calculated between April 1st and October 31st 2021, with 7-day incidence defined as the number of new confirmed SARS-CoV-2-positive residents over the vaccinated resident census. Hospital admissions and deaths were recorded from local administrative and clinical sources. Patients admitted to NHs after April 1st were excluded to avoid confounding effect of different vaccination timing.

resultsAmong 2271 vaccinated residents (mean age 86.6, 74% female), we recorded 105 cases of breakthrough infections. Rates of breakthrough infection remained very low in the 6 months after vaccination, but started to rise over the following months, peaking at 0.94%, and then became stable around 0.2%-0.3%. Over the study period, infection rates remained low as compared to the incidence of SARS-CoV-2 infection during pre-vaccination period. Overall hospitalization and lethality rates were 8%.

conclusionsAmong vaccinated NH residents, rates of breakthrough SARS-CoV-2 infection, hospitalization and lethality remained low up to 9 months following primary vaccination course. A mild resurgence of SARS-CoV-2 infection, after 6 months from vaccination, suggests a decline of vaccine effectiveness in preventing transmission.

Indexed as

COVID-19COVID-19 VaccinesAged, 80 and overBNT162 VaccineFemaleHumansMaleNursing HomesRNA, ViralSARS-CoV-2VaccinationBNT162 VaccineCOVID-19 VaccinesRNA, Viralbreakthrough infectionCOVID-19nursing home residentsolder adultsvaccine

Identifiers

PMID35347706
PMCPMC9115053
OpenAlexW4220846223

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.