Evidence map›Paper›PMID 35398301›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022

The impact of COVID-19 vaccines on the Case Fatality Rate: The importance of monitoring breakthrough infections.

Vanessa di Lego, Miguel Sánchez-Romero, Alexia Prskawetz

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Inferring the true number of SARS-CoV-2 infections in Japan.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2022
    Pooled it
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  7. Identifying age- and sex-specific COVID-19 mortality trends over time in six countries.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
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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

3 authors at 1 institution in 1 country.

Vanessa di LegoWittgenstein Centre for Demography and Global Human Capital (IIASA, OeAW, University of Vienna), Vienna Institute of Demography at the Austrian Academy of Sciences, Vordere Zollamtsstraße 3, 1030, Vienna, Austria. Electronic address: Vanessa.DiLego@oeaw.ac.at.
Miguel Sánchez-RomeroWittgenstein Centre for Demography and Global Human Capital (IIASA, OeAW, University of Vienna), Vienna Institute of Demography at the Austrian Academy of Sciences, Vordere Zollamtsstraße 3, 1030, Vienna, Austria; International Institute for Applied Systems Analysis, Schlossplatz 1, A-2361 Laxenburg, Austria.
Alexia PrskawetzWittgenstein Centre for Demography and Global Human Capital (IIASA, OeAW, University of Vienna), Vienna Institute of Demography at the Austrian Academy of Sciences, Vordere Zollamtsstraße 3, 1030, Vienna, Austria; Institute of Statistics and Mathematical Methods in Economics, TU Wien. Wiedner Hauptstr. 8-10/E105, 1040, Vienna, Austria; International Institute for Applied Systems Analysis, Schlossplatz 1, A-2361 Laxenburg, Austria.
University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to test the behavior of the case fatality rate (CFR) in a mixed population of vaccinated and unvaccinated individuals by illustrating the role of both the effectiveness of vaccines in preventing deaths and the detection of infections among both the vaccinated (breakthrough infections) and unvaccinated individuals.

methodsWe simulated three hypothetical CFR scenarios that resulted from a different combination of vaccine effectiveness in preventing deaths and the efforts in detecting infections among both the vaccinated and unvaccinated individuals.

resultsIn the presence of vaccines, the CFR depends not only on the effectiveness of vaccines in preventing deaths but also on the detection of breakthrough infections. As a result, a decline in the CFR may not imply that vaccines are effective in reducing deaths. Likewise, a constant CFR can still mean that vaccines are effective in reducing deaths.

conclusionsUnless vaccinated people are also tested for COVID-19 infection, the CFR loses its meaning in tracking the pandemic. This shows that unless efforts are directed at detecting breakthrough infections, it is hard to disentangle the effect of vaccines in reducing deaths from the probability of detecting infections on the CFR.

Indexed as

COVID-19VaccinesCOVID-19 VaccinesHumansPandemicsSARS-CoV-2COVID-19 VaccinesVaccinesBreakthrough InfectionsCase Fatality RateCOVID-19Vaccine effectiveness

Identifiers

PMID35398301
PMCPMC8983479
OpenAlexW4223628816

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.