Evidence map›Paper›PMID 35461287›Full record

Trial reportTrials2022

Health effects of utilising hospital contacts to provide measles vaccination to children 9-59 months-a randomised controlled trial in Guinea-Bissau.

Ane B Fisker, Justiniano S D Martins, Andreas M Jensen, Cesario Martins, Peter Aaby, Sanne M Thysen

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04220671 (Health Effects of Utilising Curative Health System Contacts to Provide Measles Vaccination - a Randomised Controlled Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04220671 phase4enrolling by invitationnot on this map

Health Effects of Utilising Curative Health System Contacts to Provide Measles Vaccination - a Randomised Controlled Trial

TypeinterventionalSponsorBandim Health ProjectRan2020 to 2027Enrolled5,400ConditionsMeasles Vaccine, Hospital Admission, Mortality, Non-specific (Heterologous) Effects of VaccinesArmsmeasles vaccine, Saline
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

6 authors.

Ane B FiskerBandim Health Project, Indepth Network, 1004, Bissau, Guinea-Bissau. afisker@health.sdu.dk.ORCID http://orcid.org/0000-0002-8521-0992
Justiniano S D MartinsBandim Health Project, Indepth Network, 1004, Bissau, Guinea-Bissau.
Andreas M JensenBandim Health Project, Indepth Network, 1004, Bissau, Guinea-Bissau.
Cesario MartinsBandim Health Project, Indepth Network, 1004, Bissau, Guinea-Bissau.
Peter AabyBandim Health Project, Indepth Network, 1004, Bissau, Guinea-Bissau.
Sanne M ThysenBandim Health Project, Indepth Network, 1004, Bissau, Guinea-Bissau.

Funding

Odense Universitetshospital 72-A3808
6 · The paper itself

Abstract

backgroundMeasles vaccination coverage in Guinea-Bissau is low; fewer than 80% of children are currently measles vaccinated before 12 months of age. The low coverage hampers control of measles. Furthermore, accumulating evidence indicates that measles vaccine has beneficial non-specific effects, strengthening the resistance towards other infections. Thus, even if children are not exposed to measles virus, measles-unvaccinated children may be worse off. To increase vaccination coverage, WHO recommends that contacts with the health system for mild illness are utilised to vaccinate. Currently, in Guinea-Bissau, curative health system contacts are not utilised.

methodsBandim Health Project registers out-patient consultations and admissions at the paediatric ward of the National Hospital in Guinea-Bissau. Measles-unvaccinated children aged 9-59 months consulting for milder illness or being discharged from the paediatric ward will be invited to participate in a randomised trial. Among 5400 children, randomised 1:1 to receive standard measles vaccine or a saline placebo, we will test the hypothesis that providing a measles vaccine at discharge lowers the risk of admission/mortality (composite outcome) during the subsequent 6 months by 25%. All enrolled children are followed through the Bandim Health Project registration system and through telephone follow-up. The first 1000 enrolled children are furthermore followed through interviews on days 2, 4, 7 and 14 after enrolment. DISCUSSION: Utilising missed vaccination opportunities can increase vaccination coverage and may improve child health. However, without further evidence for the safety and potential benefits of measles vaccination, these curative contacts are unlikely to be used for vaccination in Guinea-Bissau.

trial registrationwww. CLINICALTRIALS: gov NCT04220671 . Registered on 5 January 2020.

Indexed as

MeaslesMeasles VaccineChildGuinea-BissauHospitalsHumansInfantVaccinationMeasles VaccineHospital admissionMeasles vaccineMortalityNon-specific (heterologous) effects of vaccines

Identifiers

PMID35461287
PMCPMC9034539

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Registered trials

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.