Evidence map›Paper›PMID 35812442›Full record

Observational studyFrontiers in immunology2022

Nationwide Effectiveness of First and Second SARS-CoV2 Booster Vaccines During the Delta and Omicron Pandemic Waves in Hungary (HUN-VE 2 Study).

Zoltán Kiss, István Wittmann, Lőrinc Polivka, György Surján, Orsolya Surján, Zsófia Barcza, Gergő Attila Molnár, Dávid Nagy, Veronika Müller, Krisztina Bogos and 10 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
4.8field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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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

20 authors at 8 institutions in 2 countries.

Zoltán KissSecond Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary.
István WittmannSecond Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary.
Lőrinc PolivkaDepartment of Pulmonology, Semmelweis University, Budapest, Hungary.
György SurjánInstitute of Digital Health Sciences, Semmelweis University, Budapest, Hungary.
Orsolya SurjánDepartment of Deputy Chief Medical Officer II., National Public Health Center, Budapest, Hungary.
Zsófia BarczaSyntesia Medical Communications Ltd., Budapest, Hungary.
Gergő Attila MolnárSecond Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary.
Dávid NagyCenter for Health Technology Assessment, Semmelweis University, Budapest, Hungary.
Veronika MüllerDepartment of Pulmonology, Semmelweis University, Budapest, Hungary.
Krisztina BogosDepartment of Pulmonology, National Korányi Institute of Pulmonology, Budapest, Hungary.
Péter NagyDepartment of Molecular Immunology and Toxicology and the National Tumor Biology Laboratory, National Institute of Oncology, Budapest, Hungary.
István KenesseyDepartment of Molecular Immunology and Toxicology and the National Tumor Biology Laboratory, National Institute of Oncology, Budapest, Hungary.
András WéberDepartment of Molecular Immunology and Toxicology and the National Tumor Biology Laboratory, National Institute of Oncology, Budapest, Hungary.
Mihály PálosiNational Health Insurance Fund, Budapest, Hungary.
János SzlávikSouth-Pest Hospital Centre - National Institute for Infectology and Haematology, Budapest, Hungary.
Zsuzsa SchaffDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary.
Zoltán SzekaneczDepartment of Rheumatology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Cecília MüllerDepartment of Chief Medical Officer, National Public Health Center, Budapest, Hungary.
Miklós KáslerMinistry of Human Resources, Budapest, Hungary.
Zoltán VokóCenter for Health Technology Assessment, Semmelweis University, Budapest, Hungary.
Semmelweis University · HUUniversity of Pecs · HUNational Public Health and Medical Officer Service · HUUniversity of Debrecen · HUNational Center for Epidemiology · HUNational Institute of Oncology · HUOrszágos Korányi Tbc és Pulmonológiai Intézet · HUSyreon Research Institute (Hungary)

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: In Hungary, the pandemic waves in late 2021 and early 2022 were dominated by the Delta and Omicron SARS-CoV-2 variants, respectively. Booster vaccines were offered with one or two doses for the vulnerable population during these periods. Methods and Findings: The nationwide HUN-VE 2 study examined the effectiveness of primary immunization, single booster, and double booster vaccination in the prevention of Covid-19 related mortality during the Delta and Omicron waves, compared to an unvaccinated control population without prior SARS-CoV-2 infection during the same study periods. The risk of Covid-19 related death was 55% lower during the Omicron vs. Delta wave in the whole study population (n=9,569,648 and n=9,581,927, respectively; rate ratio [RR]: 0.45, 95% confidence interval [CI]: 0.44-0.48). During the Delta wave, the risk of Covid-19 related death was 74% lower in the primary immunized population (RR: 0.26; 95% CI: 0.25-0.28) and 96% lower in the booster immunized population (RR: 0.04; 95% CI: 0.04-0.05), vs. the unvaccinated control group. During the Omicron wave, the risk of Covid-19 related death was 40% lower in the primary immunized population (RR: 0.60; 95% CI: 0.55-0.65) and 82% lower in the booster immunized population (RR: 0.18; 95% CI: 0.16-0.2) vs. the unvaccinated control group. The double booster immunized population had a 93% lower risk of Covid-19 related death compared to those with only one booster dose (RR: 0.07; 95% CI. 0.01-0.46). The benefit of the second booster was slightly more pronounced in older age groups. Conclusions: The HUN-VE 2 study demonstrated the significantly lower risk of Covid-19 related mortality associated with the Omicron vs. Delta variant and confirmed the benefit of single and double booster vaccination against Covid-19 related death. Furthermore, the results showed the additional benefit of a second booster dose in terms of SARS-CoV-2 infection and Covid-19 related mortality.

Indexed as

COVID-19COVID-19 VaccinesImmunization, SecondaryAdolescentAdultAgedAged, 80 and overHumansHungaryMiddle AgedPandemicsRetrospective StudiesSARS-CoV-2Vaccine EfficacyYoung AdultCOVID-19 Vaccines4th vaccinebooster vaccinedelta variant (B.1.617.2)mortalityomicron variant (SARS-CoV-2)SARS-CoV2 infectionvaccine effectiveness

Identifiers

PMID35812442
PMCPMC9260843
OpenAlexW4283321994

What OpenQuestion holds

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LicenceCC BY
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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.