Evidence map›Paper›PMID 36232048›Full record

ArticleInternational journal of environmental research and public health2022

Changes in Social and Clinical Determinants of COVID-19 Outcomes Achieved by the Vaccination Program: A Nationwide Cohort Study.

Oliver Ibarrondo, Maíra Aguiar, Nico Stollenwerk, Rubén Blasco-Aguado, Igor Larrañaga, Joseba Bidaurrazaga, Carlo Delfin S Estadilla, Javier Mar

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Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

3 citing papers in PubMed.

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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

8 authors.

Oliver IbarrondoOsakidetza Basque Health Service, Debagoiena Integrated Health Organisation, Research Unit, 20500 Arrasate-Mondragón, Spain.
Maíra AguiarBasque Center for Applied Mathematics, 48009 Bilbao, Spain.ORCID 0000-0001-8354-9944
Nico StollenwerkBasque Center for Applied Mathematics, 48009 Bilbao, Spain.
Rubén Blasco-AguadoBasque Center for Applied Mathematics, 48009 Bilbao, Spain.ORCID 0000-0003-2661-4636
Igor LarrañagaOsakidetza Basque Health Service, Debagoiena Integrated Health Organisation, Research Unit, 20500 Arrasate-Mondragón, Spain.
Joseba BidaurrazagaPublic Health, Basque Health Department, 48008 Bilbao, Spain.ORCID 0000-0003-3770-7096
Carlo Delfin S EstadillaBasque Center for Applied Mathematics, 48009 Bilbao, Spain.ORCID 0000-0003-3444-0242
Javier MarOsakidetza Basque Health Service, Debagoiena Integrated Health Organisation, Research Unit, 20500 Arrasate-Mondragón, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to assess changes in social and clinical determinants of COVID-19 outcomes associated with the first year of COVID-19 vaccination rollout in the Basque population.

methodsA retrospective study was performed using the complete database of the Basque Health Service (n = 2,343,858). We analyzed data on age, sex, socioeconomic status, the Charlson comorbidity index (CCI), hospitalization and intensive care unit (ICU) admission, and COVID-19 infection by Cox regression models and Kaplan-Meier curves.

resultsWomen had a higher hazard ratio (HR) of infection (1.1) and a much lower rate of hospitalization (0.7). With older age, the risk of infection fell, but the risks of hospitalization and ICU admission increased. The higher the CCI, the higher the risks of infection and hospitalization. The risk of infection was higher in high-income individuals in all periods (HR = 1.2-1.4) while their risk of hospitalization was lower in the post-vaccination period (HR = 0.451).

conclusionDespite the lifting of many control measures during the second half of 2021, restoring human mobility patterns, the situation could not be defined as syndemic, clinical determinants seeming to have more influence than social ones on COVID-19 outcomes, both before and after vaccination program implementation.

Indexed as

COVID-19Cohort StudiesComorbidityCOVID-19 VaccinesFemaleHospitalizationHumansRetrospective StudiesVaccinationCOVID-19 VaccinesCharlson indexCOVID-19hospitalizationinfectionsocioeconomic statusvaccines

Identifiers

PMID36232048
PMCPMC9566423

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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.