Evidence map›Paper›PMID 36327388›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2023

Vaccine Effectiveness Against Influenza A(H3N2)-Associated Hospitalized Illness: United States, 2022.

Mark W Tenforde, Manish M Patel, Nathaniel M Lewis, Katherine Adams, Manjusha Gaglani, Jay S Steingrub, Nathan I Shapiro, Abhijit Duggal, Matthew E Prekker, Ithan D Peltan and 21 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.3field-weighted citation impact, top 7% 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, 21 citations in OpenAlex.

  1. Article
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  7. Vaccine Effectiveness Against Influenza A-Associated Hospitalization, Organ Failure, and Death: United States, 2022-2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
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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

31 authors at 17 institutions in 1 country.

Mark W TenfordeInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Manish M PatelInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Nathaniel M LewisInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Katherine AdamsInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Manjusha GaglaniBaylor Scott and White Health, Texas A&M University College of Medicine, Temple, Texas, USA.
Jay S SteingrubDepartment of Medicine, Baystate Medical Center, Springfield, Massachusetts, USA.
Nathan I ShapiroDepartment of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Abhijit DuggalDepartment of Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Matthew E PrekkerDepartments of Emergency Medicine and Medicine, Hennepin County Medical Center, Minneapolis, Minnesota, USA.
Ithan D PeltanDepartment of Medicine, Intermountain Medical Center, Murray, Utah and University of Utah, Salt Lake City, Utah, USA.
David N HagerDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Michelle N GongDepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
Matthew C ExlineDepartment of Medicine, The Ohio State University, Columbus, Ohio, USA.
Adit A GindeDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Nicholas M MohrDepartment of Emergency Medicine, University of Iowa, Iowa City, Iowa, USA.
Christopher MallowDepartment of Medicine, University of Miami, Miami, Florida, USA.
Emily T MartinSchool of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
H Keipp TalbotDepartments of Medicine and Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kevin W GibbsDepartment of Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Jennie H KwonDepartment of Medicine, Washington University, St Louis, Missouri, USA.
James D ChappellDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Natasha HalasaDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Adam S LauringDepartments of Internal Medicine and Microbiology and Immunology, University of Michigan, Ann Arbor, Michigan, USA.
Christopher J LindsellDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Sydney A SwanDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kimberly W HartDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kelsey N WomackVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Adrienne BaughmanDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Carlos G GrijalvaDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Wesley H SelfVanderbilt Institute for Clinical and Translational Research and Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Influenza and Other Viruses in the Acutely Ill (IVY) Network
Vanderbilt University Medical Center · USCenters for Disease Control and Prevention · USUniversity of Michigan–Ann Arbor · USBaylor Scott & White Health · USBaystate Medical Center · USBeth Israel Deaconess Medical Center · USCleveland Clinic · USHennepin County Medical Center · USIntermountain Medical Center · USJohns Hopkins Medicine · USMontefiore Medical Center · USThe Ohio State University · USUniversity of Colorado Denver · USUniversity of Iowa · USUniversity of Miami · USWake Forest University · USWashington University in St. Louis · US

Funding

Mentoring in transmission of influenza and strategies for preventionK24AI148459 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G · 2020 to 2024
$893k
Prehospital Activation of ED Teams to Improve Sepsis CareK23GM129661 · NIGMS · IHC HEALTH SERVICES, INC. · PI PELTAN, ITHAN DANIEL · 2019 to 2023
$786k
NIAID NIH HHS K24 AI148459NIGMS NIH HHS K23 GM129661
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic was associated with historically low influenza circulation during the 2020-2021 season, followed by an increase in influenza circulation during the 2021-2022 US season. The 2a.2 subgroup of the influenza A(H3N2) 3C.2a1b subclade that predominated was antigenically different from the vaccine strain.

methodsTo understand the effectiveness of the 2021-2022 vaccine against hospitalized influenza illness, a multistate sentinel surveillance network enrolled adults aged ≥18 years hospitalized with acute respiratory illness and tested for influenza by a molecular assay. Using the test-negative design, vaccine effectiveness (VE) was measured by comparing the odds of current-season influenza vaccination in influenza-positive case-patients and influenza-negative, SARS-CoV-2-negative controls, adjusting for confounders. A separate analysis was performed to illustrate bias introduced by including SARS-CoV-2-positive controls.

resultsA total of 2334 patients, including 295 influenza cases (47% vaccinated), 1175 influenza- and SARS-CoV-2-negative controls (53% vaccinated), and 864 influenza-negative and SARS-CoV-2-positive controls (49% vaccinated), were analyzed. Influenza VE was 26% (95% CI: -14% to 52%) among adults aged 18-64 years, -3% (-54% to 31%) among adults aged ≥65 years, and 50% (15-71%) among adults aged 18-64 years without immunocompromising conditions. Estimated VE decreased with inclusion of SARS-CoV-2-positive controls.

conclusionsDuring a season where influenza A(H3N2) was antigenically different from the vaccine virus, vaccination was associated with a reduced risk of influenza hospitalization in younger immunocompetent adults. However, vaccination did not provide protection in adults ≥65 years of age. Improvements in vaccines, antivirals, and prevention strategies are warranted.

Indexed as

Influenza A Virus, H3N2 SubtypeInfluenza, HumanInfluenza VaccinesVaccine EfficacyAdolescentAdultAgedFemaleHospitalizationHumansMaleMiddle AgedSARS-CoV-2SeasonsUnited StatesYoung AdultInfluenza Vaccinesantigenic driftinfluenzaSARS-CoV-2vaccine effectiveness

Identifiers

PMID36327388
PMCPMC10226741
OpenAlexW4308257448

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.