Evidence map›Paper›PMID 36683410›Full record

ArticleThe Journal of infectious diseases2023

Vaccine Effectiveness Against Influenza-Associated Urgent Care, Emergency Department, and Hospital Encounters During the 2021-2022 Season, VISION Network.

Mark W Tenforde, Zachary A Weber, Malini B DeSilva, Edward Stenehjem, Duck-Hye Yang, Bruce Fireman, Manjusha Gaglani, Noah Kojima, Stephanie A Irving, Suchitra Rao and 26 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 19 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

36 authors at 12 institutions in 1 country.

Mark W TenfordeInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-8702-8393
Zachary A WeberWestat, Rockville, Maryland, USA.
Malini B DeSilvaHealthPartners Institute, Minneapolis, Minnesota, USA.
Edward StenehjemDivision of Infectious Diseases and Clinical Epidemiology, Intermountain Healthcare, Salt Lake City, Utah, USA.
Duck-Hye YangWestat, Rockville, Maryland, USA.
Bruce FiremanKaiser Permanente Northern California Division of Research, Kaiser Permanente Vaccine Study Center, Oakland, California, USA.
Manjusha GaglaniDepartment of Pediatrics, Section of Pediatric Infectious Diseases, Baylor Scott and White Health, Temple, Texas, USA.ORCID 0000-0002-3952-9230
Noah KojimaInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Stephanie A IrvingKaiser Permanente Center for Health Research, Portland, Oregon, USA.
Suchitra RaoDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Shaun J GrannisCenter for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA.
Allison L NalewayKaiser Permanente Center for Health Research, Portland, Oregon, USA.
Lindsey KirshnerWestat, Rockville, Maryland, USA.
Anupam B KharbandaChildren's Minnesota, Minneapolis, Minnesota, USA.
Kristin DascombDivision of Infectious Diseases and Clinical Epidemiology, Intermountain Healthcare, Salt Lake City, Utah, USA.
Ned LewisKaiser Permanente Northern California Division of Research, Kaiser Permanente Vaccine Study Center, Oakland, California, USA.
Alexandra F DaltonInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sarah W BallWestat, Rockville, Maryland, USA.
Karthik NatarajanDepartment of Biomedical Informatics, Columbia University Irving Medical Center, New York, New York, USA.ORCID 0000-0002-9066-9431
Toan C OngDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Emily HartmannPaso del Norte Health Information Exchange, El Paso, Texas, USA.
Peter J EmbiCenter for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA.
Charlene E McEvoyHealthPartners Institute, Minneapolis, Minnesota, USA.
Nancy GriselDivision of Infectious Diseases and Clinical Epidemiology, Intermountain Healthcare, Salt Lake City, Utah, USA.
Ousseny ZerboKaiser Permanente Northern California Division of Research, Kaiser Permanente Vaccine Study Center, Oakland, California, USA.ORCID 0000-0002-8380-6215
Margaret M DunneWestat, Rockville, Maryland, USA.
Julie ArndorferDivision of Infectious Diseases and Clinical Epidemiology, Intermountain Healthcare, Salt Lake City, Utah, USA.
Kristin GoddardKaiser Permanente Northern California Division of Research, Kaiser Permanente Vaccine Study Center, Oakland, California, USA.
Monica DickersonInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Palak PatelInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Julius TimbolKaiser Permanente Northern California Division of Research, Kaiser Permanente Vaccine Study Center, Oakland, California, USA.
Eric P GriggsInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
John HansenKaiser Permanente Northern California Division of Research, Kaiser Permanente Vaccine Study Center, Oakland, California, USA.ORCID 0000-0001-7891-2673
Mark G ThompsonInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Brendan FlanneryInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Nicola P KleinKaiser Permanente Northern California Division of Research, Kaiser Permanente Vaccine Study Center, Oakland, California, USA.
Centers for Disease Control and Prevention · USKaiser Permanente · USWestat (United States) · USIntermountain Healthcare · USHealthPartners · USKaiser Permanente Center for Health Research · USRegenstrief Institute · USUniversity of Colorado Anschutz Medical Campus · USMinnesota West Community & Technical College · USNewYork–Presbyterian Hospital · USScience Exchange (United States) · USTemple College · US

Funding

CDC HHS 75D30120C07986Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundFollowing historically low influenza activity during the 2020-2021 season, the United States saw an increase in influenza circulating during the 2021-2022 season. Most viruses belonged to the influenza A(H3N2) 3C.2a1b 2a.2 subclade.

methodsWe conducted a test-negative case-control analysis among adults ≥18 years of age at 3 sites within the VISION Network. Encounters included emergency department/urgent care (ED/UC) visits or hospitalizations with ≥1 acute respiratory illness (ARI) discharge diagnosis codes and molecular testing for influenza. Vaccine effectiveness (VE) was calculated by comparing the odds of influenza vaccination ≥14 days before the encounter date between influenza-positive cases (type A) and influenza-negative and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-negative controls, applying inverse probability-to-be-vaccinated weights, and adjusting for confounders.

resultsIn total, 86 732 ED/UC ARI-associated encounters (7696 [9%] cases) and 16 805 hospitalized ARI-associated encounters (649 [4%] cases) were included. VE against influenza-associated ED/UC encounters was 25% (95% confidence interval (CI), 20%-29%) and 25% (95% CI, 11%-37%) against influenza-associated hospitalizations. VE against ED/UC encounters was lower in adults ≥65 years of age (7%; 95% CI, -5% to 17%) or with immunocompromising conditions (4%; 95% CI, -45% to 36%).

conclusionsDuring an influenza A(H3N2)-predominant influenza season, modest VE was observed. These findings highlight the need for improved vaccines, particularly for A(H3N2) viruses that are historically associated with lower VE.

Indexed as

COVID-19Influenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesAdultAmbulatory CareCase-Control StudiesChild, PreschoolEmergency Service, HospitalHospitalsHumansInfluenza A Virus, H3N2 SubtypeSARS-CoV-2SeasonsUnited StatesVaccinationInfluenza VaccinesbiasCOVID-19influenzatest-negative designvaccine effectiveness

Identifiers

PMID36683410
PMCPMC11306092
OpenAlexW4317780580

What OpenQuestion holds

Textmetadata
LicenceTDM
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.