Evidence map›Paper›PMID 37031072›Full record

Observational studyRevista espanola de geriatria y gerontologia

Immunogenicity, effectiveness and safety of COVID-19 vaccine in older adults living in nursing homes: A real-life study.

Héctor Meijide Míguez, Iñaki Montes García, Miguel Ochando Gómez, Isabel M García Merino, Emilio L Cano, Alejandro De La Torre

Open access · greenAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Revista espanola de geriatria y gerontologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
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 at 4 institutions in 2 countries.

Héctor Meijide MíguezDepartment of Internal Medicine, Hospital Quironsalud A Coruña, A Coruña, Spain.
Iñaki Montes GarcíaExecutive Director, Residencia Dulcinea, Grupo Quirónsalud, Alcázar de San Juan, Ciudad Real, Spain.
Miguel Ochando GómezTechnical Director of Clinical Laboratory, Health Diagnostic, Grupo Quironsalud, Madrid, Spain.
Isabel M García MerinoDepartment of Research and Innovation, Grupo Quirónsalud, Madrid, Spain.
Emilio L CanoResearch Centre for Intelligent Information Technologies (CETINIA-DSLAB), Rey Juan Carlos University, Móstoles, Spain; Quantitative Methods and Socio-economic Development Group, Institute for Regional Development (IDR), University of Castilla-La Mancha (UCLM), Albacete, Spain.
Alejandro De La TorreScientific Director, Clinica Imbanaco, Grupo Quironsalud, Cali, Valle del Cauca, Colombia. Electronic address: alejandro.delatorre@imbanaco.com.co.
Hospital Quirónsalud Barcelona · ESClínica Girona · ESHospital Universitario Quirónsalud Madrid · ESUniversidad Rey Juan Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBNT162b2 (BioNTech and Pfizer) is a nucleoside-modified mRNA vaccine that provides protection against SARS-CoV-2 infection and is generally well tolerated. However, data about its efficacy, immunogenicity and safety in people of old age or with underlying chronic conditions are scarce. PURPOSE: To describe BNT162b2 (BioNTech and Pfizer) COVID-19 vaccine immunogenicity, effectiveness and reactogenicity after complete vaccination (two doses), and immunogenicity and reactogenicity after one booster, in elders residing in nursing homes (NH) and healthy NH workers in real-life conditions.

methodsObservational, ambispective, multicenter study. Older adults and health workers were recruited from three nursing homes of a private hospital corporation located in three Spanish cities. The primary vaccination was carried out between January and March 2021. The follow-up was 13 months. Humoral immunity, adverse events, SARS-CoV-2 infections, hospitalizations and deaths were evaluated. Cellular immunity was assessed in a participant subset.

resultsA total of 181 residents (mean age 84.1 years; 89.9% females, Charlson index ≥2: 45%) and 148 members of staff (mean age 45.2 years; 70.2% females) were surveyed (n:329). After primary vaccination of 327 participants, vaccine response in both groups was similar; ≈70% of participants, regardless of the group, had an antibody titer above the cut-off considered currently protective (260BAU/ml). This proportion increased significantly to ≈ 98% after the booster (p<0.0001 in both groups). Immunogenicity was largely determined by a prior history of COVID-19 infection. Twenty residents and 3 workers were tested for cellular immunity. There was evidence of cellular immunity after primary vaccination and after booster. During the study, one resident was hospitalized for SARS-CoV-2. No SARS-CoV-2-related deaths were reported and most adverse events were mild.

conclusionsOur results suggest that the BNT162b2 mRNA COVID-19 vaccine is immunogenic, effective and safe in elderly NH residents with underlying chronic conditions.

Indexed as

COVID-19COVID-19 VaccinesAgedAged, 80 and overBNT162 VaccineFemaleHospitals, PrivateHumansMaleNursing HomesSARS-CoV-2BNT162 VaccineCOVID-19 VaccinesAdultos mayoresAged, 80 and overBNT162 vaccineCOVID-19COVID-19 vaccinesFrail older adultsImmunogenicity, vaccineInmunogenicidadMayores de 80 añosVacuna BNT162Vacunación COVID-19

Identifiers

PMID37031072
PMCPMC9986119
OpenAlexW4323316654

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.