Evidence map›Paper›PMID 37155483›Full record

ArticleLancet regional health. Americas2023

Effectiveness of an inactivated SARS-CoV-2 vaccine in children and adolescents: a large-scale observational study.

Alejandro Jara, Eduardo A Undurraga, Juan Carlos Flores, José R Zubizarreta, Cecilia González, Alejandra Pizarro, Duniel Ortuño-Borroto, Johanna Acevedo, Katherinne Leo, Fabio Paredes and 9 more

Open access · goldAbstract read
In one paragraph

Article in Lancet regional health. Americas, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 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

19 authors at 5 institutions in 3 countries.

Alejandro JaraMinistry of Health, Santiago, Chile.
Eduardo A UndurragaEscuela de Gobierno, Pontificia Universidad Católica de Chile, Santiago, RM, Chile.
Juan Carlos FloresFacultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
José R ZubizarretaDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Cecilia GonzálezMinistry of Health, Santiago, Chile.
Alejandra PizarroMinistry of Health, Santiago, Chile.
Duniel Ortuño-BorrotoMinistry of Health, Santiago, Chile.
Johanna AcevedoMinistry of Health, Santiago, Chile.
Katherinne LeoMinistry of Health, Santiago, Chile.
Fabio ParedesMinistry of Health, Santiago, Chile.
Tomás BralicMinistry of Health, Santiago, Chile.
Verónica VergaraMinistry of Health, Santiago, Chile.
Francisco LeonMinistry of Health, Santiago, Chile.
Ignacio ParotMinistry of Health, Santiago, Chile.
Paulina LeightonMinistry of Health, Santiago, Chile.
Pamela SuárezMinistry of Health, Santiago, Chile.
Juan Carlos RiosMinistry of Health, Santiago, Chile.
Heriberto García-EscorzaMinistry of Health, Santiago, Chile.
Rafael AraosMinistry of Health, Santiago, Chile.
Ministry of Health · CLPontificia Universidad Católica de Chile · CLCanadian Institute for Advanced Research · CAHarvard University · USUniversidad del Desarrollo · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Policymakers urgently need evidence to adequately balance the costs and benefits of mass vaccination against COVID-19 across all age groups, including children and adolescents. In this study, we aim to assess the effectiveness of CoronaVac's primary series among children and adolescents in Chile. Methods: We used a large prospective national cohort of about two million children and adolescents 6-16 years to estimate the effectiveness of an inactivated SARS-CoV-2 vaccine (CoronaVac) in preventing laboratory-confirmed symptomatic SARS-CoV-2 infection (COVID-19), hospitalisation, and admission to an intensive care unit (ICU) associated with COVID-19. We compared the risk of individuals treated with a complete primary immunization schedule (two doses, 28 days apart) with the risk of unvaccinated individuals during the follow-up period. The study was conducted in Chile from June 27, 2021, to January 12, 2022, when the SARS-CoV-2 Delta variant was predominant but other variants of concern were co-circulating, including Omicron. We used inverse probability-weighted survival regression models to estimate hazard ratios of complete immunization over the unvaccinated status, accounting for time-varying vaccination exposure and adjusting for relevant demographic, socioeconomic, and clinical confounders. Findings: The estimated adjusted vaccine effectiveness for the inactivated SARS-CoV-2 vaccine in children aged 6-16 years was 74.5% (95% CI, 73.8-75.2), 91.0% (95% CI, 87.8-93.4), 93.8% (95% CI, 87.8-93.4) for the prevention of COVID-19, hospitalisation, and ICU admission, respectively. For the subgroup of children 6-11 years, the vaccine effectiveness was 75.8% (95% CI, 74.7-76.8) for the prevention of COVID-19 and 77.9% (95% CI, 61.5-87.3) for the prevention of hospitalisation. Interpretation: Our results suggest that a complete primary immunization schedule with the inactivated SARS-CoV-2 vaccine provides effective protection against severe COVID-19 disease for children 6-16 years. Funding: Agencia Nacional de Investigación y Desarrollo (ANID) Millennium Science Initiative Program and Fondo de Financiamiento de Centros de Investigación en Áreas Prioritarias (FONDAP).

Indexed as

COVID-19Inactivated SARS-CoV-2 vaccinemRNA vaccinePaediatric cohortSARS-CoV-2Vaccine effectiveness

Identifiers

PMID37155483
PMCPMC10117174
OpenAlexW4366545207

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.