Evidence map›Paper›PMID 37631950›Full record

ArticleVaccines2023

Impact of a COVID-19 Outbreak in an Elderly Care Home after Primary Vaccination.

Elba Mauriz, José P Fernández-Vázquez, Cristina Díez-Flecha, Sofía Reguero-Celada, Tania Fernández-Villa, Ana Fernández-Somoano, Joan A Caylà, Jesús A Lozano-García, Ana M Vázquez-Casares, Vicente Martín-Sánchez

Abstract read
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

10 authors.

Elba MaurizALINS, Food Nutrition and Safety Group, ICTAL Universidad de León, 24007 Leon, Spain.ORCID 0000-0002-6459-8107
José P Fernández-VázquezHealth Center Valencia de Don Juan, Primary Health Care Management, 24200 Leon, Spain.
Cristina Díez-FlechaPrimary Health Care Management, 24008 Leon, Spain.
Sofía Reguero-CeladaHealth Center San Andrés de Rabanedo, Primary Health Care Management SACYL, 24191 Leon, Spain.
Tania Fernández-VillaGroup of Investigation in Interactions Gene-Environment and Health (GIIGAS), Institute of Biomedicine (IBIOMED), Universidad de León, 24071 Leon, Spain.ORCID 0000-0002-9049-3026
Ana Fernández-SomoanoSpanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.ORCID 0000-0002-8135-9079
Joan A CaylàTuberculosis Research Unit Foundation of Barcelona, 08008 Barcelona, Spain.
Jesús A Lozano-GarcíaMC MUTUAL Group, 24002 Barcelona, Spain.
Ana M Vázquez-CasaresDepartment of Nursing and Physiotherapy, Campus de Vegazana, Universidad de León, s/n, 24071 Leon, Spain.ORCID 0000-0002-0360-5262
Vicente Martín-SánchezGroup of Investigation in Interactions Gene-Environment and Health (GIIGAS), Institute of Biomedicine (IBIOMED), Universidad de León, 24071 Leon, Spain.ORCID 0000-0003-0552-2804

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elderly care home residents are particularly vulnerable to COVID-19 due to immune-senescence, pre-existing medical conditions, and the risk of transmission from staff and visitors. This study aimed to describe the outcomes of a COVID-19 outbreak in a long-term care facility for elderly persons following the initial vaccination. A single-center, retrospective, observational design was used to analyze the variables associated with hospitalization and death rate by logistic regression. Adjusted odds ratios (aOR) and their 95% confidence intervals (CI) were calculated. Sixty-eight residents received the first dose of the COVID-19 vaccine. Despite being negative six days after vaccination, the performance of a second test 4 days later revealed 51 positives (75.0%) among residents and 18 among workers (56.3%). A total of 65 of the 68 residents (95.58%) had positive results with symptoms, whereas 34.9% required hospitalization, and 25.8% died. The best-fitting model to explain the distribution of cases reflects three points at the time of infection.. The time from vaccination to symptom onset explains the hospitalization and mortality rates since a day elapsed halves the risk of hospitalization (aOR = 0.57; CI = 0.38-0.75) and the risk of death by a quarter (aOR = 0.74; CI = 0.63-0.88). Nursing homes present an elevated risk of transmission and severity of SARS-CoV-2 infection. Although vaccination reduces the risk of hospitalization and death, extreme prevention and control measures are essential in these institutions despite the high vaccination coverage.

Indexed as

elderly care homeinitial vaccinationnursing homepre-existing medical conditionsvaccination coverage

Identifiers

PMID37631950
PMCPMC10459698

What OpenQuestion holds

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LicenceCC BY
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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.