Evidence map›Paper›PMID 37766154›Full record

ArticleVaccines2023

Influenza Vaccine Effectiveness in Preventing Laboratory-Confirmed Influenza Cases and Hospitalizations in Navarre, Spain, 2022-2023.

Iván Martínez-Baz, Miguel Fernández-Huerta, Ana Navascués, Francisco Pozo, Camino Trobajo-Sanmartín, Itziar Casado, Aitziber Echeverria, Carmen Ezpeleta, Jesús Castilla

Open access · goldAbstract 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. 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

9 authors at 3 institutions in 1 country.

Iván Martínez-BazInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.ORCID 0000-0002-3405-2277
Miguel Fernández-HuertaNavarre Institute for Health Research (IdiSNA), 31008 Pamplona, Spain.
Ana NavascuésNavarre Institute for Health Research (IdiSNA), 31008 Pamplona, Spain.
Francisco PozoCIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.ORCID 0000-0003-1828-733X
Camino Trobajo-SanmartínInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.ORCID 0000-0001-5105-252X
Itziar CasadoInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.ORCID 0000-0001-6879-4984
Aitziber EcheverriaInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.
Carmen EzpeletaNavarre Institute for Health Research (IdiSNA), 31008 Pamplona, Spain.
Jesús CastillaInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.ORCID 0000-0002-6396-7265
Instituto de Salud Pública de Navarra · ESNavarre Institute of Health Research · ESInstituto de Salud Carlos III · ES

Funding

European Centre for Disease Prevention and Control VEBISInstituto de Salud Carlos III CP22/00016, INT21/00100 and PI20/01323
6 · The paper itself

Abstract

We estimated influenza vaccine effectiveness (IVE) in preventing outpatient and hospitalized cases in the 2022-2023 season. A test-negative design included a representative sample of outpatients and all hospitalized patients with influenza-like illness (ILI) from October 2022 to May 2023 in Navarre, Spain. ILI patients were tested by PCR for influenza virus. Influenza vaccination status was compared between confirmed influenza cases and test-negative controls. Among 3321 ILI patients tested, IVE to prevent influenza cases was 34% (95% confidence interval (CI): 16 to 48) overall, 85% (95%CI: 63 to 94) against influenza B, and 28% (95%CI: 3 to 46) against A(H3N2). Among 558 outpatients, 222 (40%) were confirmed for influenza: 55% A(H3N2), 11% A(H1N1), and 31% B. Overall, IVE to prevent outpatient cases was 48% (95%CI: 8 to 70), 88% (95%CI: 3 to 98) against influenza B, and 50% (95%CI: -4 to 76) against A(H3N2). Of 2763 hospitalized patients, 349 (13%) were positive for influenza: 64% A(H3N2), 17% A(H1N1), and 8% B. IVE to prevent hospitalization was 24% (95%CI: -1 to 42) overall, 82% (95%CI: 49 to 93) against influenza B, and 16% (95%CI: -17 to 40) against A(H3N2). No IVE was observed in preventing influenza A(H1N1). IVE was high to prevent influenza B, moderate against A(H3N2) and null against A(H1N1). A lower proportion of influenza B cases may explain the smaller IVE in hospitalized patients than in outpatients. The null IVE against A(H1N1) was consistent with the observed antigenic drift and supports the new composition of the 2023-2024 influenza vaccine.

Indexed as

case-control studyinfluenzainfluenza vaccinerepeated vaccinationvaccine effectiveness

Identifiers

PMID37766154
PMCPMC10534462
OpenAlexW4386638304

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.