Evidence map›Paper›PMID 38033879›Full record

ArticleVaccine: X2023

Effectiveness of COVID-19 vaccines in Ecuador: A test-negative design.

Francisco Pérez-Tasigchana, Ivette Valcárcel-Pérez, Maribel Arias-Quispe, Lucía Astudillo, Alfredo Bruno, Marco Herrera G, Rubén Armas, Doménica de Mora, Jackeline Pinos, Alfredo Olmedo and 6 more

Open access · goldAbstract read
In one paragraph

Article in Vaccine: X, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

16 authors at 8 institutions in 3 countries.

Francisco Pérez-TasigchanaMinisterio de Salud Pública del Ecuador, Ecuador.
Ivette Valcárcel-PérezOrganización Panamericana de la Salud/Organización Mundial de la Salud.
Maribel Arias-QuispeMinisterio de Salud Pública del Ecuador, Ecuador.
Lucía AstudilloMinisterio de Salud Pública del Ecuador, Ecuador.
Alfredo BrunoInstituto Nacional de Investigación en Salud Pública-INSPI, Ecuador.
Marco Herrera GOrganización Panamericana de la Salud/Organización Mundial de la Salud.
Rubén ArmasInstituto Nacional de Investigación en Salud Pública-INSPI, Ecuador.
Doménica de MoraInstituto Nacional de Investigación en Salud Pública-INSPI, Ecuador.
Jackeline PinosOrganización Panamericana de la Salud/Organización Mundial de la Salud.
Alfredo OlmedoOrganización Panamericana de la Salud/Organización Mundial de la Salud.
Ronald SalasOrganización Panamericana de la Salud/Organización Mundial de la Salud.
Ruth Jimbo-SotomayorCentro de Investigación para la Salud en América Latina (CISeAL), Pontificia Universidad Católica del Ecuador (PUCE), Ecuador.
Carlos ChiluisaMinisterio de Salud Pública del Ecuador, Ecuador.
Pablo AcostaMinisterio de Salud Pública del Ecuador, Ecuador.
Xavier SánchezCentro de Investigación para la Salud en América Latina (CISeAL), Pontificia Universidad Católica del Ecuador (PUCE), Ecuador.
Alvaro WhittemburyOrganización Panamericana de la Salud/Organización Mundial de la Salud.
World Health Organization Regional Office for the Americas · USCentro Nacional de Epidemiología · ESInstituto Nacional de Investigación en Salud Pública · ECPontificia Universidad Católica del Ecuador · ECMinisterio de Salud Pública · ECUniversidad de Especialidades Espíritu Santo · ECUniversidad Regional Autónoma de Los Andes · ECUniversidad UTE · EC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The COVID-19 pandemic poses a significant global health threat, characterized by high morbidity, severity, and the emergence of concerning variants. Latin America has been greatly affected, with high infection and mortality rates. Vaccination plays a crucial role in mitigating severe disease and controlling the pandemic. This study aims to assess the effectiveness of COVID-19 vaccines in preventing SARS-CoV-2 severe acute respiratory infections (SARI) in hospitalized vaccination target groups in Ecuador. Methods: This is a test-negative design study. We used data reported through sentinel surveillance of SARI between May 2021 and March 2022 in Ecuador. Patients with case criteria of SARI and hospitalized for a minimum of 24 hours were included in the study. Cases were defined as patients with SARI with a positive RT-qPCR test for SARS-CoV-2 and controls were those with a negative result. Information on vaccination status was obtained from the national vaccination registry, a valid dose of vaccination was considered when it was administered at least 14 days prior to symptom onset. Vaccine effectiveness (VE) (1-OR/OR) was calculated using a logistic regression. Results: A total of 1,277 patients were included in the analysis of VE. The adjusted vaccine effectiveness (aVE) in preventing hospitalization, adjusted for sex, age group, presence of one or more comorbidities, and period of the predominance of the omicron variant, was 44.5% for the partial primary schedule, 74.7% for the complete primary schedule, and 79.9% for the complete primary schedule plus booster doses. The aVE in avoiding ICU admissions was close to 80% with both the complete primary schedule and the booster doses, and in avoiding deaths, the aVE was 89% and 98%, respectively. Conclusions: In Ecuador, COVID-19 vaccination prevents hospitalizations, ICU admissions, and deaths. The effectiveness of the vaccines improves with more doses, offering increased protection across all age groups.

Identifiers

PMID38033879
PMCPMC10684373
OpenAlexW4388486231

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.