Evidence map›Paper›PMID 38051664›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

Vaccine Effectiveness Against Influenza A-Associated Hospitalization, Organ Failure, and Death: United States, 2022-2023.

Nathaniel M Lewis, Yuwei Zhu, Ithan D Peltan, Manjusha Gaglani, Tresa McNeal, Shekhar Ghamande, Jay S Steingrub, Nathan I Shapiro, Abhijit Duggal, William S Bender and 41 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Severity of Clinical Presentation and Outcomes in Hospitalized Adult People With Influenza by Type and Subtype, United States-2017-2020.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Benefit of Early Oseltamivir Therapy for Adults Hospitalized With Influenza A: An Observational Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Observational
  12. Article
  13. Article
  14. Article
  15. Influenza Vaccine Effectiveness Against Illness and Asymptomatic Infection in 2022-2023: A Prospective Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

51 authors at 20 institutions in 1 country.

Nathaniel M LewisNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.ORCID 0000-0001-7088-9640
Yuwei ZhuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Ithan D PeltanDepartment of Medicine, Intermountain Medical Center, Murray, Utah, and University of Utah, Salt Lake City, Utah, USA.
Manjusha GaglaniBaylor Scott and White Health, Temple and Dallas, Texas, and Texas A&M University College of Medicine, Temple, Texas, USA.ORCID 0000-0002-3952-9230
Tresa McNealBaylor Scott and White Health, and Baylor College of Medicine, Temple, Texas, USA.
Shekhar GhamandeBaylor Scott and White Health, Texas A&M University College of Medicine, Temple, Texas, USA.ORCID 0000-0001-6924-9494
Jay S SteingrubDepartment of Medicine, Baystate Medical Center, Springfield, Massachusetts, USA.
Nathan I ShapiroDepartment of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Abhijit DuggalDepartment of Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
William S BenderDepartment of Medicine, Emory University, Atlanta, Georgia, USA.
Leyla TaghizadehDepartment of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota, USA.
Samuel M BrownDepartment of Medicine, Intermountain Medical Center, Murray, Utah, and University of Utah, Salt Lake City, Utah, USA.
David N HagerDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Michelle N GongDepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
Amira MohamedDepartment of Medicine, The Ohio State University, Columbus, Ohio, USA.
Matthew C ExlineDepartment of Medicine, The Ohio State University, Columbus, Ohio, USA.
Akram KhanDepartment of Medicine, Oregon Health and Sciences University, Portland, Oregon, USA.
Jennifer G WilsonDepartment of Emergency Medicine, Stanford University School of Medicine, Stanford, California, USA.
Nida QadirDepartment of Medicine, University of California-Los Angeles, Los Angeles, California, USA.
Steven Y ChangDepartment of Medicine, University of California-Los Angeles, Los Angeles, California, USA.
Adit A GindeDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Nicholas M MohrCarver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Christopher MallowDepartment of Medicine, University of Miami, Miami, Florida, USA.
Adam S LauringDepartments of Internal Medicine and Microbiology and Immunology, University of Michigan, Ann Arbor, Michigan, USA.
Nicholas J JohnsonDepartment of Emergency Medicine and Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, Washington, USA.
Kevin W GibbsDepartment of Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Jennie H KwonDepartment of Medicine, Washington University, St.Louis, Missouri, USA.
Cristie ColumbusBaylor, Scott and White Health, Dallas, Texas, USA.
Robert L GottliebBaylor University Medical Center Dallas, Baylor, Scott & White Heart and Vascular Hospital, Baylor, Scott and White Research Institute, Dallas, Texas, USA.ORCID 0000-0001-8376-8709
Catherine RaverBaylor, Scott and White Health, Dallas, Texas, USA.
Ivana A VaughnDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.
Mayur RameshDivision of Infectious Diseases, Henry Ford Health, Detroit, Michigan, USA.ORCID 0000-0002-1677-3994
Cassandra JohnsonDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Lois LameratoDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.
Basmah SafdarEmergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-9640-7133
Jonathan D CaseyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Todd W RiceDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Natasha HalasaDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
James D ChappellDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Carlos G GrijalvaDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
H Keipp TalbotDepartments of Medicine and Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Adrienne BaughmanDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kelsey N WomackVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Sydney A SwanDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Elizabeth HarkerNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
Ashley PriceNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
Jennifer DeCuirNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
Diya SurieNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
Sascha EllingtonNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
Wesley H SelfDepartment of Emergency Medicine, Vanderbilt Institute for Clinical and Translational Research, and Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Investigating Respiratory Viruses in the Acutely Ill (IVY) Network
Vanderbilt University Medical Center · USCenters for Disease Control and Prevention · USJohns Hopkins University · USThe Ohio State University · USHenry Ford Health System · USOregon Health & Science University · USStanford University · USUniversity of Michigan · USUniversity of Washington · USAlbert Einstein College of Medicine · USBaystate Medical Center · USBeth Israel Deaconess Medical Center · USCleveland Clinic · USUniversity of Colorado Denver · USUniversity of Iowa · USUniversity of Miami · USUniversity of Utah · USWake Forest University · USBaylor Scott & White Health · USBaylor University Medical Center · US

Funding

Measuring and Learning from Care Variation in SepsisR35GM151147 · NIGMS · IHC HEALTH SERVICES, INC. · PI Ithan Daniel Peltan · 2023 to 2026
$1.5M
NIGMS NIH HHS R35 GM151147
6 · The paper itself

Abstract

backgroundInfluenza circulation during the 2022-2023 season in the United States largely returned to pre-coronavirus disease 2019 (COVID-19)-pandemic patterns and levels. Influenza A(H3N2) viruses were detected most frequently this season, predominately clade 3C.2a1b.2a, a close antigenic match to the vaccine strain.

methodsTo understand effectiveness of the 2022-2023 influenza vaccine against influenza-associated hospitalization, organ failure, and death, a multicenter sentinel surveillance network in the United States prospectively enrolled adults hospitalized with acute respiratory illness between 1 October 2022, and 28 February 2023. Using the test-negative design, vaccine effectiveness (VE) estimates against influenza-associated hospitalization, organ failures, and death were measured by comparing the odds of current-season influenza vaccination in influenza-positive case-patients and influenza-negative, SARS-CoV-2-negative control-patients.

resultsA total of 3707 patients, including 714 influenza cases (33% vaccinated) and 2993 influenza- and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-negative controls (49% vaccinated) were analyzed. VE against influenza-associated hospitalization was 37% (95% confidence interval [CI]: 27%-46%) and varied by age (18-64 years: 47% [30%-60%]; ≥65 years: 28% [10%-43%]), and virus (A[H3N2]: 29% [6%-46%], A[H1N1]: 47% [23%-64%]). VE against more severe influenza-associated outcomes included: 41% (29%-50%) against influenza with hypoxemia treated with supplemental oxygen; 65% (56%-72%) against influenza with respiratory, cardiovascular, or renal failure treated with organ support; and 66% (40%-81%) against influenza with respiratory failure treated with invasive mechanical ventilation.

conclusionsDuring an early 2022-2023 influenza season with a well-matched influenza vaccine, vaccination was associated with reduced risk of influenza-associated hospitalization and organ failure.

Indexed as

Influenza A virusInfluenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesAdolescentAdultHospitalizationHumansInfluenza A Virus, H3N2 SubtypeInfluenza B virusMiddle AgedSeasonsUnited StatesVaccinationVaccine EfficacyYoung AdultInfluenza Vaccinesacute respiratory illnessattenuationinfluenzaorgan failurevaccine effectiveness

Identifiers

PMID38051664
PMCPMC11487098
OpenAlexW4389333763

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.