Evidence map›Paper›PMID 38319989›Full record

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

Early Mortality After the First Dose of COVID-19 Vaccination: A Target Trial Emulation.

Kevin W McConeghy, Kwan Hur, Issa J Dahabreh, Rong Jiang, Lucy Pandey, Walid F Gellad, Peter Glassman, Chester B Good, Donald R Miller, Andrew R Zullo and 2 more

Abstract readObservational Study
In one paragraph

Observational study 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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. Article
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  6. Review
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

12 authors.

Kevin W McConeghyCenter of Innovation Long-Term Services and Supports, Veterans Administration Medical Center, Providence, Rhode Island, USA.ORCID 0000-0002-5056-0431
Kwan HurVA Center for Medication Safety, Department of Veterans Affairs, Chicago, Illinois, USA.
Issa J DahabrehCAUSALab, Harvard T. H. Chan School of Public Health, Boston, Massachusett, USA.
Rong JiangVA Center for Medication Safety, Department of Veterans Affairs, Chicago, Illinois, USA.
Lucy PandeyVA Center for Medication Safety, Department of Veterans Affairs, Chicago, Illinois, USA.
Walid F GelladCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Peter GlassmanPharmacy Benefits Management Services, Department of Veterans Affairs, Washington, DC, USA.
Chester B GoodVA Center for Medication Safety, Department of Veterans Affairs, Chicago, Illinois, USA.
Donald R MillerVA Center for Medication Safety, Department of Veterans Affairs, Chicago, Illinois, USA.
Andrew R ZulloCenter of Innovation Long-Term Services and Supports, Veterans Administration Medical Center, Providence, Rhode Island, USA.
Stefan GravensteinCenter of Innovation Long-Term Services and Supports, Veterans Administration Medical Center, Providence, Rhode Island, USA.
Francesca CunninghamVA Center for Medication Safety, Department of Veterans Affairs, Chicago, Illinois, USA.

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI KOGUT, STEPHEN J · 2016 to 2025
$45.0M
Clinically Significant Drug Interactions among Nursing Home Residents with ADRDR01AG077620 · NIA · BROWN UNIVERSITY · PI Andrew Reis Zullo · 2022 to 2026
$3.5M
Safe Cardiometabolic Drug Prescribing to Prevent Injury in Nursing Home ResidentsRF1AG061221 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI BERRY, SARAH DYER · 2019 to 2019
$2.8M
Medications and the Risk of Motor Vehicle Crashes in Older AdultsR01AG065722 · NIA · BROWN UNIVERSITY · PI ZULLO, ANDREW REIS · 2020 to 2023
$2.1M
A Clinical Prediction Tool to Guide Treatment of Osteoporosis in the Nursing HomeR01AG045441 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI BERRY, SARAH DYER · 2014 to 2017
$1.7M
Methods for generalizing inferences from cluster randomized controlled trials to target populationsR01LM013616 · NLM · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI DAHABREH, ISSA J. · 2022 to 2025
$1.4M
Opioid use in post-acute hip fracture care: prescribing patterns, effectiveness, and safetyR21AG061632 · NIA · BROWN UNIVERSITY · PI BEAUDOIN, FRANCESCA, ZULLO, ANDREW REIS · 2019 to 2020
$462k
NIA NIH HHS R01 AG045441NIA NIH HHS R01 AG065722NIA NIH HHS R01 AG077620NIA NIH HHS R21 AG061632NIA NIH HHS RF1 AG061221NIA NIH HHS U54GM1156775NIGMS NIH HHS U54 GM115677NIH HHSNLM NIH HHS R01AG045441NLM NIH HHS R01 LM013616
6 · The paper itself

Abstract

backgroundVaccine hesitancy persists alongside concerns about the safety of coronavirus disease 2019 (COVID-19) vaccines. We aimed to examine the effect of COVID-19 vaccination on risk of death among US veterans.

methodsWe conducted a target trial emulation to estimate and compare risk of death up to 60 days under two COVID-19 vaccination strategies: vaccination within 7 days of enrollment versus no vaccination through follow-up. The study cohort included individuals aged ≥18 years enrolled in the Veterans Health Administration system and eligible to receive a COVID-19 vaccination according to guideline recommendations from 1 March 2021 through 1 July 2021. The outcomes of interest included deaths from any cause and excluding a COVID-19 diagnosis. Observations were cloned to both treatment strategies, censored, and weighted to estimate per-protocol effects.

resultsWe included 3 158 507 veterans. Under the vaccination strategy, 364 993 received vaccine within 7 days. At 60 days, there were 156 deaths per 100 000 veterans under the vaccination strategy versus 185 deaths under the no vaccination strategy, corresponding to an absolute risk difference of -25.9 (95% confidence limit [CL], -59.5 to 2.7) and relative risk of 0.86 (95% CL, .7 to 1.0). When those with a COVID-19 infection in the first 60 days were censored, the absolute risk difference was -20.6 (95% CL, -53.4 to 16.0) with a relative risk of 0.88 (95% CL, .7 to 1.1).

conclusionsVaccination against COVID-19 was associated with a lower but not statistically significantly different risk of death in the first 60 days. These results agree with prior scientific knowledge suggesting vaccination is safe with the potential for substantial health benefits.

Indexed as

COVID-19VeteransAdolescentAdultCOVID-19 TestingCOVID-19 VaccinesHumansVaccinationCOVID-19 VaccinesCOVID-19 vaccinationmedication safetyRisk of deathSARS-CoV-2vaccine safety

Identifiers

PMID38319989
PMCPMC10954332

What OpenQuestion holds

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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.