Evidence map›Paper›PMID 38467603›Full record

ArticleNature communications2024

Impact of vaccination on the association of COVID-19 with cardiovascular diseases: An OpenSAFELY cohort study.

Genevieve I Cezard, Rachel E Denholm, Rochelle Knight, Yinghui Wei, Lucy Teece, Renin Toms, Harriet J Forbes, Alex J Walker, Louis Fisher, Jon Massey and 23 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
14.4field-weighted citation impact, top 1% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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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

33 authors at 13 institutions in 2 countries.

Genevieve I Cezard *British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-3011-7416
Rachel E Denholm *Population Health Sciences, University of Bristol, Bristol, UK.
Rochelle Knight *Population Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-4128-6821
Yinghui WeiCentre for Mathematical Sciences, School of Engineering, Computing and Mathematics, University of Plymouth, Plymouth, UK.ORCID http://orcid.org/0000-0002-7873-0009
Lucy TeeceDepartment of Population Health Sciences, University of Leicester, Leicester, UK.
Renin TomsPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-6922-1448
Harriet J ForbesFaculty of Epidemiology and Population Health, London School of Hygiene & tropical Medicine, London, UK.
Alex J WalkerThe Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-4932-6135
Louis FisherThe Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Jon MasseyThe Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-2497-4040
Lisa E M HopcroftNHS National Services Scotland, Edinburgh, Scotland.ORCID http://orcid.org/0000-0002-7022-1322
Elsie M F HornePopulation Health Sciences, University of Bristol, Bristol, UK.
Kurt TaylorPopulation Health Sciences, University of Bristol, Bristol, UK.
Tom PalmerPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0003-4655-4511
Marwa Al ArabPopulation Health Sciences, University of Bristol, Bristol, UK.
Jose Ignacio Cuitun CoronadoPopulation Health Sciences, University of Bristol, Bristol, UK.
Samantha H Y IpBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-9162-6727
Simon DavyThe Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Iain DillinghamThe Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Sebastian BaconThe Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Amir MehrkarThe Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-2098-1278
Caroline E MortonDigital Environment Research Institute, Queen Mary University of London, London, UK.
Felix GreavesNational Institute for Health and Care Excellence, London, UK.
Catherine HyamsPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0003-3923-1773
George Davey SmithPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-1407-8314
John MacleodPopulation Health Sciences, University of Bristol, Bristol, UK.
Nishi ChaturvediMRC Unit for Lifelong Health and Ageing, University College London, London, UK.ORCID http://orcid.org/0000-0002-6211-2775
Ben GoldacreThe Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
William N WhiteleyCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-4816-8991
Angela M Wood *British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-7937-304X
Jonathan A C Sterne *Population Health Sciences, University of Bristol, Bristol, UK. Jonathan.Sterne@bristol.ac.uk.ORCID http://orcid.org/0000-0001-8496-6053
Venexia Walker *Population Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0001-5064-446X
Longitudinal Health and Wellbeing and Data and Connectivity UK COVID-19 National Core Studies, CONVALESCENCE study and the OpenSAFELY collaborative
University of Bristol · GBUniversity of Oxford · GBUniversity of Cambridge · GBNational Institute for Health Research · GBAt Bristol · GBLondon School of Hygiene & Tropical Medicine · GBMRC Unit for Lifelong Health and Ageing · GBNational Health Service Scotland · GBNational Institute for Health and Care Excellence · GBQueen Mary University of London · GBUniversity of Edinburgh · GBUniversity of Leicester · GBUniversity of Plymouth · GB

Funding

Medical Research Council MC_PC_20051Medical Research Council MC_PC_20059Medical Research Council MC_UU_00032/1Medical Research Council MR/S003940/1Medical Research Council MR/W021358/1Wellcome Trust
6 · The paper itself

Abstract

Infection with SARS-CoV-2 is associated with an increased risk of arterial and venous thrombotic events, but the implications of vaccination for this increased risk are uncertain. With the approval of NHS England, we quantified associations between COVID-19 diagnosis and cardiovascular diseases in different vaccination and variant eras using linked electronic health records for ~40% of the English population. We defined a 'pre-vaccination' cohort (18,210,937 people) in the wild-type/Alpha variant eras (January 2020-June 2021), and 'vaccinated' and 'unvaccinated' cohorts (13,572,399 and 3,161,485 people respectively) in the Delta variant era (June-December 2021). We showed that the incidence of each arterial thrombotic, venous thrombotic and other cardiovascular outcomes was substantially elevated during weeks 1-4 after COVID-19, compared with before or without COVID-19, but less markedly elevated in time periods beyond week 4. Hazard ratios were higher after hospitalised than non-hospitalised COVID-19 and higher in the pre-vaccination and unvaccinated cohorts than the vaccinated cohort. COVID-19 vaccination reduces the risk of cardiovascular events after COVID-19 infection. People who had COVID-19 before or without being vaccinated are at higher risk of cardiovascular events for at least two years.

Indexed as

Cardiovascular DiseasesCOVID-19Cohort StudiesCOVID-19 TestingCOVID-19 VaccinesHumansSARS-CoV-2VaccinationCOVID-19 Vaccines

Identifiers

PMID38467603
PMCPMC10928172
OpenAlexW4392655824

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.