Evidence map›Paper›PMID 38578809›Full record

Observational studyPloS one2024

Effectiveness of ChAdOx1 nCoV-19 and BBIBP-CorV vaccines against COVID-19-associated hospitalisation and death in the Seychelles infected adult population.

Sylvie Nadine Theresa Pool, Emelyn Helen Shroff, Agnes Chetty, Lara Lewis, Yende-Zuma Nonhlanhla, Salim S Abdool Karim

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. 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

6 authors at 2 institutions in 2 countries.

Sylvie Nadine Theresa PoolHealth Care Agency, Ministry of Health, Mont Fleuri, Mahe Seychelles.
Emelyn Helen ShroffPublic Health Authority, Ministry of Health, Mont Fleuri, Mahe Seychelles.ORCID 0009-0001-3745-7034
Agnes ChettyMinistry of Health, Mont Fleuri, Mahe Seychelles.
Lara LewisCentre for the Aids Programme of Research in South Africa, University of KwaZulu-Natal, Durban, South Africa.ORCID 0000-0001-5373-2086
Yende-Zuma NonhlanhlaCentre for the Aids Programme of Research in South Africa, University of KwaZulu-Natal, Durban, South Africa.
Salim S Abdool KarimCentre for the Aids Programme of Research in South Africa, University of KwaZulu-Natal, Durban, South Africa.ORCID 0000-0002-4986-2133
Centre for the AIDS Programme of Research in South Africa · ZAMinistry of Health · SC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Seychelles COVID-19 vaccination campaign was initiated using two different vaccines during the first wave of the pandemic in 2021. This observational study estimated vaccine effectiveness against severe outcomes (hospitalisation and/or death) from individuals infected with COVID-19 in the Seychelles adult population during Beta and Delta variant transmission.

methodsThis nationwide retrospective cohort study included all Seychellois residents aged ≥ 18 years who tested positive by RT-PCR or rapid antigen test for COVID-19 between January 25, 2021, and June 30, 2021. We measured the relative risk (RR) of laboratory-confirmed SARS-CoV-2 hospitalisation and/or death among individuals partially or fully vaccinated with ChAdOx1 nCoV-19 (SII Covishield) or BBIBP-CorV (Sinopharm) vaccines compared to unvaccinated individuals using modified Poisson regression. Controlling for age, gender and calendar month, vaccine effectiveness was estimated as 1-RR ≥14 days after the first dose and ≥7 days after the second dose for each available vaccine versus an unvaccinated control group.

resultsA total of 12,326 COVID-19 infections were reported in adult Seychellois residents between January 25, 2021, and June 30, 2021. Of these, 1,287 individuals received one dose of either BBIBP-CorV (Sinopharm) or ChAdOx1-nCoV-19 (SII Covishield) vaccine, and 5,225 individuals received two doses. Estimated adjusted effectiveness of two doses of either Sinopharm or SII Covishield was high, at 70% (95% CI 58%-78%) and 71% (95% CI 62%-78%) respectively. Sinopharm maintained high levels of protection against severe outcomes in partially vaccinated individuals at 61% (95% CI 36%-76%), while the effectiveness of one dose of SII Covishield was low at 29% (95% CI 1%-49%).

conclusionsThis observational study demonstrated high levels of protection of two doses of two vaccine types against severe outcomes of COVID-19 during the first wave of the pandemic driven by Beta (B.1.351) and Delta (B.1.617.2) variant predominance. One dose of ChAdOx1-nCoV-19 (Covishield SII) was found to be inadequate in protecting the general adult population against hospitalisation and/or death from COVID-19.

Indexed as

COVID-19Vaccines, InactivatedAdultChAdOx1 nCoV-19COVID-19 VaccinesFemaleHospitalizationHumansMaleRetrospective StudiesSARS-CoV-2SeychellesBIBP COVID-19 vaccineChAdOx1 nCoV-19COVID-19 VaccinesVaccines, Inactivated

Identifiers

PMID38578809
PMCPMC10997067
OpenAlexW4393976409

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.