Evidence map›Paper›PMID 38861241›Full record

ArticleEuropean geriatric medicine2024

Differences in characteristics and outcomes of older patients hospitalized for COVID-19 after introduction of vaccination.

Rosalinde A L Smits, Bas F M van Raaij, Stella Trompet, Carolien M J van der Linden, Jessica M van der Bol, Steffy W M Jansen, Harmke A Polinder-Bos, Hanna C Willems, Esther M M van de Glind, Julia Minnema and 2 more

Abstract readMulticenter Study
In one paragraph

Article in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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

12 authors.

Rosalinde A L SmitsSection Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands. r.a.l.smits@lumc.nl.ORCID 0000-0002-3444-2988
Bas F M van RaaijSection Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Stella TrompetSection Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Carolien M J van der LindenDepartment of Geriatrics, Catharina Hospital, Eindhoven, The Netherlands.
Jessica M van der BolDepartment of Geriatric Medicine, Reinier de Graaf Hospital, Delft, The Netherlands.
Steffy W M JansenDepartment of Geriatrics, Catharina Hospital, Eindhoven, The Netherlands.
Harmke A Polinder-BosDepartment of Internal Medicine, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
Hanna C WillemsSection Geriatrics, Department of Internal Medicine, Amsterdam University Medical Centre, Location AMC, Amsterdam, The Netherlands.
Esther M M van de GlindDepartment of Geriatrics, Alrijne Hospital, Leiderdorp, The Netherlands.
Julia MinnemaDepartment of Internal Medicine, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
Lisanne TapDepartment of Internal Medicine, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
Simon P MooijaartSection Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.

Funding

Zorginstituut Nederland 10430102110005
6 · The paper itself

Abstract

purposeThe aim of the present study was to investigate characteristics and outcomes in vaccinated and unvaccinated older patients hospitalized for COVID-19 infection.

methodsA retrospective multicentre cohort study among patients aged ≥70 years hospitalized for COVID-19 infection.

results263 vaccinated and 82 unvaccinated patients were included. Vaccinated patients were older (median age 79 vs. 76 years; p < 0.001), more patients were male (66.2% vs. 53.7%; p = 0.040), had more comorbidities [median Charlson Comorbidity Index (CCI) 2 vs. 1; p 0.016] and were frailer [Clinical Frailty Scale (CFS) ≥ 4 68% vs. 49%; p 0.015]. Vaccinated patients were admitted earlier after symptom onset (median 5 days vs. 7 days) but were equally ill at time of hospital admission. After correction for frailty, comorbidity and disease severity, risk of in-hospital mortality was three times lower for vaccinated patients (HR 0.30 95% CI 0.16-0.56; p < 0.001) compared to unvaccinated patients.

conclusionVaccinated patients had lower risk of in-hospital mortality than unvaccinated patients with COVID-19 infection. These findings suggest that vaccinated patients benefit from the protective effect of the vaccine against death during hospital stay, outweighing the increased mortality risk that is associated with older age, greater frailty and more numerous comorbidities. This could be an encouragement for older people to receive age-appropriate vaccines, although no definite conclusions can be drawn for this was no intervention study.

Indexed as

ComorbidityCOVID-19COVID-19 VaccinesHospitalizationHospital MortalitySARS-CoV-2AgedAged, 80 and overFemaleFrail ElderlyFrailtyHumansMaleRetrospective StudiesVaccinationCOVID-19 VaccinesCOVID-19FrailtyIn-hospital mortalityOlder patientVaccination

Identifiers

PMID38861241
PMCPMC11377515

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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.