Evidence map›Paper›PMID 38182805›Full record

ArticleEuropean geriatric medicine2024

SARS-CoV-2 vaccination and risk of infectious diseases in hospitalized older patients.

Marco Balducci, Edoardo Locatelli, Maria Giorgia Barbieri, Elena Ferrighi, Serena Scardina, Giulia Barrile, Federica Sganga, Irene Mattioli, Francesca Remelli, Stefania Maggi and 2 more

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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
1.2field-weighted citation impact, top 25% 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, 3 citations in OpenAlex.

  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 at 4 institutions in 2 countries.

Marco Balducci *Department of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Edoardo Locatelli *Department of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Maria Giorgia BarbieriDepartment of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Elena FerrighiDepartment of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Serena ScardinaDepartment of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Giulia BarrileDepartment of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Federica SgangaGeriatrics and Orthogeriatrics Unit, Azienda Ospedaliero-Universitaria of Ferrara, Ferrara, Italy.
Irene MattioliDepartment of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Francesca RemelliDepartment of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy. francesca.remelli@unife.it.
Stefania MaggiInstitute of Neuroscience - Aging Branch, National Research Council, Padua, Italy.
Stefano VolpatoDepartment of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Caterina TrevisanDepartment of Medical Science, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
University of Ferrara · ITArcispedale Sant'Anna · ITKarolinska Institutet · SENational Research Council · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVaccinations, for example flu vaccine, may be a cause of cross-reactive immunostimulation that prevents a larger spectrum of infections. However, whether SARS-CoV-2 vaccinations may also determine this effect is unclear. This study aims, first, to assess the incidence of infections at hospital admission and during the hospitalization in older inpatients vaccinated and unvaccinated against SARS-CoV-2; second, to compare length of hospital stay and in-hospital mortality between vaccinated and unvaccinated individuals.

methodsThis retrospective study included 754 older inpatients admitted to the Geriatrics and Orthogeriatrics Units of the University Hospital of Ferrara (Italy) between March 2021 and November 2021. Sociodemographic and health-related data, and the diagnosis of infections at hospital admission and during hospitalization were collected from medical records.

resultsThe sample's mean age was 87.2 years, 59.2% were females, and 75.5% were vaccinated against SARS-CoV-2. Vaccinated individuals had 36% lower odds of intra-hospital infections (OR = 0.64, 95%CI 0.44-0.94) and 39% lower in-hospital death (HR = 0.61, 95%CI 0.39-0.95), also after adjusting for potential confounders, while no significant results emerged about infections at hospital admission. Considering the hospitalization's endpoints, SARS-CoV-2 vaccination was associated with a lower probability of being transferred to long-term care or other hospital departments than returning home (OR = 0.63, 95%CI 0.40-0.99).

conclusionsIn older inpatients, SARS-CoV-2 vaccination seems to be associated with a lower likelihood of intra-hospital infectious diseases not caused by SARS-CoV-2 and all-cause in-hospital mortality. The vaccination coverage in the older population could limit not only the onset and severity of COVID-19 but also the occurrence of other infectious diseases.

Indexed as

Communicable DiseasesCOVID-19Cross InfectionAgedAged, 80 and overCOVID-19 VaccinesFemaleHospital MortalityHumansInpatientsMaleRetrospective StudiesSARS-CoV-2VaccinationCOVID-19 VaccinesAgedHospitalizationIntra-hospital infectionsMortalitySARS-CoV-2 vaccination

Identifiers

PMID38182805
OpenAlexW4390604579

What Socratic 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 Socratic graph.