Evidence map›Paper›PMID 40988121›Full record

SynthesisHuman vaccines & immunotherapeutics2025

Effectiveness of pneumococcal vaccination in reducing hospitalization and mortality among the elderly: A systematic review and meta-analysis.

Adeeb Bulkhi, Hadeel A Khadawardi, Mohammad S Dairi, Hassan Alwafi, Hussam M Alim, Yosra A Turkistani, Hani M Almoallim, Ismail Ahmad Alghamdi, Hamsah Saleh Alqashqri, Majed Sameer Obaid and 10 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Human vaccines & immunotherapeutics, 2025. 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
  2. Global vaccine development.Nature medicine · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. 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

20 authors.

Adeeb BulkhiDepartment of Internal Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Hadeel A KhadawardiDepartment of Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Mohammad S DairiDepartment of Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Hassan AlwafiDepartment of Pharmacology and Toxicology, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Hussam M AlimDepartment of Internal Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Yosra A TurkistaniDepartment of Internal Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.ORCID 0000-0001-6815-6413
Hani M AlmoallimDepartment of Internal Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Ismail Ahmad AlghamdiDepartment of Community Medicine and Pilgrims Health Care, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Hamsah Saleh AlqashqriDepartment of Community Medicine and Pilgrims Health Care, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Majed Sameer ObaidDepartment of Community Medicine and Pilgrims Health Care, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Amar Mohammad A AlkhotaniDepartment of Community Medicine and Pilgrims Health Care, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Aous Sami Hayat AlhazmiInstitute of Research and Studies and Consulting Services, Umm Al-Qura University, Makkah, Saudi Arabia.
Heba M AdlyDepartment of Community Medicine and Pilgrims Health Care, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Rania ZainiDepartment of Community Medicine and Pilgrims Health Care, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Altaf A AbdulkhaliqDepartment of Biochemistry, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Saleh A K SalehDepartment of Biochemistry, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Nahla H HaririDepartment of Community Medicine and Pilgrims Health Care, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Anas A KhanGlobal Centre for Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia.
Fahad A AlamriDepartment of Emergency Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mohammed A GaroutDepartment of Community Medicine and Pilgrims Health Care, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This meta-analysis assesses pneumococcal vaccine effectiveness in reducing hospitalization and mortality among the elderly. The studies retrieved from PubMed, Scopus, Embase, and Cochrane through March 2025. Of 3,002 identified studies, 35 met inclusion criteria (30 cohort, 3 RCTs, 2 case-control), encompassing 1.65 million vaccinated and 2.62 million unvaccinated individuals. Pneumonia-related hospitalization significantly declined in subgroups receiving mixed pneumococcal polysaccharide vaccine (PPV) and conjugate vaccine (PCV-13), notably among individuals aged >75 and those with chronic conditions. All-cause hospitalization dropped (OR: 0.94; 95% CI: 0.91-0.97), especially in PPV-23 recipients, Asian populations, and those with comorbidities. Pneumonia mortality decreased across age groups >60, and all-cause mortality declined among those aged 60-75. No significant impact was observed on emergency visit rates. Although findings favor vaccine effectiveness, high heterogeneity warrants further comparative trials to confirm outcomes.

Indexed as

HospitalizationPneumococcal InfectionsPneumococcal VaccinesPneumonia, PneumococcalVaccinationVaccine EfficacyAgedAged, 80 and overHumansMiddle AgedVaccines, Conjugate13-valent pneumococcal vaccinePneumococcal VaccinesVaccines, ConjugateelderlyhospitalizationmortalitypneumoniaVaccine

Identifiers

PMID40988121
PMCPMC12461895

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.