Faculty of Dentistry, Al-Azhar University - Gaza, Gaza Strip, Palestine.
International Medical Research Association (IMedRA), Cairo, Egypt.
Sci Rep. 2022 Aug 22;12(1):14266. doi: 10.1038/s41598-022-18618-6.
Recent evidence suggests that vaccination against influenza may reduce the clinical outcomes of COVID-19. This study looked at the link between influenza vaccination and the severity of COVID-19 infection. We searched five databases until August 2021. We included studies that reported the relationship between influenza vaccination and COVID-19 outcomes. We pooled the data as risk ratio (RR) or mean difference (MD), with 95% confidence intervals (CIs), the data pooled using fixed and random effects models according to the heterogeneity of results. Sixteen observational studies with 191,496 COVID-19 patients were included. In terms of mechanical ventilation, our analysis showed a significant favor for the influenza vaccinated group over the non-vaccinated group (RR = 0.72, 95% CI [0.54, 0.96], P = 0.03). However, the analysis indicated no statistically significant differences between vaccinated and non-vaccinated groups in the term of mortality rate (RR = 1.20, 95% CI [0.71, 2.04], P = 0.50), hospital admissions (RR = 1.04, 95% CI [0.84, 1.29], P = 0.75), intensive care admissions (RR = 0.84, 95% CI [0.44, 1.62], P = 0.60). There were no significant differences between those who had received the influenza vaccine and those who had not in COVID-19 clinical outcomes, except for mechanical ventilation which showed a significantly lower risk in the influenza vaccinated group compared to the non-vaccinated one. However, future research is encouraged as our data have limitations, and the influenza vaccine is regularly updated. Also, this does not exclude the importance of the influenza vaccine during the COVID-19 pandemic.
最近的证据表明,流感疫苗接种可能会降低 COVID-19 的临床结局。本研究旨在探讨流感疫苗接种与 COVID-19 感染严重程度之间的关系。我们检索了五个数据库,直到 2021 年 8 月。我们纳入了报告流感疫苗接种与 COVID-19 结局之间关系的研究。我们根据结果的异质性,采用固定效应模型和随机效应模型合并数据,计算风险比(RR)或均数差(MD)及其 95%置信区间(CI)。纳入了 16 项观察性研究,共纳入了 191496 例 COVID-19 患者。在机械通气方面,我们的分析表明,接种组明显优于未接种组(RR=0.72,95%CI[0.54,0.96],P=0.03)。然而,接种组和未接种组在死亡率(RR=1.20,95%CI[0.71,2.04],P=0.50)、住院率(RR=1.04,95%CI[0.84,1.29],P=0.75)、重症监护病房收治率(RR=0.84,95%CI[0.44,1.62],P=0.60)方面无统计学差异。除机械通气外,接种组与未接种组在 COVID-19 临床结局方面无显著差异,接种组机械通气风险明显低于未接种组。然而,由于我们的数据存在局限性,且流感疫苗不断更新,鼓励开展更多研究。此外,这并不排除流感疫苗在 COVID-19 大流行期间的重要性。