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. 2018 Feb 1;2018(2):CD004876. doi: 10.1002/14651858.CD004876.pub4

Fleming 1995.

Study characteristics
Methods Retrospective cohort study conducted in UK during the 1989 to 1990 influenza season, in the community. Data source was the general practitioner database. Follow‐up period was 1 November 1989 to 15 January 1990. As vaccines used in 1988 and 1989 were antigenically closely related, 2 exposure definitions were used: recently vaccinated and previously vaccinated.
Participants 9391 people who had at least a general practitioner's consultation in previous months (599 treated and 8792 controls, all included in the analysis), 55 years or older
Interventions Parenteral influenza vaccine: A/Shanghai/1197‐like. Vaccine strains matched the circulating strain.
Outcomes Death, death or severe respiratory illness, death or any respiratory illness without further specification
Notes Important epidemic year. The study controls for confounders in analysis: age, gender, health status. Data were stratified by health status: people with minor underlying conditions are considered as healthy. People vaccinated during the previous year are considered as "non vaccinated". Quantitative analysis was also performed.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear