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. 2018 Feb 1;2018(2):CD004879. doi: 10.1002/14651858.CD004879.pub5

cb Ritzwoller 2005.

Methods
  • Retrospective cohort study of effectiveness of influenza vaccine

  • Data collection from electronic medical records and immunisation registry database

  • Vaccination status was included as a time‐varying variable using a multivariate Cox proportional hazard model to estimate a HR; this was used because patients continued to be vaccinated during the influenza season.

  • Vaccine efficacy was calculated as 1 minus HR.

  • Chronic medical conditions included.

Participants Children aged 6 to 23 months
Interventions Vaccine not specified (see 2003 included strains below).
 2003 to 2004 season will include A/New Caledonia/20/99‐like (H1N1), A/Moscow/10/99‐like (H3N2), and B/Hong Kong/330/2001‐like viruses. For the A/Moscow/10/99‐like (H3N2) virus, US manufacturers will use the antigenically equivalent A/Panama/2007/99 (H3N2) virus, and for the B/Hong Kong/330/2001‐like virus, they will use either B/Hong Kong/330/01 or the antigenically equivalent virus B/Hong Kong/1434/02.
Outcomes
  • ILI for FV children versus UV

  • P&I for FV versus UV

Funding Source Government/industry
Notes Circulating strain of A (H3N2)
 Data collected during peak of influenza activity.
Risk of bias
Bias Authors' judgement Support for judgement
PCS/RCS‐Selection Exposed cohort Low risk Selected group, secure record
PCS/RCS‐Selection Non Exposed cohort Low risk Same methods of the exposed cohort
PCS/RCS‐Comparability High risk Insufficient description
PCS/RCS‐Assessment of Oucome Unclear risk Record linkage
Summary assessments High risk Some doubt arises from the real comparability of the cohorts.