cb Kaplan 1982.
Methods | Surveillance population‐based study conducted in the USA during the 1979 to 1980 and 1980 to 1981 influenza seasons. The study tested the association between influenza vaccination and Guillain‐Barré syndrome. Reports from each case were obtained from neurologists. All case reports were included. The follow‐up period was 1 September 1979 to 31 March 1980 and 1 September 1980 to 31 March 1981. | |
Participants | USA (minus Maryland), adult population, 18 years or older | |
Interventions | Seasonal parenteral vaccine | |
Outcomes | Cases of Guillain‐Barré syndrome. Vaccine‐associated cases were defined as those with onset within the 8‐week period after influenza vaccination. | |
Notes | Vaccination rates in the population were obtained from a national immunisation survey.
Rare events (safety) Government funded |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
PCS/RCS ‐ selection exposed cohort All outcomes | High risk | High risk |
PCS/RCS ‐ selection non‐exposed cohort All outcomes | High risk | High risk |
PCS/RCS ‐ comparability All outcomes | High risk | High risk |
PCS/RCS ‐ assessment of outcome All outcomes | High risk | High risk |
Summary assessment | High risk | High risk |