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. 2021 Oct 28;21(11):1491–1492. doi: 10.1016/S1473-3099(21)00621-6

Table.

Cohort analyses with hypothetical figures to show the effect of selection bias

People with Bell's palsy People without Bell's palsy Subtotal Bell's palsy rate Rate ratio
All people eligible for vaccination (n=200000)
Subgroup A* (n=100 000)
Vaccinated 9 29 991 30 000 0·03% 1·00
Unvaccinated 21 69 979 70 000 0·03% ..
Subgroup B (n=100 000)
Vaccinated 21 69 979 70 000 0·03% 1·00
Unvaccinated 9 29 991 30 000 0·03% ..
Subgroups A and B combined (n=200 000)
Vaccinated 30 99 970 100 000 0·03% 1·00
Unvaccinated 30 99 970 100 000 0·03% ..
Subgroup A (all patients with Bell's palsy captured)
Vaccinated 30 29 991 30 021 0·10% 2·33
Unvaccinated 30 69 979 70 009 0·04% ..
*

Subgroup A: patients who presented to emergency rooms or hospital wards, comprising a higher proportion of older people (≥65 years) with a lower overall vaccination rate of 30%.

Subgroup B: other eligible people, who are relatively younger, with a higher overall vaccination rate of 70%.