Table 3.
Effect of influenza vaccination status in the current and 5 prior seasons in preventing laboratory-confirmed influenza among patients with chronic obstructive pulmonary disease by (sub)type and presence of other major chronic conditions.
| Cases/controls | Vaccination effect, % (95% CI)a | p value | |
|---|---|---|---|
| A/H1N1 subtypeb | |||
| Never vaccinated | 67/182 | Reference | |
| Vaccination in prior seasons only | 20/135 | 47 (5 to 71) | 0.034 |
| Current season vaccination | 102/721 | 49 (23 to 66) | 0.001 |
| A/H3N2 subtype c | |||
| Never vaccinated | 56/158 | Reference | |
| Vaccination in prior seasons only | 37/124 | 6 (–61 to 44) | 0.830 |
| Current season vaccination | 139/579 | 28 (–8 to 52) | 0.116 |
| B type d | |||
| Never vaccinated | 32/127 | Reference | |
| Vaccination in prior seasons only | 21/106 | 6 (–93 to 54) | 0.867 |
| Current season vaccination | 66/517 | 52 (14 to 73) | 0.013 |
| Codiagnosis of asthma | |||
| Never vaccinated | 14/11 | Reference | |
| Vaccination in prior seasons only | 6/15 | 46 (–196 to 90) | 0.473 |
| Current season vaccination | 30/64 | 67 (–13 to 90) | 0.077 |
| No codiagnosis of asthma | |||
| Never vaccinated | 140/204 | Reference | |
| Vaccination in prior seasons only | 73/157 | 22 (–14 to 47) | 0.198 |
| Current season vaccination | 279/768 | 39 (19 to 54) | 0.001 |
| Patients with other major chronic conditions | |||
| Never vaccinated | 93/143 | Reference | |
| Vaccination in prior seasons only | 63/129 | 21 (–20 to 48) | 0.271 |
| Current season vaccination | 243/675 | 42 (20 to 58) | 0.001 |
| Patients without other major chronic conditions | |||
| Never vaccinated | 61/72 | Reference | |
| Vaccination in prior seasons only | 16/43 | 31 (–51 to 68) | 0.353 |
| Current season vaccination | 66/157 | 26 (–30 to 58) | 0.297 |
CI confidence interval.
aVaccination effect adjusted by age groups (25–64, 65–84 and ≥ 85 years), other major chronic conditions, healthcare setting (primary healthcare or hospital), and month-season of sample collection.
bPooled A/H1N1 analysis includes 2015–2016, 2017–2018, 2018–2019 and 2019–2020 seasons.
cPooled A/H3N2 analysis includes 2015–2016, 2016–2017, 2017–2018 and 2018–2019 seasons.
dPooled B analysis includes 2015–2016, 2017–2018 and 2019–2020 seasons.