Prevention of Influenza Hospitalization Among Adults in the United States, 2015-2016: Results From the US Hospitalized Adult Influenza Vaccine Effectiveness Network (HAIVEN)

Document Type

Article

Publication Date

9-13-2019

Publication Title

The Journal of infectious diseases

Abstract

BACKGROUND: Evidence establishing effectiveness of influenza vaccination for prevention of severe illness is limited. The US Hospitalized Adult Influenza Vaccine Effectiveness Network (HAIVEN) is a multiyear test-negative case-control study initiated in 2015-2016 to estimate effectiveness of vaccine in preventing influenza hospitalization among adults.

METHODS: Adults aged ≥18 years admitted to 8 US hospitals with acute respiratory illness and testing positive for influenza by polymerase chain reaction were cases; those testing negative were controls. Vaccine effectiveness was estimated with logistic regression adjusting for age, comorbidities, and other confounding factors and stratified by frailty, 2-year vaccination history, and clinical presentation.

RESULTS: We analyzed data from 236 cases and 1231 controls; mean age was 58 years. More than 90% of patients had ≥1 comorbidity elevating risk of influenza complications. Fifty percent of cases and 70% of controls were vaccinated. Vaccination was 51% (95% confidence interval [CI], 29%-65%) and 53% (95% CI, 11%-76%) effective in preventing hospitalization due to influenza A(H1N1)pdm09 and influenza B virus infection, respectively. Vaccine was protective for all age groups.

CONCLUSIONS: During the 2015-2016 US influenza A(H1N1)pdm09-predominant season, we found that vaccination halved the risk of influenza-association hospitalization among adults, most of whom were at increased risk of serious influenza complications due to comorbidity or age.

Medical Subject Headings

Adolescent; Adult; Age Factors; Aged; Case-Control Studies; Comorbidity; Female; Frailty/diagnosis/epidemiology; Hospitalization/statistics & numerical data; Humans; Influenza A virus/isolation & purification; Influenza B virus/isolation & purification; Influenza Vaccines/administration & dosage; Influenza; Human/diagnosis/epidemiology/therapy/virology; Male; Middle Aged; Sentinel Surveillance; Treatment Outcome; United States/epidemiology; Vaccination/statistics & numerical data; Young Adult; adults; case-control study; hospitalization; influenza; vaccine; vaccine effectiveness

PubMed ID

30561689

Volume

220

Issue

8

First Page

1265

Last Page

1275

Find It @ Sladen

Share

COinS