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A Luciferase-fluorescent Reporter Influenza Virus for Live Imaging and Quantification of Viral Infection
Published on: August 14, 2019
Association between influenza vaccination, all-cause mortality and cardiovascular mortality: a protocol for a living
Rong Liu1,2, Anushka Patel2, Xin Du1,2,3
1Heart Health Research Center, Beijing, China.
Insights
Influenza vaccination may reduce cardiovascular events in high-risk individuals. This living systematic review and meta-analysis will assess influenza vaccine efficacy and safety for preventing mortality and cardiovascular events.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Influenza infection elevates cardiovascular event risk, particularly in those with pre-existing cardiovascular disease (CVD).
- International guidelines recommend annual influenza vaccination for high-risk CVD populations, yet evidence on efficacy and safety remains debated.
- Previous systematic reviews found uncertain evidence for influenza vaccine efficacy in preventing cardiovascular events, with limited safety data in CVD populations.
Purpose of the Study:
- To conduct a living systematic review and prospective meta-analysis evaluating influenza vaccine efficacy and safety.
- To assess the prevention of mortality or cardiovascular events in general and pre-existing CVD populations.
- To provide updated evidence influencing clinical recommendations and public health strategies.
Main Methods:
- Systematic review and prospective meta-analysis methodology.
- Inclusion of randomized controlled trials and observational studies meeting PICO criteria.
- Living systematic review maintained for 3 years with 6-month updates, including independent literature searches and risk of bias assessment.
Main Results:
- Efficacy of influenza vaccines in preventing mortality and cardiovascular events.
- Safety profile of influenza vaccines in populations with and without pre-existing CVD.
- Updated summary estimates based on emerging large-scale randomized controlled trials.
Conclusions:
- The study will synthesize current evidence on influenza vaccine effectiveness for cardiovascular health.
- Findings will inform updated guidelines and vaccination strategies for at-risk populations.
- This living review ensures timely dissemination of the latest research findings.
Introduction:
Influenza virus infection is known to increase the risk of cardiovascular events, especially in populations with pre-existing cardiovascular disease (CVD). Considering that influenza is vaccine preventable, international guidelines recommend high-risk populations with CVD receive an influenza vaccine every year. However, there are various classifications of recommendations and levels of evidence. Previous systematic reviews concluded uncertain evidence on influenza vaccine efficacy for preventing cardiovascular events in the general population or in populations with pre-existing CVD. Limited safety data of influenza vaccines were reported for populations with pre-existing CVD. Randomised controlled trials with larger sample sizes relative to previous studies are emerging, the findings of these trials are likely to be highly influential on summary efficacy estimates.
Methods And Analysis:
We aim to perform a living systematic review and a prospective meta-analysis to evaluate the efficacy and safety of influenza vaccines compared with no vaccines or placebo for preventing mortality or CVD events in the general population and in populations with pre-existing CVD. Any types of randomised controlled trial and observational study meeting the Population, Intervention, Comparator, Outcome and Study design criteria for the research question will be selected for inclusion. The living systematic review status will be maintained for 3 years with an update for every 6 months. Mainstream medical literature databases will be independently searched by two authors with predefined strategies. Two authors will perform the risk of bias assessment with consensus. Narrative synthesis and meta-analyses will be performed to summarise the results.
Ethics And Dissemination:
Formal ethical review is not required as this study does not involve primary data collection. We will publish results of the living systematic review and prospective meta-analysis in a peer-reviewed journal. Findings will also be presented at relevant meetings.
Prospero Registration Number:
CRD42021222519.
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