老年人接种流感疫苗后的眼部不良事件:使用日本大型数据库进行自我控制的病例系列
Yohei Hashimoto1,2,3, Masao Iwagami4, Hayato Yamana5
1Department of Ophthalmology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Ophthalmic epidemiology
|December 12, 2023
概括
老年人接种流感疫苗不会增加眼部不良事件的风险. 这项研究没有发现流感疫苗和眼睛疾病 (如眼膜炎或视神经炎) 之间的联系,缓解了疫苗接种的担忧.
科学领域:
- 眼科医生 眼科 眼科
- 疫苗学 疫苗学 疫苗学
- 老年医学 老年医学
背景情况:
- 接种流感疫苗对于老年人来说至关重要.
- 有关疫苗接种后可能发生的眼部不良事件存在担忧.
研究的目的:
- 在65岁及以上的个人接种流感疫苗后,调查眼部不良事件的风险.
- 为了澄清流感疫苗接种与特定眼睛疾病之间的关联.
主要方法:
- 使用日本索赔数据库 (2014年4月 - 2021年9月) 进行了一项自我控制的案例系列 (SCCS) 研究.
- 该研究包括65岁以上的个体,他们经历了眼部不良事件.
- 条件波桑回归分析了与对照期相比,在接种疫苗后0-56天内发生眼病事件的发病率比率.
主要成果:
- 总共分析了4,527个符合条件的病例 (平均年龄为74岁).
- 眼部不良事件的总体发病率比为0.99 (95% CI:0.87-1.14),表明风险没有增加.
- 对于包括紫外炎,结核炎,视网膜静脉封闭,视网膜动脉封闭或视神经炎在内的个体疾病,没有发现显著增加的风险.
结论:
- 这项SCCS研究表明,在老年人接种流感疫苗后,没有明显增加眼部不良事件的风险.
- 这些发现有助于缓解可能阻止老年人接种流感疫苗的担忧.
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