Impact of vaccination on infection or death from COVID-19 in individuals with laboratory-confirmed cases: Case-control study

The objective of this study is to estimate the effectiveness of COVID-19 vaccines in people treated within the social security system whose vaccination status was reported to the epidemiological surveillance system. Case-control study. This was a case-control study conducted. The records of individu...

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Veröffentlicht in:PloS one 2023-08, Vol.18 (8), p.e0265698-e0265698
Hauptverfasser: Hernández Bautista, Porfirio Felipe, Grajales Muñiz, Concepción, Cabrera Gaytán, David Alejandro, Rojas Mendoza, Teresita, Vallejos Parás, Alfonso, Santacruz Tinoco, Clara Esperanza, Alvarado Yaah, Julio Elias, Anguiano Hernández, Yu Mei, Sandoval Gutiérrez, Nancy, Jaimes Betancourt, Leticia
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container_title PloS one
container_volume 18
creator Hernández Bautista, Porfirio Felipe
Grajales Muñiz, Concepción
Cabrera Gaytán, David Alejandro
Rojas Mendoza, Teresita
Vallejos Parás, Alfonso
Santacruz Tinoco, Clara Esperanza
Alvarado Yaah, Julio Elias
Anguiano Hernández, Yu Mei
Sandoval Gutiérrez, Nancy
Jaimes Betancourt, Leticia
description The objective of this study is to estimate the effectiveness of COVID-19 vaccines in people treated within the social security system whose vaccination status was reported to the epidemiological surveillance system. Case-control study. This was a case-control study conducted. The records of individuals with suspected cases of COVID-19 registered in the epidemiological surveillance system between February 1 and June 30, 2021, were studied. RT-qPCR was performed to determine SARS-CoV-2 infection; those with a positive result were considered cases, and those with a negative result were considered controls. The ratio between cases and controls was 1:1.3. The crude and adjusted vaccine effectiveness was considered the prevention of symptomatic infection and death and calculated as the difference between the dose and the risk, with a survival analysis among vaccinated people. A total of 94,416 individuals were included, of whom 40,192 were considered cases and 54,224 controls; 3,781 (4.00%) had been vaccinated against COVID-19. Vaccination also proved to be a protective factor against COVID-19, especially in the population who received a second dose (OR = 0.31; 95% CI 0.28-0.35). With the application of the vaccine, there was a protective effect against mortality (OR = 0.76; 95% CI 0.66-0.87). Disease prevention was higher for the BNT162-2 mRNA vaccine (82%) followed by the ChAdOx1 vaccine (33%). In the survival analysis, vaccination provided a protective effect. There was a positive impact of vaccines for the prevention of symptomatic COVID-19, with a second dose generating greater efficacy and a reduction in deaths.
doi_str_mv 10.1371/journal.pone.0265698
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source DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Analysis
Biology and Life Sciences
Complications and side effects
COVID-19 vaccines
Death
Disease control
Effectiveness
Epidemiology
Fatalities
Health aspects
Infection
Laboratories
Medical research
Medicine and Health Sciences
mRNA
Patient outcomes
People and places
Prevention
Risk factors
Security systems
Severe acute respiratory syndrome coronavirus 2
Social security
Surveillance systems
Survival
Vaccination
Vaccine efficacy
Vaccines
Viral diseases
title Impact of vaccination on infection or death from COVID-19 in individuals with laboratory-confirmed cases: Case-control study
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