Incidence of Influenza-like Illness in Pregnant Women with Autoimmune Disease and Women without Autoimmune Disease Who Do or Do Not Receive an Influenza Vaccination
Notice bibliographique
Résumé
Purpose: Pregnant women with autoimmune diseases may be at higher risk of contracting influenza infection during pregnancy. It is unknown if the receipt of influenza vaccination during pregnancy is as protective for infection in these women compared to healthy women. We sought to determine if the incidence of influenza-like illness (ILI) among pregnant women who received an influenza vaccination differs for women with autoimmune diseases compared to healthy pregnant women. Methods: Data were obtained from an ongoing prospective cohort study of pregnancy outcome among women in the U.S. and Canada conducted by the Organization of Teratology Information Specialists (OTIS). We enrolled pregnant women between 2009 and 2012 who had Crohn's disease, psoriasis, psoriatic arthritis, rheumatoid arthritis or ankylosing spondylitis, and healthy women without autoimmune disease. Women were interviewed at multiple standard time points during and after pregnancy; data were collected about receipt of influenza vaccination during pregnancy and dates in gestation, and any subsequent report of physician diagnosis of ILI. Using time varying vaccine exposure during pregnancy and adjusting for calendar months of pregnancy relative to the flu season, we estimated the hazard ratio (HR) and its 95% confidence interval (CI) for ILI in a Cox regression model comparing women who reported receipt of an influenza vaccine some time in pregnancy to women without vaccine during pregnancy and including autoimmune disease status and the interaction between autoimmune disease status and vaccination receipt in the model. Results: There were 1,508 subjects available for analysis: 1,003 women received the influenza vaccine during pregnancy and 505 women did not receive vaccine. Among them 520 women had autoimmune disease and 988 women were without autoimmune disease. Eighteen (3.5%) of the women with autoimmune disease and 55 (5.6%) women without autoimmune disease reported ILI at some time in pregnancy. The adjusted HR for ILI in women vaccinated vs. women not vaccinated was 1.17 (95% CI 0.63, 2.17). The interaction between vaccine exposure and autoimmune disease was not significant (p=0.13). Conclusion: Based on these data, women with autoimmune disease were no more likely to report ILI than healthy women, and there was no evidence of a differential effect of influenza vaccination in risk of ILI among women with autoimmune disease.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».