High-dose influenza vaccine in older adults by age and seasonal characteristics: Systematic review and meta-analysis update

Autor: Jason K.H. Lee, Gary K.L. Lam, J. Kevin Yin, Matthew M. Loiacono, Sandrine I. Samson
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Vaccine: X, Vol 14, Iss , Pp 100327- (2023)
Druh dokumentu: article
ISSN: 2590-1362
DOI: 10.1016/j.jvacx.2023.100327
Popis: This updated systematic review and meta-analysis of randomized and observational studies published up to April 2023 assessed the relative performance of high-dose inactivated influenza vaccine (HD-IIV) and standard-dose influenza vaccines (SD-IIV) against influenza-associated outcomes in older adults (≥65 years).The analysis included studies conducted over 12 influenza seasons (2009/2010 to 2019/2020, 2021/2022), including over 45 million individuals aged ≥ 65 years, and showed that HD-IIV provided significantly better protection than SD-IIV against influenza-like illness and influenza-related hospitalizations, as well as cardiovascular, cardiorespiratory, and all-cause hospitalizations. Subgroup analyses showed HD-IIV consistently provided better protection than SD-IIV against influenza outcomes across the age range (65+, 75+ 85+ years), and regardless of the predominantly circulating influenza strain and vaccine antigenic match/mismatch.Randomized studies continue to drive high-quality evidence on the effectiveness of high-dose inactivated influenza vaccine relative to SD-IIV against severe influenza outcomes in adults aged ≥ 65 years, supported by observational data.
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