葡萄膜炎的发病率及其与接种 COVID-19 疫苗的关系:系统回顾与元分析》。

IF 1.7 4区 医学 Q3 OPHTHALMOLOGY
Bijaya K Padhi, Parul Chawla Gupta, Nawal A Al Kaabi, Maha F Al-Subaie, Hayam A Alrasheed, Tarek Sulaiman, Ali A Rabaan, Mahalaqua Nazli Khatib, Shilpa Gaidhane, Quazi Syed Zahiruddin, Arkadiusz Dziedzic, Prakasini Satapathy, Najat J Fraj, Fatimah A Aldrazi, Neelima Kukreti, Sarvesh Rustagi, Hashem Abu Serhan
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引用次数: 0

摘要

目的:在 COVID-19 大流行之后,疫苗在遏制疾病传播和严重程度方面发挥了关键作用。然而,接种后的不良反应,包括葡萄膜炎(一种眼部炎症)也引起了人们的关注。本系统综述和荟萃分析旨在评估接种 COVID-19 疫苗后葡萄膜炎的发生率和相关性:方法:2023 年 10 月 21 日,我们在多个数据库中进行了文献检索。方法:2023 年 10 月 21 日,在多个数据库中进行了文献检索,纳入了研究接种 COVID-19 疫苗后葡萄膜炎发病率的人类研究。采用纽卡斯尔-渥太华量表对纳入的研究进行质量评估。进行了 Meta 分析,以评估葡萄膜炎的总体发病率和接种疫苗后患此病的相对风险。所有统计分析均使用 4.3 版 R 软件进行:共纳入六项研究,涉及疫苗剂量超过 20 亿剂。葡萄膜炎的总发病率为 0.016%(95% CI:0.010 至 0.026)。从四项研究中未发现接种疫苗与葡萄膜炎发病之间存在明显关联(相对风险:1.45 (95% CI: 0.82 to 2.57, p = 0.12))。由于研究数量有限且不精确,证据质量被评为很低:该分析表明,接种 COVID-19 疫苗后葡萄膜炎的发病率较低,且与疫苗无明显关联。研究结果因研究数量少和证据确定性低而受到限制,这凸显了进一步研究的必要性。有必要进行全面的纵向研究来证实这些发现,并增强公众对 COVID-19 疫苗接种计划的信心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence and Association of Uveitis with COVID-19 Vaccination: A Systematic Review and Meta-Analysis.

Purpose: In the wake of the COVID-19 pandemic, vaccines have been pivotal in curbing disease spread and severity. However, concerns over post-vaccination adverse events, including uveitis, an inflammatory ocular condition, have been noted. This systematic review and meta-analysis aimed to evaluate the incidence and association of uveitis following COVID-19 vaccination.

Methods: A literature search was performed across several databases on October 21, 2023. Human studies examining the incidence of uveitis post-COVID-19 vaccination were included. The Newcastle-Ottawa Scale was used for quality appraisal of the included studies. Meta-analysis was performed to assess the overall incidence of uveitis and the relative risk of developing the condition post-vaccination. All statistical analyses were performed using R software version 4.3.

Results: Six studies involving over 2 billion vaccine doses were included. The overall incidence of uveitis was 0.016% (95% CI: 0.010 to 0.026). No significant association was found between vaccination and the onset of uveitis (Relative Risk: 1.45 (95% CI: 0.82 to 2.57, p = 0.12) from four studies. The evidence quality was rated very low due to the limited number of studies and imprecision.

Conclusion: This analysis indicates a low incidence of uveitis following COVID-19 vaccination and no significant association with the vaccine. The findings are constrained by the small number of studies and low certainty of evidence, underscoring the need for further research. Comprehensive and longitudinal studies are necessary to confirm these findings and reinforce public confidence in COVID-19 vaccination programs.

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来源期刊
Ophthalmic epidemiology
Ophthalmic epidemiology 医学-眼科学
CiteScore
3.70
自引率
5.60%
发文量
61
审稿时长
6-12 weeks
期刊介绍: Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.
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