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Comparison 1 Pneumococcal vaccine versus control, Outcome 1 Acute exacerbations.
Figuras y tablas -
Analysis 1.1

Comparison 1 Pneumococcal vaccine versus control, Outcome 1 Acute exacerbations.

Comparison 1 Pneumococcal vaccine versus control, Outcome 2 Pneumonia.
Figuras y tablas -
Analysis 1.2

Comparison 1 Pneumococcal vaccine versus control, Outcome 2 Pneumonia.

Comparison 1 Pneumococcal vaccine versus control, Outcome 3 Pneumonia by lung function at baseline.
Figuras y tablas -
Analysis 1.3

Comparison 1 Pneumococcal vaccine versus control, Outcome 3 Pneumonia by lung function at baseline.

Comparison 1 Pneumococcal vaccine versus control, Outcome 4 Hospital admissions (exacerbation of COPD).
Figuras y tablas -
Analysis 1.4

Comparison 1 Pneumococcal vaccine versus control, Outcome 4 Hospital admissions (exacerbation of COPD).

Comparison 1 Pneumococcal vaccine versus control, Outcome 5 Patients admitted to hospital (any cause).
Figuras y tablas -
Analysis 1.5

Comparison 1 Pneumococcal vaccine versus control, Outcome 5 Patients admitted to hospital (any cause).

Comparison 1 Pneumococcal vaccine versus control, Outcome 6 Hospital admissions (pneumonia).
Figuras y tablas -
Analysis 1.6

Comparison 1 Pneumococcal vaccine versus control, Outcome 6 Hospital admissions (pneumonia).

Comparison 1 Pneumococcal vaccine versus control, Outcome 7 Hospital admissions (all causes).
Figuras y tablas -
Analysis 1.7

Comparison 1 Pneumococcal vaccine versus control, Outcome 7 Hospital admissions (all causes).

Comparison 1 Pneumococcal vaccine versus control, Outcome 8 Emergency visits (upper respiratory tract infection).
Figuras y tablas -
Analysis 1.8

Comparison 1 Pneumococcal vaccine versus control, Outcome 8 Emergency visits (upper respiratory tract infection).

Comparison 1 Pneumococcal vaccine versus control, Outcome 9 Emergency visits (pneumonia).
Figuras y tablas -
Analysis 1.9

Comparison 1 Pneumococcal vaccine versus control, Outcome 9 Emergency visits (pneumonia).

Comparison 1 Pneumococcal vaccine versus control, Outcome 10 Emergency visits (lower respiratory tract infection).
Figuras y tablas -
Analysis 1.10

Comparison 1 Pneumococcal vaccine versus control, Outcome 10 Emergency visits (lower respiratory tract infection).

Comparison 1 Pneumococcal vaccine versus control, Outcome 11 Emergency visits (any cause).
Figuras y tablas -
Analysis 1.11

Comparison 1 Pneumococcal vaccine versus control, Outcome 11 Emergency visits (any cause).

Comparison 1 Pneumococcal vaccine versus control, Outcome 12 Death from cardio‐respiratory causes, 6‐48 months post vaccine.
Figuras y tablas -
Analysis 1.12

Comparison 1 Pneumococcal vaccine versus control, Outcome 12 Death from cardio‐respiratory causes, 6‐48 months post vaccine.

Comparison 1 Pneumococcal vaccine versus control, Outcome 13 Death from all causes, 6‐48 months post vaccine.
Figuras y tablas -
Analysis 1.13

Comparison 1 Pneumococcal vaccine versus control, Outcome 13 Death from all causes, 6‐48 months post vaccine.

Comparison 1. Pneumococcal vaccine versus control

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Acute exacerbations Show forest plot

1

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 Vaccine >14 serotypes

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.2 Vaccine 14 or less serotypes

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2 Pneumonia Show forest plot

3

748

Odds Ratio (M‐H, Fixed, 95% CI)

0.89 [0.58, 1.37]

2.1 Vaccine >14 serotypes

2

645

Odds Ratio (M‐H, Fixed, 95% CI)

0.97 [0.61, 1.53]

2.2 Vaccine 14 or less serotypes

1

103

Odds Ratio (M‐H, Fixed, 95% CI)

0.42 [0.10, 1.72]

3 Pneumonia by lung function at baseline Show forest plot

1

596

Odds Ratio (M‐H, Fixed, 95% CI)

0.71 [0.41, 1.22]

3.1 FEV1<40% expected

1

246

Odds Ratio (M‐H, Fixed, 95% CI)

0.47 [0.22, 1.01]

3.2 FEV1>=40% expected

1

350

Odds Ratio (M‐H, Fixed, 95% CI)

1.12 [0.50, 2.49]

4 Hospital admissions (exacerbation of COPD) Show forest plot

1

Rate Ratio (Fixed, 95% CI)

Totals not selected

4.1 Vaccine >14 serotypes

0

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

4.2 Vaccine 14 or less serotypes

1

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Patients admitted to hospital (any cause) Show forest plot

1

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

5.1 Vaccine >14 serotypes

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.2 Vaccine 14 or less serotypes

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6 Hospital admissions (pneumonia) Show forest plot

1

Rate Ratio (Fixed, 95% CI)

Totals not selected

6.1 Vaccine >14 serotypes

0

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

6.2 Vaccine 14 or less serotypes

1

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

7 Hospital admissions (all causes) Show forest plot

1

Rate Ratio (Fixed, 95% CI)

Totals not selected

7.1 Vaccine >14 serotypes

0

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

7.2 Vaccine 14 or less serotypes

1

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

8 Emergency visits (upper respiratory tract infection) Show forest plot

1

Rate Ratio (Fixed, 95% CI)

Totals not selected

8.1 Vaccine >14 serotypes

0

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

8.2 Vaccine 14 or less serotypes

1

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

9 Emergency visits (pneumonia) Show forest plot

1

Rate Ratio (Fixed, 95% CI)

Totals not selected

9.1 Vaccine >14 serotypes

0

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

9.2 Vaccine 14 or less serotypes

1

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

10 Emergency visits (lower respiratory tract infection) Show forest plot

1

Rate Ratio (Fixed, 95% CI)

Totals not selected

10.1 Vaccine >14 serotypes

0

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

10.2 Vaccine 14 or less serotypes

1

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

11 Emergency visits (any cause) Show forest plot

1

Rate Ratio (Fixed, 95% CI)

Totals not selected

11.1 Vaccine >14 serotypes

0

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

11.2 Vaccine 14 or less serotypes

1

Rate Ratio (Fixed, 95% CI)

0.0 [0.0, 0.0]

12 Death from cardio‐respiratory causes, 6‐48 months post vaccine Show forest plot

3

888

Odds Ratio (M‐H, Fixed, 95% CI)

1.07 [0.69, 1.66]

12.1 Vaccine >14 serotypes

1

596

Odds Ratio (M‐H, Fixed, 95% CI)

1.11 [0.66, 1.88]

12.2 Vaccine 14 or less serotypes

2

292

Odds Ratio (M‐H, Fixed, 95% CI)

0.98 [0.44, 2.18]

13 Death from all causes, 6‐48 months post vaccine Show forest plot

3

888

Odds Ratio (M‐H, Fixed, 95% CI)

0.94 [0.67, 1.33]

13.1 Vaccine >14 serotypes

1

596

Odds Ratio (M‐H, Fixed, 95% CI)

0.98 [0.65, 1.47]

13.2 Vaccine 14 or less serotypes

2

292

Odds Ratio (M‐H, Fixed, 95% CI)

0.86 [0.44, 1.66]

Figuras y tablas -
Comparison 1. Pneumococcal vaccine versus control