Data from Norwegian health registers from 2018 to 2021 show that the risk of contracting covid is not only reduced by vaccination. The risk of Long Covid if you get sick is also lower in people who have been vaccinated.

Vaccination protects against long Covid

Researchers have looked at Covid-19 data from 3.9 million Norwegians. The risk of getting long Covid after you first fell ill was 36 per cent lower in people who were vaccinated.

Published

Researchers at the University of Oslo (UiO) have extracted data from Norwegian health registries from 2018 to 2021 for 2,364,651 vaccinated and 1,532,935 unvaccinated people. They were divided into four groups, based on age and whether they belonged to risk groups.

In all groups, it turned out that being vaccinated significantly reduced the risk of developing long Covid, with the total reduction of risk by 36 per cent.

“We can confirm how important vaccination is in preventing long Covid. We also confirm our previous international findings,” Professor Hedvig Nordeng from the University of Oslo’s Department of Pharmacy tells NTB.

Nordeng led the work on the analysis, which was recently published in the medical journal The Lancet Respiratory Medicine.

The research is part of a massive international collaboration to survey the effect of coronavirus vaccines. The Norwegian findings support and confirm similar investigations with data from over 20 million people from Great Britain, Spain and Estonia, according to the Nuffield Professors of Orthopaedic Surgery (NDORMS) at the University of Oxford.

Significant difference

Among those vaccinated who tested positive for Covid-19, 1,576 people had long Covid symptoms three to twelve months after the disease. The number of long Covid symptoms was twice as high among unvaccinated people: 2,922 people.

The Norwegian research also shows that there was a significantly lower risk of acute heart or lung complications after Covid if you were vaccinated beforehand.

About OMOP – a common international research standard

International cooperation allows participating countries to compare their findings, but it can only work if they use the same way of structuring and analysing the data.

The OMOP data model (Observational Medical Outcomes Partnership) has been developed by Observational Health Data Sciences and Informatics (OHDSI - pronounced "Odyssey")

OMOP makes it possible to compile data from very different sources and contributes to cooperation across countries with very different types of health data.

OMOP allows data to be analysed in the same way, without the need to physically move the data. This ensures safe handling of the health data, at the same time as allowing collaboration and analysis across organizational and geographical boundaries.

The results from initially different data sources in different countries are thus more comparable. The results will then be able to say something about if and how different risk factors explain differences– or whether factors have no effect at all.

A number of Norwegian health registries already use OMOP, such as the Cancer Registry of Norway.

Source: NTB

The findings applied regardless of which coronavirus vaccine had been taken. Vaccinated persons therefore not only have a lower risk of a serious course of Covid-19 if they become infected, they also have a lower risk of further side effects from the disease.

In the current study, where the aim was to see the extent to which vaccination affects risk, everyone used the same definition for long Covid. At least three months after the illness, the person must have at least one of the 25 symptoms that the World Health Organization (WHO) has linked to long Covid. These must also be symptoms that the person did not have before the illness.

Extremely exciting

The international collaboration to survey the effect of corona vaccines is based on the countries using a common data standard: the Observational Medical Outcomes Partnership (OMOP).

 “One of the things I have experienced as the most exciting in this work is that it shows how we can collaborate internationally. At the University of Oslo (UiO) we have now built a data analysis system and transformed Norwegian health data to the OMOP data standard. This means that we can verify findings from international research more quickly,” Nordeng says.

 “It is very important to understand the effectiveness of vaccines and medicines to prevent or reduce the severity of disease in the population. When studies are carried out, it is of fundamental importance that the research is transparent and publicly available, so that we can verify findings. Then we have to use common analysis standards and coding,” says the professor, who believes that such global research collaborations are the future.

The OMOP standard is now used by the European Medicines Agency (EMA) in the DARWIN EU "Data Analysis and Real-World Interrogation Network, in which Professor Nordeng is a participant.

“It has almost been a paradigm shift in how we work. When it is really urgent for society to get answers to questions about the safety or effectiveness of medicines and vaccines, it should not take three years, it should take three months,” she says.

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Translated by Nancy Bazilchuk

Read the Norwegian version of this article on forskning.no

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