GrippeCanadaV3, Main, Exploration, bibRecord, 000254

Pneumococcal vaccination of the elderly during visits to acute care providers: who are vaccinated?

Identifieur interne : 000254 ( Main/Exploration ); précédent : 000253; suivant : 000255

Pneumococcal vaccination of the elderly during visits to acute care providers: who are vaccinated?

Auteurs : David Sabapathy [Canada] ; David Strong [Canada] ; Robert Myers [Canada] ; Bing Li [Canada] ; Hude Quan [Canada]

Source :

Preventive medicine [ 1096-0260 ] ; 2014.

RBID : pubmed:24246965

Descripteurs français

KwdFr :
- Acceptation des soins par le patient, Canada, Facteurs de risque, Femelle, Humains, Infections à pneumocoques (), Maladie aigüe (), Modèles logistiques, Mâle, Odds ratio, Service hospitalier d'urgences (), Soins ambulatoires, Sujet âgé, Sujet âgé de 80 ans ou plus, Vaccins antipneumococciques (administration et posologie).
MESH :
- administration et posologie : Vaccins antipneumococciques.
- Acceptation des soins par le patient, Canada, Facteurs de risque, Femelle, Humains, Infections à pneumocoques, Maladie aigüe, Modèles logistiques, Mâle, Odds ratio, Service hospitalier d'urgences, Soins ambulatoires, Sujet âgé, Sujet âgé de 80 ans ou plus.

English descriptors

KwdEn :
- Acute Disease (therapy), Aged, Aged, 80 and over, Ambulatory Care, Canada, Emergency Service, Hospital (statistics & numerical data), Female, Humans, Logistic Models, Male, Odds Ratio, Patient Acceptance of Health Care, Pneumococcal Infections (prevention & control), Pneumococcal Vaccines (administration & dosage), Risk Factors.
MESH :
- chemical , administration & dosage : Pneumococcal Vaccines.
- prevention & control : Pneumococcal Infections.
- statistics & numerical data : Emergency Service, Hospital.
- therapy : Acute Disease.
- Aged, Aged, 80 and over, Ambulatory Care, Canada, Female, Humans, Logistic Models, Male, Odds Ratio, Patient Acceptance of Health Care, Risk Factors.

Abstract

OBJECTIVE

Many elderly remain unvaccinated against invasive pneumococcal disease yet frequently visit acute care providers where they have an opportunity to receive the pneumococcal vaccine. We describe factors associated with pneumococcal vaccination in adults aged 65 years and older during visits to acute care providers.

METHOD

The study included all elderly aged 65 years of age and older enrolled in a health insurance registry in a large Canadian city in 2009. Pneumococcal vaccination status was determined using a vaccination administrative database. Unvaccinated elderly were linked to ambulatory and inpatient care databases to determine acute care visits. Logistic regression was used to determine odds ratios for vaccination during a first visit to an acute care provider in 2009.

RESULTS

Of 53,249 unvaccinated elderly, 23,574 presented to at least one acute care provider in 2009. Acute care visits were significantly associated with receipt of pneumococcal vaccine (11.0% vs. 7.8%, risk adjusted odds ratio [OR]=1.53; 95% confidence interval [CI]=1.44,1.62), particularly ambulatory care visits during influenza season (OR=4.36; 95% CI=2.86,6.66) and inpatient visits with lengths of stay >14 days (OR=7.71, 95% CI=4.41,13.47).

CONCLUSION

Acute care visits were associated with greater pneumococcal vaccine uptake for the elderly during the annual influenza season and long hospital stays.

DOI: 10.1016/j.ypmed.2013.11.009
PubMed: 24246965

Affiliations:

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Le document en format XML

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<term>Aged, 80 and over</term>
<term>Ambulatory Care</term>
<term>Canada</term>
<term>Emergency Service, Hospital (statistics & numerical data)</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Odds Ratio</term>
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<term>Odds ratio</term>
<term>Service hospitalier d'urgences ()</term>
<term>Soins ambulatoires</term>
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<term>Aged, 80 and over</term>
<term>Ambulatory Care</term>
<term>Canada</term>
<term>Female</term>
<term>Humans</term>
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<term>Odds Ratio</term>
<term>Patient Acceptance of Health Care</term>
<term>Risk Factors</term>
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<term>Canada</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à pneumocoques</term>
<term>Maladie aigüe</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>Many elderly remain unvaccinated against invasive pneumococcal disease yet frequently visit acute care providers where they have an opportunity to receive the pneumococcal vaccine. We describe factors associated with pneumococcal vaccination in adults aged 65 years and older during visits to acute care providers.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHOD</b>
</p>
<p>The study included all elderly aged 65 years of age and older enrolled in a health insurance registry in a large Canadian city in 2009. Pneumococcal vaccination status was determined using a vaccination administrative database. Unvaccinated elderly were linked to ambulatory and inpatient care databases to determine acute care visits. Logistic regression was used to determine odds ratios for vaccination during a first visit to an acute care provider in 2009.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Of 53,249 unvaccinated elderly, 23,574 presented to at least one acute care provider in 2009. Acute care visits were significantly associated with receipt of pneumococcal vaccine (11.0% vs. 7.8%, risk adjusted odds ratio [OR]=1.53; 95% confidence interval [CI]=1.44,1.62), particularly ambulatory care visits during influenza season (OR=4.36; 95% CI=2.86,6.66) and inpatient visits with lengths of stay >14 days (OR=7.71, 95% CI=4.41,13.47).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Acute care visits were associated with greater pneumococcal vaccine uptake for the elderly during the annual influenza season and long hospital stays.</p>
</div>
</front>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Many elderly remain unvaccinated against invasive pneumococcal disease yet frequently visit acute care providers where they have an opportunity to receive the pneumococcal vaccine. We describe factors associated with pneumococcal vaccination in adults aged 65 years and older during visits to acute care providers.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">The study included all elderly aged 65 years of age and older enrolled in a health insurance registry in a large Canadian city in 2009. Pneumococcal vaccination status was determined using a vaccination administrative database. Unvaccinated elderly were linked to ambulatory and inpatient care databases to determine acute care visits. Logistic regression was used to determine odds ratios for vaccination during a first visit to an acute care provider in 2009.</AbstractText>
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Corpus GrippeCanadaV3

Pneumococcal vaccination of the elderly during visits to acute care providers: who are vaccinated?

Pneumococcal vaccination of the elderly during visits to acute care providers: who are vaccinated?

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