Disparity between influenza vaccination rates and risks for influenza-associated hospital discharge and death in Manitoba in 1982-1983.
Identifieur interne : 000B22 ( Main/Exploration ); précédent : 000B21; suivant : 000B23Disparity between influenza vaccination rates and risks for influenza-associated hospital discharge and death in Manitoba in 1982-1983.
Auteurs : D S Fedson ; A. Wajda ; J P Nicol ; L L RoosSource :
- Annals of internal medicine [ 0003-4819 ] ; 1992.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bases de données factuelles, Demande de remboursement d'assurance, Facteurs de l'âge, Facteurs de risque, Femelle, Grippe humaine (), Grippe humaine (mortalité), Hospitalisation (), Humains, Manitoba (épidémiologie), Mortalité hospitalière, Mâle, Services de santé (), Sortie du patient (), Sujet âgé, Vaccination ().
- MESH :
- mortalité : Grippe humaine.
- épidémiologie : Manitoba.
- Adulte, Adulte d'âge moyen, Bases de données factuelles, Demande de remboursement d'assurance, Facteurs de l'âge, Facteurs de risque, Femelle, Grippe humaine, Hospitalisation, Humains, Mortalité hospitalière, Mâle, Services de santé, Sortie du patient, Sujet âgé, Vaccination.
English descriptors
- KwdEn :
- Adult, Age Factors, Aged, Databases, Factual, Female, Health Services (statistics & numerical data), Hospital Mortality, Hospitalization (statistics & numerical data), Humans, Influenza, Human (complications), Influenza, Human (mortality), Influenza, Human (prevention & control), Insurance Claim Reporting, Male, Manitoba (epidemiology), Middle Aged, Patient Discharge (statistics & numerical data), Risk Factors, Vaccination (statistics & numerical data).
- MESH :
- complications : Influenza, Human.
- epidemiology : Manitoba.
- mortality : Influenza, Human.
- prevention & control : Influenza, Human.
- statistics & numerical data : Health Services, Hospitalization, Patient Discharge, Vaccination.
- Adult, Age Factors, Aged, Databases, Factual, Female, Hospital Mortality, Humans, Insurance Claim Reporting, Male, Middle Aged, Risk Factors.
Abstract
OBJECTIVE
To determine, in a defined population, the percentage of persons who were discharged from a hospital or died of influenza-associated respiratory conditions who had a health care contact during the preceding vaccination season and to determine the relation between risk status for influenza-associated hospitalization and death and influenza vaccination rates.
DESIGN
An observational study using linked-record analysis of medical claims data.
SETTING AND PATIENTS
A probability sample of 100,000 noninstitutionalized adults living in Manitoba in 1982 to 1983.
MEASUREMENTS
Analysis of medical claims for influenza vaccination and hospital discharges and deaths for influenza-associated respiratory conditions during the 1982-83 influenza vaccination season and influenza outbreak period.
RESULTS
For the population as a whole, 50% to 60% of elderly persons (greater than or equal to 65 years of age) and 30% to 40% of younger persons had one or more health care contacts during the influenza vaccination season but fewer than 10% of all persons had been discharged from a hospital. In contrast, for elderly persons hospitalized with respiratory conditions during the influenza outbreak period, approximately 80% had at least one health care contact during the vaccination season. Among the elderly, 39% to 46% of all those discharged for influenza-associated respiratory conditions and 62% to 67% of those who died had been discharged from hospital during the previous vaccination season. Persons discharged with high-risk conditions during the vaccination season were at greater risk for hospitalization with influenza-associated respiratory conditions but were less likely to be vaccinated than were those at lower risk.
CONCLUSIONS
Most persons who were hospitalized with influenza-associated respiratory conditions had contact with health care providers during the preceding influenza vaccination season. Among elderly patients, previous hospital care was common, especially among those who died. The disparity between influenza vaccination rates and risks for influenza-associated hospital discharge and death supports a strategy of hospital-based influenza vaccination.
DOI: 10.7326/0003-4819-116-7-550
PubMed: 1543309
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Wajda</name></author><author><name sortKey="Nicol, J P" sort="Nicol, J P" uniqKey="Nicol J" first="J P" last="Nicol">J P Nicol</name></author><author><name sortKey="Roos, L L" sort="Roos, L L" uniqKey="Roos L" first="L L" last="Roos">L L Roos</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1992">1992</date><idno type="RBID">pubmed:1543309</idno><idno type="pmid">1543309</idno><idno type="doi">10.7326/0003-4819-116-7-550</idno><idno type="wicri:Area/Main/Corpus">000C22</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000C22</idno><idno type="wicri:Area/Main/Curation">000C22</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000C22</idno><idno type="wicri:Area/Main/Exploration">000C22</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Disparity between influenza vaccination rates and risks for influenza-associated hospital discharge and death in Manitoba in 1982-1983.</title><author><name sortKey="Fedson, D S" sort="Fedson, D S" uniqKey="Fedson D" first="D S" last="Fedson">D S Fedson</name><affiliation><nlm:affiliation>University of Virginia School of Medicine, Charlottesville.</nlm:affiliation><wicri:noCountry code="subField">Charlottesville</wicri:noCountry></affiliation></author><author><name sortKey="Wajda, A" sort="Wajda, A" uniqKey="Wajda A" first="A" last="Wajda">A. Wajda</name></author><author><name sortKey="Nicol, J P" sort="Nicol, J P" uniqKey="Nicol J" first="J P" last="Nicol">J P Nicol</name></author><author><name sortKey="Roos, L L" sort="Roos, L L" uniqKey="Roos L" first="L L" last="Roos">L L Roos</name></author></analytic><series><title level="j">Annals of internal medicine</title><idno type="ISSN">0003-4819</idno><imprint><date when="1992" type="published">1992</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Databases, Factual</term><term>Female</term><term>Health Services (statistics & numerical data)</term><term>Hospital Mortality</term><term>Hospitalization (statistics & numerical data)</term><term>Humans</term><term>Influenza, Human (complications)</term><term>Influenza, Human (mortality)</term><term>Influenza, Human (prevention & control)</term><term>Insurance Claim Reporting</term><term>Male</term><term>Manitoba (epidemiology)</term><term>Middle Aged</term><term>Patient Discharge (statistics & numerical data)</term><term>Risk Factors</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bases de données factuelles</term><term>Demande de remboursement d'assurance</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Femelle</term><term>Grippe humaine ()</term><term>Grippe humaine (mortalité)</term><term>Hospitalisation ()</term><term>Humains</term><term>Manitoba (épidémiologie)</term><term>Mortalité hospitalière</term><term>Mâle</term><term>Services de santé ()</term><term>Sortie du patient ()</term><term>Sujet âgé</term><term>Vaccination ()</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Manitoba</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Services</term><term>Hospitalization</term><term>Patient Discharge</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Manitoba</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Databases, Factual</term><term>Female</term><term>Hospital Mortality</term><term>Humans</term><term>Insurance Claim Reporting</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bases de données factuelles</term><term>Demande de remboursement d'assurance</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Femelle</term><term>Grippe humaine</term><term>Hospitalisation</term><term>Humains</term><term>Mortalité hospitalière</term><term>Mâle</term><term>Services de santé</term><term>Sortie du patient</term><term>Sujet âgé</term><term>Vaccination</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine, in a defined population, the percentage of persons who were discharged from a hospital or died of influenza-associated respiratory conditions who had a health care contact during the preceding vaccination season and to determine the relation between risk status for influenza-associated hospitalization and death and influenza vaccination rates.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>An observational study using linked-record analysis of medical claims data.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING AND PATIENTS</b></p><p>A probability sample of 100,000 noninstitutionalized adults living in Manitoba in 1982 to 1983.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS</b></p><p>Analysis of medical claims for influenza vaccination and hospital discharges and deaths for influenza-associated respiratory conditions during the 1982-83 influenza vaccination season and influenza outbreak period.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>For the population as a whole, 50% to 60% of elderly persons (greater than or equal to 65 years of age) and 30% to 40% of younger persons had one or more health care contacts during the influenza vaccination season but fewer than 10% of all persons had been discharged from a hospital. In contrast, for elderly persons hospitalized with respiratory conditions during the influenza outbreak period, approximately 80% had at least one health care contact during the vaccination season. Among the elderly, 39% to 46% of all those discharged for influenza-associated respiratory conditions and 62% to 67% of those who died had been discharged from hospital during the previous vaccination season. Persons discharged with high-risk conditions during the vaccination season were at greater risk for hospitalization with influenza-associated respiratory conditions but were less likely to be vaccinated than were those at lower risk.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Most persons who were hospitalized with influenza-associated respiratory conditions had contact with health care providers during the preceding influenza vaccination season. Among elderly patients, previous hospital care was common, especially among those who died. The disparity between influenza vaccination rates and risks for influenza-associated hospital discharge and death supports a strategy of hospital-based influenza vaccination.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">1543309</PMID><DateCompleted><Year>1992</Year><Month>04</Month><Day>08</Day></DateCompleted><DateRevised><Year>2019</Year><Month>06</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-4819</ISSN><JournalIssue CitedMedium="Print"><Volume>116</Volume><Issue>7</Issue><PubDate><Year>1992</Year><Month>Apr</Month><Day>01</Day></PubDate></JournalIssue><Title>Annals of internal medicine</Title><ISOAbbreviation>Ann. Intern. Med.</ISOAbbreviation></Journal><ArticleTitle>Disparity between influenza vaccination rates and risks for influenza-associated hospital discharge and death in Manitoba in 1982-1983.</ArticleTitle><Pagination><MedlinePgn>550-5</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine, in a defined population, the percentage of persons who were discharged from a hospital or died of influenza-associated respiratory conditions who had a health care contact during the preceding vaccination season and to determine the relation between risk status for influenza-associated hospitalization and death and influenza vaccination rates.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">An observational study using linked-record analysis of medical claims data.</AbstractText><AbstractText Label="SETTING AND PATIENTS" NlmCategory="METHODS">A probability sample of 100,000 noninstitutionalized adults living in Manitoba in 1982 to 1983.</AbstractText><AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">Analysis of medical claims for influenza vaccination and hospital discharges and deaths for influenza-associated respiratory conditions during the 1982-83 influenza vaccination season and influenza outbreak period.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">For the population as a whole, 50% to 60% of elderly persons (greater than or equal to 65 years of age) and 30% to 40% of younger persons had one or more health care contacts during the influenza vaccination season but fewer than 10% of all persons had been discharged from a hospital. In contrast, for elderly persons hospitalized with respiratory conditions during the influenza outbreak period, approximately 80% had at least one health care contact during the vaccination season. Among the elderly, 39% to 46% of all those discharged for influenza-associated respiratory conditions and 62% to 67% of those who died had been discharged from hospital during the previous vaccination season. Persons discharged with high-risk conditions during the vaccination season were at greater risk for hospitalization with influenza-associated respiratory conditions but were less likely to be vaccinated than were those at lower risk.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Most persons who were hospitalized with influenza-associated respiratory conditions had contact with health care providers during the preceding influenza vaccination season. Among elderly patients, previous hospital care was common, especially among those who died. The disparity between influenza vaccination rates and risks for influenza-associated hospital discharge and death supports a strategy of hospital-based influenza vaccination.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fedson</LastName><ForeName>D S</ForeName><Initials>DS</Initials><AffiliationInfo><Affiliation>University of Virginia School of Medicine, Charlottesville.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wajda</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Nicol</LastName><ForeName>J P</ForeName><Initials>JP</Initials></Author><Author ValidYN="Y"><LastName>Roos</LastName><ForeName>L L</ForeName><Initials>LL</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>5-R01 AG 09145</GrantID><Acronym>AG</Acronym><Agency>NIA NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Intern Med</MedlineTA><NlmUniqueID>0372351</NlmUniqueID><ISSNLinking>0003-4819</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016208" MajorTopicYN="N">Databases, Factual</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006296" MajorTopicYN="N">Health Services</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017052" MajorTopicYN="Y">Hospital Mortality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007344" MajorTopicYN="N">Insurance Claim Reporting</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008350" MajorTopicYN="N">Manitoba</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010351" MajorTopicYN="N">Patient Discharge</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1992</Year><Month>4</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1992</Year><Month>4</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1992</Year><Month>4</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">1543309</ArticleId><ArticleId IdType="doi">10.7326/0003-4819-116-7-550</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Fedson, D S" sort="Fedson, D S" uniqKey="Fedson D" first="D S" last="Fedson">D S Fedson</name><name sortKey="Nicol, J P" sort="Nicol, J P" uniqKey="Nicol J" first="J P" last="Nicol">J P Nicol</name><name sortKey="Roos, L L" sort="Roos, L L" uniqKey="Roos L" first="L L" last="Roos">L L Roos</name><name sortKey="Wajda, A" sort="Wajda, A" uniqKey="Wajda A" first="A" last="Wajda">A. Wajda</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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