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[Influenza vaccination coverages and related factors among splenectomy patients from a health sector in Zaragoza (Spain)].

Identifieur interne : 000009 ( Main/Exploration ); précédent : 000008; suivant : 000010

[Influenza vaccination coverages and related factors among splenectomy patients from a health sector in Zaragoza (Spain)].

Auteurs : Ignacio Hernández-García ; Armando Chaure-Pardos ; Carlos Aibar-Rem N

Source :

RBID : pubmed:31727873

Descripteurs français

English descriptors

Abstract

OBJECTIVE

Influenza vaccination coverage in risk groups has been put forward as a healthcare quality indicator. Our objective was to determine the vaccination rate in splenectomized patients.

METHODS

We carried out a cross-sectional study that included splenectomized patients in the Zaragoza III Sector from January 2012 to December 2016. The patients were identified through the database of the Clinical Documentation and File Management Services of the Sector Hospital under code 41.5 of the ICD-9. The variables (sociodemographic and surgical variables, and having received information and advice regarding vaccination when they were admitted to the Immunization Unit) were obtained after a review of the patients' records in the Specialized and Primary Care Services. The association with being vaccinated during the campaign corresponding to the surgery date was studied with bivariate analysis and multiple logistic regression model.

RESULTS

81 patients were analyzed; 60.5% were men, with an average age of 56.3 years. Neoplasms and hematological diseases were the most common motives for surgery (64.2%). The vaccination rate was 58%. Having been advised to vaccinate (OR=6.53; 95%CI=1.88-22.69) and having been vaccinated in the previous season (OR=4.79; 95%CI= 1.48-15.57) were associated with vaccination.

CONCLUSIONS

The coverage rate ranks in an intermediate position when compared with other countries. It is necessary to improve the referral system of these patients to the Immunization Unit because the information obtained by this service leads to better results.


PubMed: 31727873


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Aged (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Logistic Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Patient Acceptance of Health Care (statistics & numerical data)</term>
<term>Postoperative Care (statistics & numerical data)</term>
<term>Primary Health Care (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Spain (epidemiology)</term>
<term>Splenectomy (MeSH)</term>
<term>Vaccination Coverage (statistics & numerical data)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Acceptation des soins par les patients (statistiques et données numériques)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Couverture vaccinale (statistiques et données numériques)</term>
<term>Espagne (épidémiologie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
<term>Modèles logistiques (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Soins de santé primaires (MeSH)</term>
<term>Soins postopératoires (statistiques et données numériques)</term>
<term>Splénectomie (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Vaccins antigrippaux (administration et posologie)</term>
<term>Études transversales (MeSH)</term>
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<term>Influenza Vaccines</term>
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<term>Vaccins antigrippaux</term>
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<term>Influenza, Human</term>
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<term>Patient Acceptance of Health Care</term>
<term>Postoperative Care</term>
<term>Vaccination Coverage</term>
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<term>Acceptation des soins par les patients</term>
<term>Couverture vaccinale</term>
<term>Soins postopératoires</term>
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<term>Espagne</term>
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<term>Adult</term>
<term>Aged</term>
<term>Cross-Sectional Studies</term>
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<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Primary Health Care</term>
<term>Risk Factors</term>
<term>Splenectomy</term>
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<term>Adulte d'âge moyen</term>
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<term>Humains</term>
<term>Modèles logistiques</term>
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<term>Splénectomie</term>
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<p>
<b>OBJECTIVE</b>
</p>
<p>Influenza vaccination coverage in risk groups has been put forward as a healthcare quality indicator. Our objective was to determine the vaccination rate in splenectomized patients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We carried out a cross-sectional study that included splenectomized patients in the Zaragoza III Sector from January 2012 to December 2016. The patients were identified through the database of the Clinical Documentation and File Management Services of the Sector Hospital under code 41.5 of the ICD-9. The variables (sociodemographic and surgical variables, and having received information and advice regarding vaccination when they were admitted to the Immunization Unit) were obtained after a review of the patients' records in the Specialized and Primary Care Services. The association with being vaccinated during the campaign corresponding to the surgery date was studied with bivariate analysis and multiple logistic regression model.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>81 patients were analyzed; 60.5% were men, with an average age of 56.3 years. Neoplasms and hematological diseases were the most common motives for surgery (64.2%). The vaccination rate was 58%. Having been advised to vaccinate (OR=6.53; 95%CI=1.88-22.69) and having been vaccinated in the previous season (OR=4.79; 95%CI= 1.48-15.57) were associated with vaccination.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The coverage rate ranks in an intermediate position when compared with other countries. It is necessary to improve the referral system of these patients to the Immunization Unit because the information obtained by this service leads to better results.</p>
</div>
</front>
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<Month>03</Month>
<Day>17</Day>
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<Year>2020</Year>
<Month>03</Month>
<Day>17</Day>
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<ISSN IssnType="Electronic">2173-9110</ISSN>
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<Volume>93</Volume>
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<Year>2019</Year>
<Month>Nov</Month>
<Day>18</Day>
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<Title>Revista espanola de salud publica</Title>
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<ArticleTitle>[Influenza vaccination coverages and related factors among splenectomy patients from a health sector in Zaragoza (Spain)].</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Influenza vaccination coverage in risk groups has been put forward as a healthcare quality indicator. Our objective was to determine the vaccination rate in splenectomized patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We carried out a cross-sectional study that included splenectomized patients in the Zaragoza III Sector from January 2012 to December 2016. The patients were identified through the database of the Clinical Documentation and File Management Services of the Sector Hospital under code 41.5 of the ICD-9. The variables (sociodemographic and surgical variables, and having received information and advice regarding vaccination when they were admitted to the Immunization Unit) were obtained after a review of the patients' records in the Specialized and Primary Care Services. The association with being vaccinated during the campaign corresponding to the surgery date was studied with bivariate analysis and multiple logistic regression model.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">81 patients were analyzed; 60.5% were men, with an average age of 56.3 years. Neoplasms and hematological diseases were the most common motives for surgery (64.2%). The vaccination rate was 58%. Having been advised to vaccinate (OR=6.53; 95%CI=1.88-22.69) and having been vaccinated in the previous season (OR=4.79; 95%CI= 1.48-15.57) were associated with vaccination.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The coverage rate ranks in an intermediate position when compared with other countries. It is necessary to improve the referral system of these patients to the Immunization Unit because the information obtained by this service leads to better results.</AbstractText>
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<LastName>Hernández-García</LastName>
<ForeName>Ignacio</ForeName>
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<Affiliation>Servicio de Medicina Preventiva y Salud Pública. Hospital Clínico Universitario Lozano Blesa. Zaragoza. España.</Affiliation>
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<AffiliationInfo>
<Affiliation>Departamento de Microbiología, Medicina Preventiva y Salud Pública. Universidad de Zaragoza. Zaragoza. España.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA). Zaragoza. España.</Affiliation>
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<LastName>Chaure-Pardos</LastName>
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<Affiliation>Servicio de Medicina Preventiva y Salud Pública. Hospital Clínico Universitario Lozano Blesa. Zaragoza. España.</Affiliation>
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<Affiliation>Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA). Zaragoza. España.</Affiliation>
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<LastName>Aibar-Remón</LastName>
<ForeName>Carlos</ForeName>
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<Affiliation>Servicio de Medicina Preventiva y Salud Pública. Hospital Clínico Universitario Lozano Blesa. Zaragoza. España.</Affiliation>
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<AffiliationInfo>
<Affiliation>Departamento de Microbiología, Medicina Preventiva y Salud Pública. Universidad de Zaragoza. Zaragoza. España.</Affiliation>
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<AffiliationInfo>
<Affiliation>Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA). Zaragoza. España.</Affiliation>
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<CollectiveName>Grupo de trabajo vacunas HCULB</CollectiveName>
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<VernacularTitle>Cobertura de vacunación antigripal y factores asociados en pacientes esplenectomizados de un sector de salud de Zaragoza (España).</VernacularTitle>
<ArticleDate DateType="Electronic">
<Year>2019</Year>
<Month>11</Month>
<Day>18</Day>
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<Country>Spain</Country>
<MedlineTA>Rev Esp Salud Publica</MedlineTA>
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<ISSNLinking>1135-5727</ISSNLinking>
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<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance>
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<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName>
<QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName>
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<MeshHeading>
<DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011182" MajorTopicYN="N">Postoperative Care</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011320" MajorTopicYN="N">Primary Health Care</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013156" MajorTopicYN="Y">Splenectomy</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000073887" MajorTopicYN="N">Vaccination Coverage</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
</MeshHeadingList>
<OtherAbstract Type="Publisher" Language="spa">
<AbstractText Label="OBJETIVO" NlmCategory="UNASSIGNED">La cobertura vacunal antigripal en grupos de riesgo ha sido postulada como un indicador de la calidad asistencial. El objetivo de este estudio fue conocer dicha tasa de vacunación en esplenectomizados.</AbstractText>
<AbstractText Label="METODOS" NlmCategory="UNASSIGNED">Se realizó un estudio transversal que incluyó a los esplenectomizados del sector Zaragoza III entre enero de 2012 y diciembre de 2016. La identificación de los pacientes se realizó a través de la base de datos del Servicio de Archivos y Documentación Clínica del hospital del sector, utilizando el código 41.5 de la Clasificación Internacional de Enfermedades (9ª edición). Las variables (sociodemográficas, quirúrgicas y el haber recibido información y consejo para vacunarse al ser atendido en la consulta hospitalaria de vacunas) fueron obtenidas revisando las historias de atención especializada y primaria. Se analizó la asociación con la vacunación en la campaña correspondiente a la fecha de la cirugía mediante un análisis bivariado y un modelo de regresión logística múltiple.</AbstractText>
<AbstractText Label="RESULTADOS" NlmCategory="UNASSIGNED">Fueron estudiados 81 pacientes. El 60,5% eran hombres, con una edad media de 56,3 años. Las neoplasias y las enfermedades hematológicas fueron los motivos más frecuentes de cirugía (64,2%). La tasa de vacunación fue del 58%. Recibir la recomendación de vacunación (OR=6,53; IC95%=1,88-22,69) y haber sido vacunado en la temporada anterior (OR=4,79; IC95%=1,48-15,57) se asociaron con la acción de vacunarse.</AbstractText>
<AbstractText Label="CONCLUSIONES" NlmCategory="UNASSIGNED">La cobertura se encuentra en una posición intermedia comparada con otros países. Se ha de mejorar la sistemática de derivación de estos pacientes a la consulta hospitalaria de vacunas, dado que la información facilitada en ella contribuye a obtener mejores resultados.</AbstractText>
</OtherAbstract>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Influenza</Keyword>
<Keyword MajorTopicYN="N">Spain</Keyword>
<Keyword MajorTopicYN="N">Splenectomy</Keyword>
<Keyword MajorTopicYN="N">Vaccination coverage</Keyword>
</KeywordList>
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<Year>2019</Year>
<Month>07</Month>
<Day>26</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2019</Year>
<Month>09</Month>
<Day>16</Day>
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<Year>2019</Year>
<Month>11</Month>
<Day>16</Day>
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<Year>2019</Year>
<Month>11</Month>
<Day>16</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>3</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PublicationStatus>epublish</PublicationStatus>
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<ArticleId IdType="pubmed">31727873</ArticleId>
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<noCountry>
<name sortKey="Aibar Rem N, Carlos" sort="Aibar Rem N, Carlos" uniqKey="Aibar Rem N C" first="Carlos" last="Aibar-Rem N">Carlos Aibar-Rem N</name>
<name sortKey="Chaure Pardos, Armando" sort="Chaure Pardos, Armando" uniqKey="Chaure Pardos A" first="Armando" last="Chaure-Pardos">Armando Chaure-Pardos</name>
<name sortKey="Hernandez Garcia, Ignacio" sort="Hernandez Garcia, Ignacio" uniqKey="Hernandez Garcia I" first="Ignacio" last="Hernández-García">Ignacio Hernández-García</name>
</noCountry>
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