[Effectiveness of influenza vaccination in preventing hospital admission due to exacerbations of chronic obstructive pulmonary disease].
Identifieur interne : 000198 ( Main/Exploration ); précédent : 000197; suivant : 000199[Effectiveness of influenza vaccination in preventing hospital admission due to exacerbations of chronic obstructive pulmonary disease].
Auteurs : Josep Montserrat-Capdevila [Espagne] ; Pere Godoy [Espagne] ; Josep-Ramon Marsal [Espagne] ; Inés Cruz [Espagne] ; M Nica Solanes [Espagne]Source :
- Enfermedades infecciosas y microbiologia clinica [ 1578-1852 ] ; 2014.
Descripteurs français
- KwdFr :
- Admission du patient (statistiques et données numériques), Adulte d'âge moyen (MeSH), Broncho-pneumopathie chronique obstructive (prévention et contrôle), Broncho-pneumopathie chronique obstructive (épidémiologie), Comorbidité (MeSH), Espagne (épidémiologie), Femelle (MeSH), Grippe humaine (complications), Grippe humaine (prévention et contrôle), Hospitalisation (statistiques et données numériques), Humains (MeSH), Indice de gravité de la maladie (MeSH), Maladie aigüe (MeSH), Mâle (MeSH), Prévention primaire (MeSH), Spirométrie (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vaccination (statistiques et données numériques), Vaccins antigrippaux (MeSH), Études de cohortes (MeSH), Études rétrospectives (MeSH).
- MESH :
- prévention et contrôle : Broncho-pneumopathie chronique obstructive, Grippe humaine.
- statistiques et données numériques : Admission du patient, Hospitalisation, Vaccination.
- épidémiologie : Broncho-pneumopathie chronique obstructive, Espagne, Grippe humaine.
- Adulte d'âge moyen, Comorbidité, Femelle, Humains, Indice de gravité de la maladie, Maladie aigüe, Mâle, Prévention primaire, Spirométrie, Sujet âgé, Sujet âgé de 80 ans ou plus, Vaccins antigrippaux, Études de cohortes, Études rétrospectives.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Acute Disease (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Cohort Studies (MeSH), Comorbidity (MeSH), Female (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Influenza Vaccines (MeSH), Influenza, Human (complications), Influenza, Human (prevention & control), Male (MeSH), Middle Aged (MeSH), Patient Admission (statistics & numerical data), Primary Prevention (MeSH), Pulmonary Disease, Chronic Obstructive (epidemiology), Pulmonary Disease, Chronic Obstructive (prevention & control), Retrospective Studies (MeSH), Severity of Illness Index (MeSH), Spain (epidemiology), Spirometry (MeSH), Vaccination (statistics & numerical data).
- MESH :
- chemical : Influenza Vaccines.
- geographic , epidemiology : Spain.
- complications : Influenza, Human.
- epidemiology : Pulmonary Disease, Chronic Obstructive.
- prevention & control : Influenza, Human, Pulmonary Disease, Chronic Obstructive.
- statistics & numerical data : Hospitalization, Patient Admission, Vaccination.
- Acute Disease, Aged, Aged, 80 and over, Cohort Studies, Comorbidity, Female, Humans, Male, Middle Aged, Primary Prevention, Retrospective Studies, Severity of Illness Index, Spirometry.
Abstract
INTRODUCTION
The main objective was to determine the effectiveness of influenza vaccination in preventing hospitalization due to exacerbation of chronic obstructive pulmonary disease (COPD). One secondary objective was to estimate the prevalence of vaccination, and to describe the factors that were associated with being vaccinated.
METHODS
A retrospective cohort study was conducted that included 1,323 patients diagnosed with COPD in the Health Centre of the Pla d'Urgell (Lleida, Spain). They were classified into two cohorts: cohort1, patients vaccinated against seasonal influenza (campaign 2011/12), and cohort2, non-vaccinated. The number of patients in both cohorts requiring hospital admission for exacerbation of the disease between the 12/01/2011 and the 03/15/2012 was quantified. Information about the variables of interest was recorded for each patient. A univariate and multivariate analysis was performed. The effectiveness of vaccination was calculated with the formula: E=(1-OR)×100. The ORs and their 95% confidence interval (95%CI) were determined by multivariate logistic regression models.
RESULTS
Just over half (55.3%) of the patients had been vaccinated. Vaccinated patients were older and had more associated comorbidity. At the same time, they were less hospitalized (3.0% versus 8.9%; P=.001). The crude and adjusted effectiveness of influenza vaccination in this population subgroup was 68.4% (95%CI: 47.5-81.0) and 90.8 (95%CI: 96.8-88.2), respectively.
CONCLUSION
Influenza vaccination is effective in preventing hospitalization due to acute exacerbations in COPD patients. However, immunization coverage is not as high as desired. Designing programs to increase the rate of vaccination in this population would reduce the number of hospital admissions for COPD exacerbation.
DOI: 10.1016/j.eimc.2013.02.009
PubMed: 23582192
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Electronic address: jmontser@alumni.unav.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Área Básica de Salud del Pla d'Urgell, CAP Mollerussa, Institut Català de la Salut, Mollerussa, Lleida</wicri:regionArea><wicri:noRegion>Lleida</wicri:noRegion></affiliation></author><author><name sortKey="Godoy, Pere" sort="Godoy, Pere" uniqKey="Godoy P" first="Pere" last="Godoy">Pere Godoy</name><affiliation wicri:level="1"><nlm:affiliation>Institut de Recerca Biomèdica de Lleida, Facultad de Medicina, Universidad de Lleida, CIBER de Epidemiología y Salud Pública, Lleida, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Institut de Recerca Biomèdica de Lleida, Facultad de Medicina, Universidad de Lleida, CIBER de Epidemiología y Salud Pública, Lleida</wicri:regionArea><wicri:noRegion>Lleida</wicri:noRegion></affiliation></author><author><name sortKey="Marsal, Josep Ramon" sort="Marsal, Josep Ramon" uniqKey="Marsal J" first="Josep-Ramon" last="Marsal">Josep-Ramon Marsal</name><affiliation wicri:level="3"><nlm:affiliation>Unitat de Suport a la Recerca Lleida-Pirineus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Institut Català de la Salut, Lleida, España; Unidad de Epidemiología, Servicio de Cardiología, Hospital Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Unitat de Suport a la Recerca Lleida-Pirineus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Institut Català de la Salut, Lleida, España; Unidad de Epidemiología, Servicio de Cardiología, Hospital Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Cruz, Ines" sort="Cruz, Ines" uniqKey="Cruz I" first="Inés" last="Cruz">Inés Cruz</name><affiliation wicri:level="1"><nlm:affiliation>Unitat de Suport a la Recerca Lleida-Pirineus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Institut Català de la Salut, Lleida, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Unitat de Suport a la Recerca Lleida-Pirineus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Institut Català de la Salut, Lleida</wicri:regionArea><wicri:noRegion>Lleida</wicri:noRegion></affiliation></author><author><name sortKey="Solanes, M Nica" sort="Solanes, M Nica" uniqKey="Solanes M" first="M Nica" last="Solanes">M Nica Solanes</name><affiliation wicri:level="1"><nlm:affiliation>Dirección del Servicio de Atención Primaria, Institut Català de la Salut, Lleida, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Dirección del Servicio de Atención Primaria, Institut Català de la Salut, Lleida</wicri:regionArea><wicri:noRegion>Lleida</wicri:noRegion></affiliation></author></analytic><series><title level="j">Enfermedades infecciosas y microbiologia clinica</title><idno type="eISSN">1578-1852</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Comorbidity (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (MeSH)</term><term>Influenza, Human (complications)</term><term>Influenza, Human (prevention & control)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Admission (statistics & numerical data)</term><term>Primary Prevention (MeSH)</term><term>Pulmonary Disease, Chronic Obstructive (epidemiology)</term><term>Pulmonary Disease, Chronic Obstructive (prevention & control)</term><term>Retrospective Studies (MeSH)</term><term>Severity of Illness Index (MeSH)</term><term>Spain (epidemiology)</term><term>Spirometry (MeSH)</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Admission du patient (statistiques et données numériques)</term><term>Adulte d'âge moyen (MeSH)</term><term>Broncho-pneumopathie chronique obstructive (prévention et contrôle)</term><term>Broncho-pneumopathie chronique obstructive (épidémiologie)</term><term>Comorbidité (MeSH)</term><term>Espagne (épidémiologie)</term><term>Femelle (MeSH)</term><term>Grippe humaine (complications)</term><term>Grippe humaine (prévention et contrôle)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Maladie aigüe (MeSH)</term><term>Mâle (MeSH)</term><term>Prévention primaire (MeSH)</term><term>Spirométrie (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vaccination (statistiques et données numériques)</term><term>Vaccins antigrippaux (MeSH)</term><term>Études de cohortes (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Pulmonary Disease, Chronic Obstructive</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Pulmonary Disease, Chronic Obstructive</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Broncho-pneumopathie chronique obstructive</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term><term>Patient Admission</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Admission du patient</term><term>Hospitalisation</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Broncho-pneumopathie chronique obstructive</term><term>Espagne</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Primary Prevention</term><term>Retrospective Studies</term><term>Severity of Illness Index</term><term>Spirometry</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Maladie aigüe</term><term>Mâle</term><term>Prévention primaire</term><term>Spirométrie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Vaccins antigrippaux</term><term>Études de cohortes</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>The main objective was to determine the effectiveness of influenza vaccination in preventing hospitalization due to exacerbation of chronic obstructive pulmonary disease (COPD). One secondary objective was to estimate the prevalence of vaccination, and to describe the factors that were associated with being vaccinated.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A retrospective cohort study was conducted that included 1,323 patients diagnosed with COPD in the Health Centre of the Pla d'Urgell (Lleida, Spain). They were classified into two cohorts: cohort1, patients vaccinated against seasonal influenza (campaign 2011/12), and cohort2, non-vaccinated. The number of patients in both cohorts requiring hospital admission for exacerbation of the disease between the 12/01/2011 and the 03/15/2012 was quantified. Information about the variables of interest was recorded for each patient. A univariate and multivariate analysis was performed. The effectiveness of vaccination was calculated with the formula: E=(1-OR)×100. The ORs and their 95% confidence interval (95%CI) were determined by multivariate logistic regression models.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Just over half (55.3%) of the patients had been vaccinated. Vaccinated patients were older and had more associated comorbidity. At the same time, they were less hospitalized (3.0% versus 8.9%; P=.001). The crude and adjusted effectiveness of influenza vaccination in this population subgroup was 68.4% (95%CI: 47.5-81.0) and 90.8 (95%CI: 96.8-88.2), respectively.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Influenza vaccination is effective in preventing hospitalization due to acute exacerbations in COPD patients. However, immunization coverage is not as high as desired. Designing programs to increase the rate of vaccination in this population would reduce the number of hospital admissions for COPD exacerbation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23582192</PMID><DateCompleted><Year>2015</Year><Month>04</Month><Day>13</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1578-1852</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>2</Issue><PubDate><Year>2014</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Enfermedades infecciosas y microbiologia clinica</Title><ISOAbbreviation>Enferm. Infecc. Microbiol. Clin.</ISOAbbreviation></Journal><ArticleTitle>[Effectiveness of influenza vaccination in preventing hospital admission due to exacerbations of chronic obstructive pulmonary disease].</ArticleTitle><Pagination><MedlinePgn>70-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.eimc.2013.02.009</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0213-005X(13)00054-2</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The main objective was to determine the effectiveness of influenza vaccination in preventing hospitalization due to exacerbation of chronic obstructive pulmonary disease (COPD). One secondary objective was to estimate the prevalence of vaccination, and to describe the factors that were associated with being vaccinated.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective cohort study was conducted that included 1,323 patients diagnosed with COPD in the Health Centre of the Pla d'Urgell (Lleida, Spain). They were classified into two cohorts: cohort1, patients vaccinated against seasonal influenza (campaign 2011/12), and cohort2, non-vaccinated. The number of patients in both cohorts requiring hospital admission for exacerbation of the disease between the 12/01/2011 and the 03/15/2012 was quantified. Information about the variables of interest was recorded for each patient. A univariate and multivariate analysis was performed. The effectiveness of vaccination was calculated with the formula: E=(1-OR)×100. The ORs and their 95% confidence interval (95%CI) were determined by multivariate logistic regression models.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Just over half (55.3%) of the patients had been vaccinated. Vaccinated patients were older and had more associated comorbidity. At the same time, they were less hospitalized (3.0% versus 8.9%; P=.001). The crude and adjusted effectiveness of influenza vaccination in this population subgroup was 68.4% (95%CI: 47.5-81.0) and 90.8 (95%CI: 96.8-88.2), respectively.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Influenza vaccination is effective in preventing hospitalization due to acute exacerbations in COPD patients. However, immunization coverage is not as high as desired. Designing programs to increase the rate of vaccination in this population would reduce the number of hospital admissions for COPD exacerbation.</AbstractText><CopyrightInformation>Copyright © 2012 Elsevier España, S.L. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Montserrat-Capdevila</LastName><ForeName>Josep</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Área Básica de Salud del Pla d'Urgell, CAP Mollerussa, Institut Català de la Salut, Mollerussa, Lleida, España. Electronic address: jmontser@alumni.unav.es.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Godoy</LastName><ForeName>Pere</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Institut de Recerca Biomèdica de Lleida, Facultad de Medicina, Universidad de Lleida, CIBER de Epidemiología y Salud Pública, Lleida, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marsal</LastName><ForeName>Josep-Ramon</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>Unitat de Suport a la Recerca Lleida-Pirineus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Institut Català de la Salut, Lleida, España; Unidad de Epidemiología, Servicio de Cardiología, Hospital Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cruz</LastName><ForeName>Inés</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Unitat de Suport a la Recerca Lleida-Pirineus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Institut Català de la Salut, Lleida, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Solanes</LastName><ForeName>Mònica</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Dirección del Servicio de Atención Primaria, Institut Català de la Salut, Lleida, España.</Affiliation></AffiliationInfo></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Efectividad de la vacunación antigripal para evitar el ingreso hospitalario por agudización de la enfermedad pulmonar obstructiva crónica.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2013</Year><Month>04</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Enferm Infecc Microbiol Clin</MedlineTA><NlmUniqueID>9104081</NlmUniqueID><ISSNLinking>0213-005X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000208" MajorTopicYN="N">Acute Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</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="D007252" MajorTopicYN="Y">Influenza Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010343" MajorTopicYN="N">Patient Admission</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011322" MajorTopicYN="N">Primary Prevention</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D029424" MajorTopicYN="N">Pulmonary Disease, Chronic Obstructive</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013147" MajorTopicYN="N">Spirometry</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Chronic obstructive pulmonary disease</Keyword><Keyword MajorTopicYN="N">Enfermedad pulmonar obstructiva crónica</Keyword><Keyword MajorTopicYN="N">Influenza vaccines</Keyword><Keyword MajorTopicYN="N">Prevención primaria</Keyword><Keyword MajorTopicYN="N">Primary prevention</Keyword><Keyword MajorTopicYN="N">Vacunación antigripal</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>12</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>02</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>02</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>4</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23582192</ArticleId><ArticleId IdType="pii">S0213-005X(13)00054-2</ArticleId><ArticleId IdType="doi">10.1016/j.eimc.2013.02.009</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Catalogne</li></region><settlement><li>Barcelone</li></settlement></list><tree><country name="Espagne"><noRegion><name sortKey="Montserrat Capdevila, Josep" sort="Montserrat Capdevila, Josep" uniqKey="Montserrat Capdevila J" first="Josep" last="Montserrat-Capdevila">Josep Montserrat-Capdevila</name></noRegion><name sortKey="Cruz, Ines" sort="Cruz, Ines" uniqKey="Cruz I" first="Inés" last="Cruz">Inés Cruz</name><name sortKey="Godoy, Pere" sort="Godoy, Pere" uniqKey="Godoy P" first="Pere" last="Godoy">Pere Godoy</name><name sortKey="Marsal, Josep Ramon" sort="Marsal, Josep Ramon" uniqKey="Marsal J" first="Josep-Ramon" last="Marsal">Josep-Ramon Marsal</name><name sortKey="Solanes, M Nica" sort="Solanes, M Nica" uniqKey="Solanes M" first="M Nica" last="Solanes">M Nica Solanes</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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