Dataset Information

Factors Associated with Influenza Vaccination of Hospitalized Elderly Patients in Spain.

ABSTRACT: Vaccination of the elderly is an important factor in limiting the impact of influenza in the community. The aim of this study was to investigate the factors associated with influenza vaccination coverage in hospitalized patients aged ? 65 years hospitalized due to causes unrelated to influenza in Spain. We carried out a cross-sectional study. Bivariate analysis was performed comparing vaccinated and unvaccinated patients, taking in to account sociodemographic variables and medical risk conditions. Multivariate analysis was performed using multilevel regression models. We included 1038 patients: 602 (58%) had received the influenza vaccine in the 2013-14 season. Three or more general practitioner visits (OR = 1.61; 95% CI 1.19-2.18); influenza vaccination in any of the 3 previous seasons (OR = 13.57; 95% CI 9.45-19.48); and 23-valent pneumococcal polysaccharide vaccination (OR = 1.97; 95% CI 1.38-2.80) were associated with receiving the influenza vaccine. Vaccination coverage of hospitalized elderly people is low in Spain and some predisposing characteristics influence vaccination coverage. Healthcare workers should take these characteristics into account and be encouraged to proactively propose influenza vaccination to all patients aged ? 65 years.

SUBMITTER: Dominguez A

PROVIDER: S-EPMC4732680 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Factors Associated with Influenza Vaccination of Hospitalized Elderly Patients in Spain.

Domínguez Àngela À Soldevila Núria N Toledo Diana D Godoy Pere P Castilla Jesús J Force Lluís L Morales María M Mayoral José María JM Egurrola Mikel M Tamames Sonia S Martín Vicente V Astray Jenaro J

PloS one 20160129 1

Vaccination of the elderly is an important factor in limiting the impact of influenza in the community. The aim of this study was to investigate the factors associated with influenza vaccination coverage in hospitalized patients aged ≥ 65 years hospitalized due to causes unrelated to influenza in Spain. We carried out a cross-sectional study. Bivariate analysis was performed comparing vaccinated and unvaccinated patients, taking in to account sociodemographic variables and medical risk condition ...[more]

PMID: 26824383

Similar Datasets

Project description:Understanding positive and negative influences on adult immunization status can help healthcare providers to better identify and target patients who are likely to need immunization. Our aim was to assess and compare influenza and pneumococcal (IV/PV) immunisation rates to identify vaccination predictors in Malta.One group consisted of all medical patients discharged from Mater Dei Hospital (MDH) over a one week period in February 2013. Patients were administered a phone questionnaire. A second group of patients receiving community-based care at local health centres over a one week period in March 2013 were interviewed, identifying vaccination eligibility as per 2010 WHO recommendations.A total of 150 community (Mean age 61.5 SD 15.8, Male 60%) and 149 hospitalised (Mean age 66.8, SD 13.6%, Male 48.3%) patients in whom influenza vaccine was indicated were recruited. In the current year, 44 and 48.3% received the seasonal influenza vaccine, while 32.0, and 49% vaccinated yearly respectively. Pneumococcal vaccination advice was less than 5% in both groups. On stepwise binary regression, vaccination predictors for the current year were regular yearly influenza vaccination (OR 93.62, CI: 31.8-275.5, p <?0.001) and vaccination reminders (OR 27.5, CI: 9.63-78.31, p?<?0.001). Nursing home residence (OR 5.78, CI: 1.22-27.4,p =?0.011), congestive cardiac failure (OR 2.11, CI: 1.1-4.08, p =?0.02) and diabetes mellitus (OR 1.68, CI: 1.04-2.72, p =?0.034) were all predictors for vaccination on exclusion of the strongest two predictors. For successive yearly vaccination, influenza vaccine recommendation by healthcare professionals (OR 12.35, CI: 4.5-33.91, p <?0.001) and vaccination reminders (OR 5.99, CI: 3.13-11.45, p <?0.01) were main predictors. Congestive cardiac failure (OR 2.37, CI: 1.20-4.7, p =?0.13) and nursing home residence (OR 7.07, CI: 1.45-34.5, p?=?0,005) were also positive predictors. Male gender was a negative predictor (OR 0.51, CI: 0.31-0.83, p =?0.006). Some of those who did not vaccinate were unaware of such need (40.5% of community and 15.6% of hospitalised patients).Just under half of the patient population received the IV during 2012-2013 period. Hospitalized patients are more likely to vaccinate regularly while a large proportion of community patients are unaware of the indication to vaccinate.

Dataset Information

Factors Associated with Influenza Vaccination of Hospitalized Elderly Patients in Spain.

Publications

Factors Associated with Influenza Vaccination of Hospitalized Elderly Patients in Spain.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets