Factors associated with influenza vaccination of hospitalized elderly patients in Spain

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RESEARCH PRODUCT

Factors associated with influenza vaccination of hospitalized elderly patients in Spain

ÀNgela Domínguez García Núria Soldevila Diana Todelo Pere Godoy I García Jesús Castilla Lluís Force María Morales José María Mayoral Mikel Egurrola Sonia Tamames Vicente Martín Sánchez Jenaro Astray Working Group Of The Project Pi12/02079

subject

RNA viruses Male Viral Diseases lcsh:Medicine Global Health Persones grans Geographical Locations Pneumococcal Vaccines Elderly Medicine and Health Sciences Public and Occupational Health Vacunació lcsh:Science Pathology and laboratory medicine Aged 80 and over Vaccines Vaccination Medical microbiology Vaccination and Immunization Europe Infectious Diseases Streptococcus pneumoniae Influenza A virus Influenza Vaccines Viruses Female Pathogens Assistència hospitalària Research Article Immunology Microbiology Influenzavirus Patient Education as Topic Influenza Human Humans Influenza viruses Espanya Aged Inpatients Hospital care Marital Status lcsh:R Organisms Viral pathogens Biology and Life Sciences Pneumonia Pneumococcal Influenza Microbial pathogens Cross-Sectional Studies Social Class Age Groups Spain People and Places Population Groupings lcsh:Q Preventive Medicine Older people Orthomyxoviruses

description

Vaccination of the elderly is an important factor in limiting the impact of influenza in the com- munity. The aim of this study was to investigate the factors associated with influenza vacci- nation 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 per- formed 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. Vacci- nation coverage of hospitalized elderly people is low in Spain and some predisposing char- acteristics influence vaccination coverage. Healthcare workers should take these characteristics into account and be encouraged to proactively propose influenza vaccina- tion to all patients aged 65 years.

year	journal	country	edition	language
2016-01-29

10.1371/journal.pone.0147931 http://hdl.handle.net/2445/104584