Correlation of long-term care facility vaccination practices between seasons and resident types.
Correlation of long-term care facility vaccination practices between seasons and resident types.
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DOI：
10.1186/s12877-022-03540-3
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发表时间：
2022-11-04
期刊：
影响因子：
4.1
通讯作者：
Zullo, Andrew R.
中科院分区：
文献类型：
--
作者：
O'Neill, Emily T.;Bosco, Elliott;Persico, Erin;Silva, Joe B.;Riester, Melissa R.;Moyo, Patience;van Aalst, Robertus;Loiacono, Matthew M.;Chit, Ayman;Gravenstein, Stefan;Zullo, Andrew R.
由于工作人员行为、LTCF 做法和患者因素，各个长期护理机构 (LTCF) 的流感疫苗接种情况差异很大。目前尚不清楚同居但不同的短期和长期居民之间的季节性 LTCF 疫苗接种有何不同。因此，我们评估了这些人群之间以及跨季节的 LTCF 疫苗接种的相关性。该研究设计是使用医疗保险和最小数据集（MDS）数据的全国回顾性队列。参与者包括美国长期信托基金。 2013-2014 年 10 月 1 日至 3 月 31 日（3,042,881 名居民；15,683 名 LTCF）和 2014-2015 年（3,143,174 名居民；15,683 名 LTCF）期间美国 LTCF 中年龄≥65 岁的短期和长期参保医疗保险居民； 15,667 个 LTCF）。结果是 MDS 评估的流感疫苗接种。估计皮尔逊相关系数以评估 LTCF 内短期和长期居民疫苗接种之间的季节性相关性。 2013-2014 年，各 LTCF 短期居留居民接种疫苗的中位数比例为 70.4%（IQR，50.0-82.7%），2014-2015 年为 69.6%（IQR，50.0-81.6%）。 2013-2014 年，长期居住居民接种疫苗的中位比例为 85.5%（IQR，78.0-90.9%），2014-2015 年为 84.6%（IQR，76.6-90.3%）。在 LTCF 中，2013-2014 年（r = 0.50，95%CI：0.49-0.51）和 2014-2015 年（r = 0.53，95%CI：0.51-0.54）短期疫苗接种和长期疫苗接种之间存在中等相关性。在各个季节中，LTCF 与短期居民存在中度相关性（r = 0.54，95%CI：0.53–0.55），与长期居民存在较强相关性（r = 0.68，95%CI：0.67–0.69）。在跨季节或人群之间流感疫苗接种不一致的长期护理中心中，针对所有居民（无论停留类型如何）制定有针对性的疫苗接种方案可能会提高这一弱势患者群体的疫苗接种成功率。在线版本包含可在 10.1186/s12877-022-03540-3 获取的补充材料。
Influenza vaccination varies widely across long-term care facilities (LTCFs) due to staff behaviors, LTCF practices, and patient factors. It is unclear how seasonal LTCF vaccination varies between cohabitating but distinct short-stay and long-stay residents. Thus, we assessed the correlation of LTCF vaccination between these populations and across seasons. The study design is a national retrospective cohort using Medicare and Minimum Data Set (MDS) data. Participants include U.S. LTCFs. Short-stay and long-stay Medicare-enrolled residents age ≥ 65 in U.S. LTCFs from a source population of residents during October 1st-March 31st in 2013–2014 (3,042,881 residents; 15,683 LTCFs) and 2014–2015 (3,143,174, residents; 15,667 LTCFs). MDS-assessed influenza vaccination was the outcome. Pearson correlation coefficients were estimated to assess seasonal correlations between short-stay and long-stay resident vaccination within LTCFs. The median proportion of short-stay residents vaccinated across LTCFs was 70.4% (IQR, 50.0–82.7%) in 2013–2014 and 69.6% (IQR, 50.0–81.6%) in 2014–2015. The median proportion of long-stay residents vaccinated across LTCFs was 85.5% (IQR, 78.0–90.9%) in 2013–2014 and 84.6% (IQR, 76.6–90.3%) in 2014–2015. Within LTCFs, there was a moderate correlation between short-stay and long-stay vaccination in 2013–2014 (r = 0.50, 95%CI: 0.49–0.51) and 2014–2015 (r = 0.53, 95%CI: 0.51–0.54). Across seasons, there was a moderate correlation for LTCFs with short-stay residents (r = 0.54, 95%CI: 0.53–0.55) and a strong correlation for those with long-stay residents (r = 0.68, 95%CI: 0.67–0.69). In LTCFs with inconsistent influenza vaccination across seasons or between populations, targeted vaccination protocols for all residents, regardless of stay type, may improve successful vaccination in this vulnerable patient population. The online version contains supplementary material available at 10.1186/s12877-022-03540-3.
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影响因子：
120.7
作者：
Thompson, WW;Shay, DK;Fukuda, K
通讯作者：
Fukuda, K
影响因子：
4.5
作者：
Bardenheier, B;Shefer, A;Bratzler, D
通讯作者：
Bratzler, D
影响因子：
4.9
作者：
Lu PJ;O'Halloran A;Bryan L;Kennedy ED;Ding H;Graitcer SB;Santibanez TA;Meghani A;Singleton JA
通讯作者：
Singleton JA
DOI：
10.1097/phh.0b013e3181c60ed4
发表时间：
2010-09-01
影响因子：
3.3
作者：
Ahmed, Faruque;Paine, Virginia;Lindley, Megan C.
通讯作者：
Lindley, Megan C.
影响因子：
11.8
作者：
Strausbaugh, LJ;Sukumar, SR;Joseph, CL
通讯作者：
Joseph, CL