Influenza vaccination and its impact on hospitalization events in nursing homes.
Influenza vaccination and its impact on hospitalization events in nursing homes.
复制标题
流感疫苗接种及其对疗养院住院事件的影响。
DOI：
10.1016/j.jamda.2010.03.005
复制
发表时间：
2011
影响因子：
7.6
通讯作者：
Temkin-Greener,Helena
中科院分区：
文献类型：
--
作者：
Cai,Shubing;Temkin-Greener,Helena
目的 研究公共报告前后疗养院流感疫苗接种的趋势（目标 1），并评估流感疫苗接种对住院事件的影响（目标 2）。研究设计疗养院比较（NHC）数据库用于获取 2005-2006、2006-2007 和 2007-2008 流感季节期间的流感疫苗接种率（目标-1）。获得了纽约州 (NYS) 2005-2007 年最低数据集，并将其与 NHC 数据（目标 2）联系起来。 设置和参与者 美国所有疗养院均纳入目标 1 的分析中。 2005-2006 年和 2006-2007 年流感季节期间，所有符合条件的纽约州疗养院及其居民均纳入目标 2 的分析中。测量疗养院是分析单位。对全国范围内三个流感季节疗养院的流感疫苗接种率进行了比较。一阶差分模型适合检验纽约州设施疫苗接种率与住院率之间的关系。 结果 在 3 个流感季节期间，疗养院的流感疫苗接种率有所增加，但这种增加并不高于社区居住的老年人。在纽约州基线疫苗接种率较高的机构中，疫苗接种对减少住院治疗的效果很小。在基线率较低的纽约州机构中，长期护理居民的疫苗接种率提高 10.0% 与基线住院率下降 6.2% 相关。然而，短期护理居民的疫苗接种率增加 10.0% 与基线住院率增加 4.6% 相关。 结论 没有明确的证据表明公开报告提高了疗养院的疫苗接种率。疫苗接种对疗养院住院事件的影响是复杂的。
OBJECTIVESTo examine trends of influenza vaccination in nursing homes before and after public reporting (objective-1), and to assess the effect of influenza vaccinations on hospitalization events (objective-2).RESEARCH DESIGNNursing Home Compare (NHC) database was used to obtain influenza vaccination rates during the 2005–2006, 2006–2007, and 2007–2008 flu seasons (objective-1). The 2005–2007 Minimum Data Set for New York State (NYS) was obtained and linked with the NHC data (objective-2).SETTINGS AND PARTICIPANTSAll nursing homes in the United States were included in the analysis of objective-1. All eligible NYS nursing homes and their residents, during 2005–2006 and 2006–2007 flu seasons, were included in the analysis of objective-2.MEASUREMENTSNursing home was the unit of analysis. Influenza vaccination rates in nursing homes over the 3 flu seasons were compared nationwide. A first-differenced model was fit to examine the relationship between facility vaccination rates and hospitalization rates in NYS.RESULTSThere was an increase in influenza vaccination rates in nursing homes over the 3 flu seasons, but this increase was no greater than that among community-dwelling elderly. In NYS facilities with high baseline vaccination rates, the effect of vaccination on reducing hospitalizations was small. In NYS facilities with a low baseline rate, a 10.0% increase in vaccination rate for long-term care residents was correlated with a 6.2% decline in baseline hospitalization rates. However, a 10.0% increase in vaccination rate for short-term care residents was correlated with a 4.6% increase in baseline hospitalization rates.CONCLUSIONSThere is no clear evidence that public reporting improves vaccination rates in nursing homes. The effects of vaccination on hospitalization events in nursing homes are mixed.
登录
查看更多内容
疗养院里的流感。
影响因子：
4
作者：
Brian J Kingston;Charles V Wright
通讯作者：
Charles V Wright
疗养院的流感免疫：谁没有接种疫苗，谁的状况未知？
DOI：
--
发表时间：
2006
期刊：
Infection Control & Hospital Epidemiology
影响因子：
--
作者：
J. Marsteller;R. Tiggle;R. Remsburg;A. Shefer;B. Bardenheier
通讯作者：
B. Bardenheier
DOI：
--
发表时间：
2005
期刊：
Aging trends
影响因子：
--
作者：
Y. Gorina;D. Hoyert;H. Lentzner;M. Goulding
通讯作者：
M. Goulding
影响因子：
6.3
作者：
P. Irvine;N. Buren;K. Crossley
通讯作者：
K. Crossley
流感季节
DOI：
--
发表时间：
2003
期刊：
影响因子：
--
作者：
W. Eno
通讯作者：
W. Eno