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Flu vaccine and the ED: Administering influenza vaccine in a Canadian emergency department: Is there a role?

Published online by Cambridge University Press:  21 May 2015

Ann Marie Chiasson  and
Patrick Rowe
Ann Marie Chiasson*
Affiliation:
Prince George Regional Hospital, Prince George, BC
Patrick Rowe
Affiliation:
Prince George Regional Hospital, Prince George, BC
*
Prince George Regional Hospital, 2000 15th Ave., Prince George BC V2M 1S2; [email protected]

Abstract

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Objectives:

To determine the prevalence of influenza vaccination in patients who present to the emergency department (ED) who meet current guidelines for its use. To evaluate the feasibility of an ED-based program to provide influenza vaccine to at-risk patients.

Methods:

A survey of ED patients and their family physicians, using a convenience sample.

Participants and setting:

Consecutive patients presenting to the emergency department of Prince George Regional Hospital, Prince George, BC, a regional hospital in Northern British Columbia, during designated shifts between Nov. 6, 1997, and Dec. 10, 1997.

Outcome measures:

Age, gender, family physician (FP), eligibility for influenza vaccine, vaccination status, willingness to receive vaccine in the ED, and FP methods for ensuring use of influenza vaccine.

Results:

935 patients were interviewed; 816 met study eligibility criteria. Of 214 patients eligible for influenza vaccine, 113 (52.8%) had not been vaccinated. Fifty-three (46.9%) agreed to vaccination, and 49 were vaccinated in the ED. A survey of the patients’ FPs revealed that 85% used callback lists, but that only 49% of vaccine-eligible patients identified in the study were on a callback list. Positive associations were found between the presence of an FP and the likelihood of having been vaccinated (odds ratio [OR] = 8.8), being on a callback list and having been vaccinated (OR = 4.1), and age >64 and being on a callback list (OR = 2.1).

Conclusions:

Up to 50% of patients eligible for influenza vaccine are not adequately immunized. Administering influenza vaccine in the ED is acceptable to patients and should reduce influenza rates in at-risk populations. There is a role for administering influenza vaccine in the ED.

Keywords

influenza vaccineimmunizationemergency departmentcallback list
Type
Controversies • Controverses
Information
Canadian Journal of Emergency Medicine , Volume 2 , Issue 2 , April 2000 , pp. 90 - 94
Copyright
Copyright © Canadian Association of Emergency Physicians 2000

References

1.Centers for Disease Control and Prevention. Pneumococcal and influenza vaccination levels among adults aged more than or equal to 65 years — United States, 1993. MMWR 1996;45:854–9.Google Scholar
2.Gross, PA, Hermogenes, AW, Sacks, HS, Lau, J, Levandowski, RA.The efficacy of influenza vaccine in elderly persons: a meta-analysis and review of the literature. Ann Intern Med 1995; 123:518–27.CrossRefGoogle Scholar
3.Centers for Disease Control and Prevention. Prevention and control of influenza: recommendations of Advisory Committee on Immunization Practices (ACIP). MMWR 1996;45:1–24.Google Scholar
4.Rodriguez, RM, Baraff, LJ.Emergency department immunization of the elderly with pneumococcal and influenza vaccines. Ann Emerg Med 1993;22:1729–32.CrossRefGoogle ScholarPubMed
5.Polis, MA, Davey, VJ, Collins, ED, Smith, JP, Rosenthal, RE, Kaslow, RA. The emergency department as part of a successful strategy for increasing adult immunization. Ann Emerg Med 1988;17:1016–8.CrossRefGoogle ScholarPubMed
6.Wrenn, K, Zeldin, M, Miller, O. Influenza and pneumococcal vaccination the emergency department: Is it feasible? J Gen Inter Med 1994;9:425–9.CrossRefGoogle ScholarPubMed
7.Slobodkin, D, Kitlas, J, Zielske, P. Opportunities not missed-systematic influenza and pneumococcal immunzation in a public inner-city emergency department. Vaccine 1998;16:1795–801.CrossRefGoogle ScholarPubMed
8.Statement on influenza vaccination for the 1997–1998 season. CCDR 1997:23.Google Scholar
9.British Columbia Provincial Health Officer. A report on the health of British Columbians. Provincial Health Officer’s Annual Report 1998: feature report. Immunization 1999:E1.Google Scholar
10.McDonald, CJ, Hui, SL, Tierney, WM. Effects of computer reminders for influenza vaccination on morbidity during influenza epidemics. MD Comput 1992;9:304–12.Google Scholar
11.Honkanen, PO, Keistinen, T, Kivela, SL.The impact of vaccination strategy and methods of information on influenza and pneumococcal vaccination coverage in the elderly population. Vaccine 1997;15:317–20.Google Scholar
12.Gerace, TM, Sangster, JF.Influenza vaccination: a comparison of two outreach strategies. Fam Med 1998;20:43–5.Google Scholar
13.Northern Interior Regional Health Board. Letter to physicians: influenza vaccine for the 1997–1998 season. 1997.Google Scholar
14.Hayden, GF, Frayha, H, Kattan, H, Mogarri, I.Structured guidelines for the use of influenza vaccine among children with chronic pulmonary disorders. Pediatr Infect Dis J 1995;14:895–9.Google Scholar
15.Hak, E, van Essen, GA, Stalman, WAB, de Melker, RA.Improving influenza vaccination coverage among high risk patients: A role for computer-supported prevention strategy? Fam Prac 1998; 15:138–42.Google Scholar