Evidence map›Paper›PMID 17213260›Full record

ArticleArchives of disease in childhood2007

Missed opportunities to vaccinate children admitted to a paediatric tertiary hospital.

Suzanne Walton, David Elliman, Helen Bedford

Open access · bronzeAbstract read
In one paragraph

Article in Archives of disease in childhood, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  8. Review
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  11. On-time vaccination coverage in premature infants in Ontario, 2002-2009.Canadian journal of public health = Revue canadienne de sante publique · 2012
    Article
  12. Article
  13. MMR: where are we now?Archives of disease in childhood · 2007
    Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Suzanne WaltonUCL Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust, London, UK.
David Elliman
Helen Bedford
University College London · GBGreat Ormond Street Hospital · GB

Funding

Medical Research Council G0400546
6 · The paper itself

Abstract

backgroundInequalities in vaccine uptake exist. Studies suggest paediatric inpatients have lower rates of immunisation uptake than the general population. Various UK policies advocate opportunistic immunisation.

aimTo evaluate practice within a paediatric tertiary hospital in identifying and facilitating vaccination of inpatients who were not fully immunised.

methodsCase notes for 225 inpatients were examined. Thirty staff of various professions and grades were interviewed. Policies, forms and documents used in the hospital were reviewed.

resultsImmunisation status was recorded for 71% of children admitted, but for 69% of these immunisations were documented as "up-to-date" without any further information recorded. At least 20% of inpatients were incompletely immunised, but very little was done to facilitate vaccination. There was no training for staff either in giving advice or in administering vaccines and staff views differed regarding the hospital's role in immunisations. While there were guidelines for specific groups of patients, there were no general immunisation policies. Incorrect and out-of-date immunisation schedules were found on documents.

conclusionsOpportunities to immunise children continue to be missed by all levels of health care service provision. Tertiary centres have a role to play in supporting primary care services to ensure that these vulnerable children are appropriately immunised. Measures are being taken to address the problems identified in this study and we strongly suspect that other hospitals in the UK ought to be confronting these issues as well.

Indexed as

HospitalizationAdolescentAdultChildChild, PreschoolFemaleHealth Services ResearchHospitals, PediatricHumansInfantLondonMalePatient AdmissionProfessional PracticeRetrospective StudiesVaccination

Identifiers

PMID17213260
PMCPMC2083800
OpenAlexW2114993094

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.