Evidence map›Paper›PMID 34272104›Full record

ArticleAnnals of emergency medicine2021

The Rapid Evaluation of COVID-19 Vaccination in Emergency Departments for Underserved Patients Study.

Robert M Rodriguez, Jesus R Torres, Anna Marie Chang, Adrianne N Haggins, Stephanie A Eucker, Kelli N O'Laughlin, Erik Anderson, Daniel G Miller, R Gentry Wilkerson, Martina Caldwell and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  6. An evaluation of COVID-19 vaccine messaging platforms in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
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  14. Perspectives of COVID-19 vaccine-hesitant emergency department patients to inform messaging platforms to promote vaccine uptake.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
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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

17 authors at 14 institutions in 1 country.

Robert M RodriguezDepartment of Emergency Medicine, University of California San Francisco, San Francisco, CA. Electronic address: robert.rodriguez@ucsf.edu.
Jesus R TorresDepartment of Emergency Medicine, Olive View UCLA Medical Center-University of California Los Angeles School of Medicine, Los Angeles, CA.
Anna Marie ChangDepartment of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA.
Adrianne N HagginsDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI.
Stephanie A EuckerDivision of Emergency Medicine, Department of Surgery, Duke University, Durham, NC.
Kelli N O'LaughlinDepartments of Emergency Medicine and Global Health, University of Washington, Seattle, WA.
Erik AndersonDepartment of Emergency Medicine, Highland Hospital-Alameda Health System, Oakland, CA.
Daniel G MillerDepartment of Emergency Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA.
R Gentry WilkersonDepartment of Emergency Medicine, University of Maryland School of Medicine, College Park, MD.
Martina CaldwellDepartment of Emergency Medicine, Henry Ford Hospital, Detroit, MI.
Stephen C LimSection of Emergency Medicine, University Medical Center New Orleans, Louisiana State University Health Sciences Center, New Orleans, LA.
Ali S RajaDepartment of Emergency Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Brigitte M BaumannDepartment of Emergency Medicine, Cooper Medical School of Rowan University, Camden, NJ.
Joseph GraterolDepartment of Emergency Medicine, University of California San Francisco, San Francisco, CA.
Vidya EswaranDepartment of Emergency Medicine, University of California San Francisco, San Francisco, CA.
Brian ChinnockDepartment of Emergency Medicine, University of California San Francisco Fresno, Fresno, CA.
REVVED UP Investigators
University of California, San Francisco · USAlameda Health System · USCalifornia State University, Fresno · USCooper Medical School of Rowan University · USDuke University · USHarvard University · USHenry Ford Hospital · USThomas Jefferson University · USUniversity Medical Center New Orleans · USUniversity of California, Los Angeles · USUniversity of Iowa Hospitals and Clinics · USUniversity of Maryland, College Park · USUniversity of Michigan–Ann Arbor · USUniversity of Washington · US

Funding

NRSA Training CoreTL1TR001883 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ALEX BUI, Nina Thawata Harawa · 2016 to 2026
$8.6M
NCATS NIH HHS TL1 TR001883
6 · The paper itself

Abstract

STUDY

objectiveEmergency departments (EDs) often serve vulnerable populations who may lack primary care and have suffered disproportionate COVID-19 pandemic effects. Comparing patients having and lacking a regular source of medical care and other ED patient characteristics, we assessed COVID-19 vaccine hesitancy, reasons for not wanting the vaccine, perceived access to vaccine sites, and willingness to get the vaccine as part of ED care.

methodsThis was a cross-sectional survey conducted from December 10, 2020, to March 7, 2021, at 15 safety net US EDs. Primary outcomes were COVID-19 vaccine hesitancy, reasons for vaccine hesitancy, and sites (including EDs) for potential COVID-19 vaccine receipt.

resultsOf 2,575 patients approached, 2,301 (89.4%) participated. Of the 18.4% of respondents who lacked a regular source of medical care, 65% used the ED as their usual source of health care. The overall rate of vaccine hesitancy was 39%; the range among the 15 sites was 28% to 58%. Respondents who lacked a regular source of medical care were more commonly vaccine hesitant than those who had a regular source of medical care (47% versus 38%, 9% difference, 95% confidence interval 4% to 14%). Other characteristics associated with greater vaccine hesitancy were younger age, female sex, Black race, Latinx ethnicity, and not having received an influenza vaccine in the past 5 years. Of the 61% who would accept a COVID-19 vaccine, 21% stated that they lacked a primary physician or clinic at which to receive it; the vast majority (95%) of these respondents would accept the COVID-19 vaccine as part of their care in the ED.

conclusionED patients who lack a regular source of medical care are particularly hesitant regarding COVID-19 vaccination. Most COVID-19 vaccine acceptors would accept it as part of their care in the ED. EDs may play pivotal roles in COVID-19 vaccine messaging and delivery to highly vulnerable populations.

Indexed as

COVID-19 VaccinesEmergency Service, HospitalHealth Services AccessibilityVulnerable PopulationsCOVID-19Cross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesUnited StatesVaccinationVaccination RefusalCOVID-19 Vaccines

Identifiers

PMID34272104
PMCPMC8165082
OpenAlexW3166772669

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.