Evidence map›Paper›PMID 35437252›Full record

Observational studyBMJ open2022

Prevalence and predictors of influenza vaccination in long-term care homes: a cross-national retrospective observational study.

Reem T Mulla, Luke Andrew Turcotte, Nathalie Ih Wellens, Milou J Angevaare, Julie Weir, Micaela Jantzi, Paul C Hébert, George A Heckman, Hein van Hout, Nigel Millar and 1 more

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Using ELEFIGHTVaccines · 2022
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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

11 authors.

Reem T MullaSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada rmulla@uwaterloo.ca.ORCID 0000-0002-0897-9589
Luke Andrew TurcotteSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Nathalie Ih WellensHES-SO La Source Institute and School of Nursing, Lausanne, Switzerland.
Milou J AngevaareDepartment of Medicine for Older People & Department of General Practice, Amsterdam Public Health research institute, Amsterdam UMC - Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Julie WeirNew Brunswick Association of Nursing Homes, Fredericton, New Brunswick, Canada.
Micaela JantziSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Paul C HébertUniversité de Montréal, Montreal, Québec, Canada.
George A HeckmanSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Hein van HoutDepartment of General Practice, Amsterdam Public Health Research Institute, Amsterdam UMC - Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-2495-4808
Nigel MillarUniversity of Otago, Dunedin, New Zealand.
John P HirdesSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare facility-level influenza vaccination rates in long-term care (LTC) homes from four countries and to identify factors associated with influenza vaccination among residents. DESIGN AND

settingRetrospective cross-sectional study of individuals residing in LTC homes in New Brunswick (Canada), New Zealand, Switzerland, and the Netherlands between 2017 and 2020.

participantsLTC home residents assessed with interRAI assessment system instruments as part of routine practice in New Brunswick (n=7006) and New Zealand (n=34 518), and national pilot studies in Switzerland (n=2760) and the Netherlands (n=1508). End-of-life residents were excluded from all country cohorts. OUTCOMES: Influenza vaccination within the past year.

resultsInfluenza vaccination rates among LTC home residents were highest in New Brunswick (84.9%) and lowest in Switzerland (63.5%). For all jurisdictions where facility-level data were available, substantial interfacility variance was observed. There was approximately a fourfold difference in the coefficient of variation for facility-level vaccination rates with the highest in Switzerland at 37.8 and lowest in New Brunswick at 9.7. Resident-level factors associated with vaccine receipt included older age, severe cognitive impairment, medical instability, health conditions affecting a greater number of organ systems and social engagement. Residents who displayed aggressive behaviours and smoke tobacco were less likely to be vaccinated.

conclusionThere are opportunities to increase influenza vaccine uptake at both overall country and individual facility levels. Enhanced vaccine administration monitoring programmes in LTC homes that leverage interRAI assessment systems should be widely adopted.

Indexed as

Influenza, HumanInfluenza VaccinesCross-Sectional StudiesHumansLong-Term CareNursing HomesPrevalenceRetrospective StudiesVaccinationInfluenza Vaccinesepidemiologygeriatric medicineimmunologyinfection controlpublic health

Identifiers

PMID35437252
PMCPMC9016404

What OpenQuestion holds

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LicenceCC BY-NC
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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.