Vaccine Administration in Children's Hospitals
To examine inpatient vaccine delivery across a national sample of children's hospitals. We conducted a retrospective cohort study examining vaccine administration at 49 children's hospitals in the Pediatric Health Information System database. Children
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| Veröffentlicht in: | Pediatrics (Evanston) 2022-02, Vol.149 (2), p.1 |
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| container_title | Pediatrics (Evanston) |
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| creator | Bryan, Mersine A Hofstetter, Annika M Opel, Douglas J Simon, Tamara D |
| description | To examine inpatient vaccine delivery across a national sample of children's hospitals.
We conducted a retrospective cohort study examining vaccine administration at 49 children's hospitals in the Pediatric Health Information System database. Children |
| doi_str_mv | 10.1542/peds.2021-053925 |
| format | Article |
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We conducted a retrospective cohort study examining vaccine administration at 49 children's hospitals in the Pediatric Health Information System database. Children <18 years old admitted between July 1, 2017, and June 30, 2019, and age eligible for vaccinations were included. We determined the proportion of hospitalizations with ≥1 dose of any vaccine type administered overall and by hospital, the type of vaccines administered, and the demographic characteristics of children who received vaccines. We calculated adjusted hospital-level rates for each vaccine type by hospital. We used logistic and linear regression models to examine characteristics associated with vaccine administration.
There were 1 185 667 children and 1 536 340 hospitalizations included. The mean age was 5.5 years; 18% were non-Hispanic Black, and 55% had public insurance. There were ≥1 vaccine doses administered in 12.9% (95% confidence interval: 12.8-12.9) of hospitalizations, ranging from 1% to 45% across hospitals. The most common vaccines administered were hepatitis B and influenza. Vaccine doses other than the hepatitis B birth dose and influenza were administered in 1.9% of hospitalizations. Children had higher odds of receiving a vaccine dose other than the hepatitis B birth dose or influenza if they were <2 months old, had public insurance, were non-Hispanic Black race, were medically complex, or had a length of stay ≥3 days.
In this national study, few hospitalizations involved vaccine administration with substantial variability across US children's hospitals. Efforts to standardize inpatient vaccine administration may represent an opportunity to increase childhood vaccine coverage.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2021-053925</identifier><identifier>PMID: 35001100</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Adolescent ; Birth ; Child ; Child, Preschool ; Children ; Children & youth ; Children's hospitals ; Cohort Studies ; Dosage and administration ; Eligibility Determination - methods ; Eligibility Determination - trends ; Female ; Hepatitis B ; Hospital Medicine ; Hospitalization ; Hospitalization - trends ; Hospitals ; Hospitals, Pediatric - trends ; Humans ; Immunization ; Infant ; Influenza ; Male ; Pediatrics ; Regression analysis ; Retrospective Studies ; Services ; Vaccination - methods ; Vaccination - trends ; Vaccine/Immunization ; Vaccines</subject><ispartof>Pediatrics (Evanston), 2022-02, Vol.149 (2), p.1</ispartof><rights>Copyright © 2022 by the American Academy of Pediatrics.</rights><rights>COPYRIGHT 2022 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Feb 2022</rights><rights>Copyright © 2022 by the American Academy of Pediatrics 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-ef00976751159502e2a2fd5185079d876a839e749ddb70d60a6aa7e2bee550843</citedby><cites>FETCH-LOGICAL-c490t-ef00976751159502e2a2fd5185079d876a839e749ddb70d60a6aa7e2bee550843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35001100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bryan, Mersine A</creatorcontrib><creatorcontrib>Hofstetter, Annika M</creatorcontrib><creatorcontrib>Opel, Douglas J</creatorcontrib><creatorcontrib>Simon, Tamara D</creatorcontrib><title>Vaccine Administration in Children's Hospitals</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To examine inpatient vaccine delivery across a national sample of children's hospitals.
We conducted a retrospective cohort study examining vaccine administration at 49 children's hospitals in the Pediatric Health Information System database. Children <18 years old admitted between July 1, 2017, and June 30, 2019, and age eligible for vaccinations were included. We determined the proportion of hospitalizations with ≥1 dose of any vaccine type administered overall and by hospital, the type of vaccines administered, and the demographic characteristics of children who received vaccines. We calculated adjusted hospital-level rates for each vaccine type by hospital. We used logistic and linear regression models to examine characteristics associated with vaccine administration.
There were 1 185 667 children and 1 536 340 hospitalizations included. The mean age was 5.5 years; 18% were non-Hispanic Black, and 55% had public insurance. There were ≥1 vaccine doses administered in 12.9% (95% confidence interval: 12.8-12.9) of hospitalizations, ranging from 1% to 45% across hospitals. The most common vaccines administered were hepatitis B and influenza. Vaccine doses other than the hepatitis B birth dose and influenza were administered in 1.9% of hospitalizations. Children had higher odds of receiving a vaccine dose other than the hepatitis B birth dose or influenza if they were <2 months old, had public insurance, were non-Hispanic Black race, were medically complex, or had a length of stay ≥3 days.
In this national study, few hospitalizations involved vaccine administration with substantial variability across US children's hospitals. Efforts to standardize inpatient vaccine administration may represent an opportunity to increase childhood vaccine coverage.</description><subject>Adolescent</subject><subject>Birth</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Children's hospitals</subject><subject>Cohort Studies</subject><subject>Dosage and administration</subject><subject>Eligibility Determination - methods</subject><subject>Eligibility Determination - trends</subject><subject>Female</subject><subject>Hepatitis B</subject><subject>Hospital Medicine</subject><subject>Hospitalization</subject><subject>Hospitalization - trends</subject><subject>Hospitals</subject><subject>Hospitals, Pediatric - trends</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant</subject><subject>Influenza</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Services</subject><subject>Vaccination - methods</subject><subject>Vaccination - trends</subject><subject>Vaccine/Immunization</subject><subject>Vaccines</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFPGzEQhS0EKintnVMViUO5bBh7d-z1BSmKSlMpEhfaq-WsJ4mjjR3WGwT_vl6ForYXTnOYb57evMfYJYcJx0rc7MmliQDBC8BSCzxhIw66Liqh8JSNAEpeVAB4zj6mtAWACpX4wM5LBOAcYMQmv2zT-EDjqdv54FPf2d7HMPZhPNv41nUUvqbxPKa9722bPrGzVR70-XVesJ933x5m82Jx__3HbLoomkpDX9AKQCupkHPUCIKEFSuHvEZQ2tVK2rrUpCrt3FKBk2CltYrEkggR6qq8YLdH3f1huSPXUMjGWrPv_M52LyZab_7dBL8x6_hktFRKlzILXL8KdPHxQKk3O58aalsbKB6SEXIwk8PCjF79h27joQv5vUwJxWsptXiHkhp1TjRTxZFa25aMD00MPT33TWxbWpPJGc3uzVSVoBRiPdiEI990MaWOVm8vcjBDxWao2AwVm2PF-eTL39G8HfzptPwNvZqe4A</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Bryan, Mersine A</creator><creator>Hofstetter, Annika M</creator><creator>Opel, Douglas J</creator><creator>Simon, Tamara D</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220201</creationdate><title>Vaccine Administration in Children's Hospitals</title><author>Bryan, Mersine A ; Hofstetter, Annika M ; Opel, Douglas J ; Simon, Tamara D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490t-ef00976751159502e2a2fd5185079d876a839e749ddb70d60a6aa7e2bee550843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Birth</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Children's hospitals</topic><topic>Cohort Studies</topic><topic>Dosage and administration</topic><topic>Eligibility Determination - methods</topic><topic>Eligibility Determination - trends</topic><topic>Female</topic><topic>Hepatitis B</topic><topic>Hospital Medicine</topic><topic>Hospitalization</topic><topic>Hospitalization - trends</topic><topic>Hospitals</topic><topic>Hospitals, Pediatric - trends</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infant</topic><topic>Influenza</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Services</topic><topic>Vaccination - methods</topic><topic>Vaccination - trends</topic><topic>Vaccine/Immunization</topic><topic>Vaccines</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bryan, Mersine A</creatorcontrib><creatorcontrib>Hofstetter, Annika M</creatorcontrib><creatorcontrib>Opel, Douglas J</creatorcontrib><creatorcontrib>Simon, Tamara D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bryan, Mersine A</au><au>Hofstetter, Annika M</au><au>Opel, Douglas J</au><au>Simon, Tamara D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vaccine Administration in Children's Hospitals</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>149</volume><issue>2</issue><spage>1</spage><pages>1-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>To examine inpatient vaccine delivery across a national sample of children's hospitals.
We conducted a retrospective cohort study examining vaccine administration at 49 children's hospitals in the Pediatric Health Information System database. Children <18 years old admitted between July 1, 2017, and June 30, 2019, and age eligible for vaccinations were included. We determined the proportion of hospitalizations with ≥1 dose of any vaccine type administered overall and by hospital, the type of vaccines administered, and the demographic characteristics of children who received vaccines. We calculated adjusted hospital-level rates for each vaccine type by hospital. We used logistic and linear regression models to examine characteristics associated with vaccine administration.
There were 1 185 667 children and 1 536 340 hospitalizations included. The mean age was 5.5 years; 18% were non-Hispanic Black, and 55% had public insurance. There were ≥1 vaccine doses administered in 12.9% (95% confidence interval: 12.8-12.9) of hospitalizations, ranging from 1% to 45% across hospitals. The most common vaccines administered were hepatitis B and influenza. Vaccine doses other than the hepatitis B birth dose and influenza were administered in 1.9% of hospitalizations. Children had higher odds of receiving a vaccine dose other than the hepatitis B birth dose or influenza if they were <2 months old, had public insurance, were non-Hispanic Black race, were medically complex, or had a length of stay ≥3 days.
In this national study, few hospitalizations involved vaccine administration with substantial variability across US children's hospitals. Efforts to standardize inpatient vaccine administration may represent an opportunity to increase childhood vaccine coverage.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>35001100</pmid><doi>10.1542/peds.2021-053925</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Birth Child Child, Preschool Children Children & youth Children's hospitals Cohort Studies Dosage and administration Eligibility Determination - methods Eligibility Determination - trends Female Hepatitis B Hospital Medicine Hospitalization Hospitalization - trends Hospitals Hospitals, Pediatric - trends Humans Immunization Infant Influenza Male Pediatrics Regression analysis Retrospective Studies Services Vaccination - methods Vaccination - trends Vaccine/Immunization Vaccines |
| title | Vaccine Administration in Children's Hospitals |
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