Does pulmonary subspecialty referral from primary care affect the adherence to vaccination recommendations in COPD patients?

Respiratory Research

Solmaz Ehteshami-Afshar¹  Brett Bade²  Benjamin Rodwin²  Kathleen M. Akgün³  Cynthia Brandt⁴  Kristina Crothers⁵ 

[1] Internal Medicine, Yale University School of Medicine, New Haven, CT, USA;Internal Medicine, Yale University School of Medicine, New Haven, CT, USA;Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA;Internal Medicine, Yale University School of Medicine, New Haven, CT, USA;Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA;Veterans Affairs Connecticut Pain Research, Informatics, Multi-Morbidities, and Education Center, West Haven, CT, USA;Veterans Affairs Connecticut Pain Research, Informatics, Multi-Morbidities, and Education Center, West Haven, CT, USA;Emergency Medicine, Yale School of Medicine, New Haven, CT, USA;Veterans Affairs Puget Sound and University of Washington, Seattle, WA, USA;

关键词: Chronic obstructive pulmonary disease;    Vaccination;    Influenza;    Pneumococcal vaccine;    Referral;   

DOI  :  10.1186/s12931-021-01639-6

来源: Springer

【 摘 要 】

The importance of vaccinations for COPD patients has been previously described. However, there is still a gap between guideline recommendations and the implementation of preventive care delivery for these patients. Specially, the rise of SARS-CoV-2 pandemic has made the significance of vaccination adherence more critical to address. Our study showed that referral to pulmonary clinic is associated with increased odds of receiving influenza (OR = 1.97, [95% CI 1.07, 3.65]) and pneumococcal vaccinations (PCV13 OR = 3.55, [1.47, 8.54]; PPSV23 OR = 4.92, [1.51, 16.02]). These data suggest that partnerships between primary care physicians and pulmonologists can potentially improve the vaccination rates for patients with COPD.

【 授权许可】

CC BY