The effectiveness of influenza vaccination in the elderly in Spain in two influenza seasons: a multicenter case-control study

Influenza vaccination may limit the impact of influenza in the community. The aim of this study was to assess the effectiveness of influenza vaccination in preventing hospitalisation in individuals aged ≥ 65 years in Spain. A multicentre case-control study was conducted in 20 Spanish hospitals durin...

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Detalhes bibliográficos
Autores: Domínguez García, Àngela, Soldevila, Núria, Toledo Zavaleta, Diana Isabel, Godoy i García, Pere, Espejo, Elena, Fernández, M.A., Mayoral, José María, Castilla, Jesús, Egurrola, Mikel, Tamames, Sonia, Astray, Jenaro, Morales Suárez-Varela, María, Torner Gràcia, Núria
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/116702
Acesso em linha:https://hdl.handle.net/2445/116702
Access Level:acceso abierto
Palavra-chave:Grip
Vacunació
Persones grans
Espanya
Influenza
Vaccination
Older people
Spain
Descrição
Resumo:Influenza vaccination may limit the impact of influenza in the community. The aim of this study was to assess the effectiveness of influenza vaccination in preventing hospitalisation in individuals aged ≥ 65 years in Spain. A multicentre case-control study was conducted in 20 Spanish hospitals during 2013/14 and 2014/15. Patients aged ≥ 65 years who were hospitalised with laboratory-confirmed influenza were matched with controls according to sex, age and date of hospitalisation. Adjusted vaccine effectiveness (VE) was calculated by multivariate conditional logistic regression. A total of 728 cases and 1,826 matched controls were included in the study. Overall VE was 36% (95% confidence interval (CI): 22-47). VE was 51% (95% CI: 15-71) in patients without high-risk medical conditions and 30% (95% CI: 14-44) in patients with them. VE was 39% (95% CI: 20-53) in patients aged 65-79 years and 34% (95% CI: 11-51) in patients aged ≥ 80 years, and was greater against the influenza A(H1N1)pdm09 subtype than the A(H3N2) subtype. Influenza vaccination was effective in preventing hospitalisations of elderly individuals.