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1.
J Am Pharm Assoc (2003) ; 57(3S): S274-S278, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28366600

RESUMEN

OBJECTIVES: To determine which types of vaccine recommendations were accepted and acted upon by patients after an immunization check-up at a pharmacist-provided employee health screening, and to evaluate if there was a difference between influenza and non-influenza vaccines. DESIGN: Retrospective, observational. SETTING: Supermarket chain. PATIENTS: Employees and covered spouses. INTERVENTION: Immunization check-up. MAIN OUTCOME MEASURES: Acceptance rate of immunization recommendation. METHODS: This retrospective observational study evaluated the impact of an immunization check-up in individuals who participated in one of the 252 pharmacist-provided health screenings in central Virginia in 2015. All employee health screenings were completed from July 1, 2015, to September 30, 2015. Because immunization status was assessed 6 months after each person received his or her health screening, data were collected from January 1, 2016, to March 30, 2016, and analyzed to collect the number and type of vaccines recommended during the immunization check-up. Each eligible participant's profile was evaluated to determine if he or she received the vaccines at any Kroger pharmacy within 6 months. Patient identifiers were not collected; however, demographics including age, relevant disease state history, and smoking status were collected with immunization recommendations and uptake. Data were analyzed with the use of descriptive statistics. RESULTS: A total of 349 immunization recommendations were made, including 248 influenza; 42 pneumococcal polysaccharide (PPSV23); 40 tetanus, diphtheria, and pertussis (Tdap); 12 herpes zoster; 4 pneumococcal conjugate (PCV13); and 3 hepatitis B. Both influenza and PCV13 had acceptance rates of 50%, and herpes zoster, Tdap, hepatitis B, and PPSV23 had 42%, 35%, 33%, and 24% acceptance rates, respectively. Influenza recommendations had a 50% acceptance rate compared with a 32% acceptance rate of non-influenza recommendations (P = 0.002). CONCLUSION: An immunization check-up performed at a pharmacist-provided employee health screening can lead to patient acceptance of recommendations and receipt of needed immunizations.


Asunto(s)
Servicios Comunitarios de Farmacia/estadística & datos numéricos , Inmunización/estadística & datos numéricos , Salud Laboral/estadística & datos numéricos , Farmacéuticos/estadística & datos numéricos , Farmacia/estadística & datos numéricos , Vacunación/estadística & datos numéricos , Adulto , Anciano , Femenino , Vacuna contra el Herpes Zóster/inmunología , Humanos , Vacunas contra la Influenza/inmunología , Masculino , Persona de Mediana Edad , Vacunas Neumococicas/inmunología , Estudios Retrospectivos , Toxoide Tetánico/inmunología , Virginia , Adulto Joven
2.
Pediatr Emerg Care ; 29(9): 974-8, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-23974715

RESUMEN

BACKGROUND: The primary objective of this study was to determine if children with abnormal body mass index (BMI) percentiles for age were admitted to the hospital from the emergency room at greater frequency than normal-weight children. This study also sought to evaluate what specific diagnoses both underweight and overweight children were being admitted with, and if a discrepancy exists. METHODS: A prospective observational chart review was conducted of children evaluated in the emergency department of the Children's Hospital at the University of Oklahoma during the month of October 2011 (n = 1747). One thousand nine hundred thirteen patient charts were reviewed, but 166 were excluded because of inability to obtain a height or weight within a 3-month period of the child being seen in the emergency department. RESULTS: Thirty-five (24.5%) of underweight patients, 82 (14.6%) of overweight or obese, and 173 (16.6%) of the normal-weight patients were admitted to the hospital from the emergency department. The underweight patients were admitted more frequently than the normal-weight (P = 0.0206) and overweight or obese patients (P = 0.0046). In addition, underweight patients were admitted more frequently with respiratory infections than normal-weight (P = 0.0279) and overweight or obese (P = 0.0509) patients. In addition, underweight patients were admitted more than overweight or obese patients with fractures (P = 0.0278). There was no statistical difference between overweight or obese and normal-weight admissions within any of the diagnostic categories. CONCLUSIONS: Underweight children (BMI ≤5%) have an increased risk of hospitalization from the emergency department, even when adjusted for age and sex. In particular, hospitalization among underweight patients was increased for those patients with respiratory infections and fractures. No difference was seen between admission rates of overweight (BMI ≥85%) or obese (BMI ≥95%) patients from those of normal-weight patients. This warrants the need to counsel patients and their families on the dangers not only of obesity, but also of being underweight. Emphasis should be placed on healthy lifestyles that include well-balanced meals and exercise.


Asunto(s)
Índice de Masa Corporal , Servicio de Urgencia en Hospital , Admisión del Paciente , Dolor Abdominal/epidemiología , Adolescente , Niño , Preescolar , Comorbilidad , Grupos Diagnósticos Relacionados , Susceptibilidad a Enfermedades , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Fracturas Óseas/epidemiología , Hospitales Universitarios/estadística & datos numéricos , Humanos , Lactante , Infecciones/epidemiología , Masculino , Desnutrición/complicaciones , Enfermedades del Sistema Nervioso/epidemiología , Oklahoma/epidemiología , Sobrepeso/epidemiología , Admisión del Paciente/estadística & datos numéricos , Estudios Prospectivos , Riesgo , Delgadez/epidemiología , Delgadez/etiología , Heridas y Traumatismos/epidemiología
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