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  1. Effect of emergency department immunizations on immunization rates and subsequent primary care visits.

    Article, Communication - En anglais

    Society for Pediatric Research Meeting - National Immunization Conference. Seattle, Wash (USA) ; Charlotte, NC (USA), 1994/05/04 - 1994/06/15.


    The Standards for Pediatric Immunization Practices recommend the routine use of emergency department (ED) encounters for screening the immunization status of children and, if indicated, immunizing them.


    To test the hypothesis that ED immunizations will improve immunization rates without decreasing subsequent primary care visits.


    A randomized controlled trial of 2 interventions.

    Children (aged 6-36 months) (n=1835) were enrolled in the study in the ED ; informed consent was obtained from their parents.

    They were randomized into 1 of 3 groups :

    • (1) the control group (n=614), in which no intervention was undertaken ;

    • (2) the letter group (n=610), in which a letter to the primary care physician was written indicating the child's estimated likelihood of being underimmunized ;

    • and (3) the ED vaccination group (n=611), in which, based on a decision rule, those likely to be underimmunized were offered immunizations in the ED.

    After randomization, parents were interviewed in the ED using a decision rule to estimate the likelihood of the child being underimmunized.

    One year after enrollment in the study, the medical records of the children at their primary care sites were reviewed to determine the immunization status of the children and primary care use patterns.


    An urban ED and 54 primary care sites in Monroe County, New York.


    The mean age of the participants was 17.9 months. (...)

    Mots-clés Pascal : Vaccination, Enfant, Homme, Service hospitalier, Urgence, Etats Unis, Amérique du Nord, Amérique, Evaluation performance, Immunisation

    Mots-clés Pascal anglais : Vaccination, Child, Human, Hospital ward, Emergency, United States, North America, America, Performance evaluation, Immunization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0213520

    Code Inist : 002B30A03B. Création : 21/05/1997.